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Screw as a Bladder Foreign Body
Seyed Reza Hosseini1, Hamed Rezaei1, Mohamad Ghasem Mohseni2
1Tehran University of Medical Sciences, Sina Hospital, Iran.
Urology Case Reports
|February 15, 2017
Summary
A misplaced surgical screw caused bladder symptoms in a 63-year-old man. Prompt diagnosis and removal via urethrocystoscopy resolved his lower urinary tract symptoms.
Area of Science:
- Urology
- Medical Imaging
- Surgical Complications
Background:
- Foreign bodies in the bladder are rare causes of lower urinary tract symptoms (LUTS).
- Missed diagnosis of intraluminal bladder foreign bodies can prolong patient suffering.
- Surgical hardware migration is an uncommon but significant complication.
Observation:
- A 63-year-old male presented with acute obstructive and irritative LUTS.
- The patient had a history of pelvic fracture treated with internal fixation two months prior.
- Initial evaluation did not identify the cause of his symptoms.
Findings:
- An abdominopelvic X-ray revealed a 3 cm surgical screw in the suprapubic region, extending into the bladder.
- Urethrocystoscopy confirmed the presence of the screw within the bladder.
- The foreign body was successfully removed using forceps via cystoscopy.
Implications:
- This case highlights the importance of considering unusual etiologies for LUTS, including migrated surgical hardware.
- Imaging modalities like X-ray are crucial for identifying radiopaque foreign bodies.
- Minimally invasive endoscopic removal is an effective treatment for intraluminal bladder foreign bodies.