Recurrent Unexplained Cystitis Due to an Ingested Foreign Body-An Extremely Rare Case

Arshed Hussain Parry1, Abdul Haseeb Wani1, Mohd Ilyas1

  • 1Department of Radiodiagnosis and Imaging, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, 190011, India.

Urology
|August 25, 2018
PubMed

Insights

A child

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Urology

Background:

  • Ingested foreign bodies are rare causes of urinary tract infections (UTIs).
  • Perforation of the gastrointestinal tract by foreign bodies can lead to complex presentations.
  • Pediatric cases often go unnoticed due to delayed symptom presentation.

Purpose of the Study:

  • To report a rare case of recurrent UTIs caused by an ingested foreign body.
  • To highlight the diagnostic challenges in pediatric patients with unusual foreign body ingestions.
  • To emphasize the importance of considering gastrointestinal perforation in unexplained UTIs.

Main Methods:

  • Case presentation of a 4-year-old male with recurrent UTIs.
  • Diagnostic imaging to identify the cause of UTIs.
  • Surgical and clinical management review.

Main Results:

  • A wooden foreign body was identified as the cause of UTIs.
  • The foreign body had perforated the small bowel and lodged in the posterior bladder wall.
  • Recurrent UTIs resolved after management of the foreign body.

Conclusions:

  • Ingested wooden foreign bodies can cause severe complications, including UTIs via bowel perforation.
  • This case represents a rare presentation of a foreign body complication in a child.
  • Early recognition and management are crucial for favorable outcomes in pediatric foreign body ingestions.

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