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Published on: September 11, 2018
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.
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.
Abstract:
We present the images of a 4-year-old male child with history of recurrent unexplained urinary tract infections which was found to be due to an ingested wooden foreign body which had perforated the small bowel into the posterior bladder wall. Such cases are very rare, usually due to domestic abuse or in patients with psychiatric illnesses. The adults usually report early but in children these cases go un-noticed. These patients may present with features of bowel obstruction, perforation, or hematochezia.1 as recurrent urinary tract infections seems to be the first case to be reported.
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