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Dead bone in bladder- sequestrum perforating into urinary bladder leading to hydroureteronephrosis masquerading as
Sajad Ahmad Para1, Mohammad Saleem Wani2, Reyaz Ahmad Dar3
1Department of Urology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, 190011, India.
Urology Case Reports
|April 14, 2021
Summary
A rare pelvic sequestrum, a bone fragment complication of osteomyelitis, mimicked a bladder stone after hip joint infection. This unusual presentation caused significant urinary tract obstruction.
Area of Science:
- Orthopedic Surgery
- Urology
- Infectious Diseases
Background:
- Sequestrum formation is a recognized complication of osteomyelitis, often leading to persistent infection and inflammation.
- Septic arthritis of the hip joint can predispose to adjacent bone complications.
Observation:
- A rare case of pelvic sequestrum developed following septic arthritis of the hip.
- The pelvic sequestrum extended into the urinary bladder, resembling a bladder calculus.
Findings:
- The misdiagnosed bladder calculus was, in fact, a pelvic sequestrum.
- This led to ureteral obstruction, resulting in hydroureteronephrosis.
Implications:
- Highlights the importance of considering unusual presentations of osteomyelitis complications.
- Underscores the need for comprehensive diagnostic evaluation in complex pelvic infections.
- Emphasizes potential urological complications arising from orthopedic infections.
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