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Foreign body penetrating duodenum into kidney: A case report
Yikui Zhang1, Xiaofu Qiu1, Bote Chen1
1Department of Urology, Guangdong Second Provincial Hospital, Guangzhou, China.
Urology Case Reports
|January 30, 2023
Summary
A rare case of kidney injury from a swallowed foreign body penetrating the duodenum was successfully treated. The patient recovered fully with minimally invasive endoscopic removal and surgical repair, showing no complications.
Area of Science:
- Gastroenterology
- Urology
- Medical Imaging
Background:
- Penetrating injuries to the kidney via the gastrointestinal tract are uncommon.
- Foreign body ingestion can lead to rare but serious complications, including organ perforation.
Observation:
- A 22-year-old male presented with a foreign body penetrating the descending duodenum and right kidney lower pole.
- Abdominal CT scan confirmed the foreign body's trajectory and extent of injury.
Findings:
- The patient underwent successful multi-disciplinary treatment involving extracorporeal ultrasound-assisted endoscopic foreign body removal.
- Hemostatic clamp suture was employed for repair.
- Post-procedure imaging (ultrasound, intravenous pyelography) revealed no contrast leakage, and the patient experienced no hematuria or urinary tract infection.
Implications:
- This case highlights the possibility of rare gastrointestinal-to-renal foreign body migration.
- Minimally invasive endoscopic techniques can be effective for managing such complex injuries.
- Successful outcomes underscore the importance of advanced imaging and multidisciplinary care in rare penetrating trauma cases.
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