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Perianal Abscess Caused by Urethral Foreign Body: A Case Report

Sayaka Hoshino1, Kenji Obara1, Kazutoshi Yamana1

  • 1Division of Urology, Graduate School of Medical and Dental Sciences Niigata University Niigata Japan.

IJU Case Reports
|May 8, 2025
PubMed

Insights

A rare case of a perianal abscess in a 14-year-old boy was linked to a urethral foreign body present for 15 months. This highlights the need for vigilance in patients with cognitive impairments presenting with urinary issues.

Area of Science:

  • Urology
  • Pediatric Surgery
  • Radiology

Background:

  • Foreign body insertion into the urethra can lead to serious complications.
  • Long-term retention of urethral foreign bodies is uncommon but can result in significant morbidity.
  • Intellectual disability may increase the risk of foreign body insertion and complicate diagnosis.

Purpose of the Study:

  • To report a unique case of perianal abscess secondary to a long-standing urethral foreign body.
  • To emphasize the diagnostic challenges and management of such cases in pediatric patients with cognitive impairments.
  • To raise awareness among medical professionals regarding potential underlying behavioral issues in refractory urinary tract conditions.

Main Methods:

  • A 14-year-old male with intellectual disability presented with perianal symptoms.
  • Imaging studies, including CT and MRI, were used to identify the foreign body.
  • Cystourethroscopy with grasper was performed for foreign body removal.

Main Results:

  • A urethral foreign body, an allene fiber broom ear, was present for 15 months.
  • The foreign body was successfully removed via cystourethroscopy.
  • The case highlights a delayed presentation of perianal abscess linked to the urethral foreign body.

Conclusions:

  • Healthcare providers should consider urethral foreign bodies in patients with intellectual disability presenting with lower urinary tract symptoms or perianal infections.
  • Vigilance in screening for and treating cognitive and behavioral problems is crucial in managing refractory urinary tract inflammation or hematuria.
  • Prompt diagnosis and removal of urethral foreign bodies are essential to prevent complications such as abscess formation.
Abstract

Keywords:
intellectual disabilityperianal abscessurethral foreign body

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