Perianal Abscess Caused by Urethral Foreign Body: A Case Report

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.