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[What nobody thought possible--a "demobilization chain" gone astray. Foreign body in the urinary bladder--a current
1Urologisk seksjon, Buskerud Sentralsykehus, Drammen.
Abstract:
Intravesical foreign bodies should be considered in cases of unexplainable lower urinary tract symptoms or recurrent urinary tract infections with therapy-resistant microbes like Proteus mirabilis and Pseudomonas. Usually these conditions are due to accidents in genitourinary surgery or instrumentation, but in our case occurred as a complication to an erotic procedure. This paper describes a case with a so-called "dimme-lenke", i.e. a chain used to count down days until demobilization from compulsory military service for Norwegian recruits, found in the bladder of a 13-year-old boy. A knot at the end of the chain made endoscopic removal impossible and it had to be removed by cystotomy.
Insights
A 13-year-old boy presented with lower urinary tract symptoms due to a foreign object in his bladder. The "dimme-lenke" chain required surgical removal via cystotomy due to a knot preventing endoscopic extraction.
Area of Science:
- Urology
- Medical Case Reports
Background:
- Intravesical foreign bodies can cause unexplainable lower urinary tract symptoms and recurrent infections.
- Common causes include surgical accidents or instrumentation, but erotic procedures are a rare etiology.
Observation:
- A 13-year-old boy presented with symptoms attributed to a foreign object in his bladder.
- The object was identified as a
- dimme-lenke
- a chain used by Norwegian military recruits.
- A knot on the chain precluded endoscopic removal.
Findings:
- The
- dimme-lenke
- was successfully removed from the bladder.
- Removal necessitated a cystotomy due to the object's configuration.
Implications:
- This case highlights the importance of considering unusual foreign bodies in pediatric urinary tract issues.
- Erotic practices, though uncommon, can lead to serious genitourinary complications requiring surgical intervention.
- Highlights the need for tailored surgical approaches when foreign bodies cannot be removed endoscopically.