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膀胱内异物(芸豆):一例罕见病例报告。

Foreign body (kidney beans) in urinary bladder: An unusual case report.

作者信息

Jain Ankita, Gupta Manish, Sadasukhi Trilok Chand, Dangayach Krishan Kumar

机构信息

Department of General Surgery, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India.

Department of Urology, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India.

出版信息

Ann Med Surg (Lond). 2018 Jun 26;32:22-25. doi: 10.1016/j.amsu.2018.06.009. eCollection 2018 Aug.

DOI:10.1016/j.amsu.2018.06.009
PMID:29988946
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6034582/
Abstract

INTRODUCTION

Foreign body in urinary bladder has always been a topic of interest amongst the urologists and surgeon. Foreign body in lower urinary tract is not an unusual finding. Different types of foreign bodies has been retrieved from the lower urinary tract like for example, electric wire, safety pin, hairclip, intrauterine contraceptive device (IUCD), gauze pieces, battery, leech, hairballs and so on.This article presents an unusual case report of the presence of kidney beans in the bladder, self-inflicted by the patient in the middle of the night for the purpose of sexual gratification or autoerotism. A 25 years old male patient, chef by occupation, presented to the outpatient department with history of insertion of 4 kidney beans 3 days back through his penis during the act of masturbation. The patient had complaints of dysuria, one episode, next morning after the act, which was relieved thereafter. Patient came to us only for the purpose of removal of the kidney beans. Attempt was made to remove the beans by non-invasive method by cystoscopy but as the beans were soaked in urine they got swollen and forceps removal was not possible. Hence, the kidney beans were removed by an invasive method by a suprapubic incision.

CONCLUSION

There has been many cases reported in literature about insertion of foreign bodies in bladder but presence of kidney beans in bladder is first of its kind as far as our knowledge is concerned.

摘要

引言

膀胱异物一直是泌尿外科医生和外科医生感兴趣的话题。下尿路异物并非罕见的发现。已从下尿路取出不同类型的异物,例如电线、安全别针、发夹、宫内节育器(IUCD)、纱布片、电池、水蛭、毛球等等。本文报告了一例罕见病例,患者为获得性满足或自慰,于半夜将芸豆自行放入膀胱。一名25岁男性患者,职业为厨师,因3天前自慰时经阴茎放入4颗芸豆前来门诊就诊。患者在放入芸豆后的次日早晨出现一次排尿困难,之后缓解。患者仅为取出芸豆前来我院。尝试通过膀胱镜采用非侵入性方法取出芸豆,但由于芸豆浸泡在尿液中已肿胀,无法用钳子取出。因此,通过耻骨上切口采用侵入性方法取出了芸豆。

结论

文献中已报道了许多膀胱内插入异物的病例,但就我们所知,膀胱内存在芸豆尚属首例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/6034582/4c12ace6a07e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/6034582/6ca816ed2b32/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/6034582/2259747d3b61/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/6034582/4c12ace6a07e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/6034582/6ca816ed2b32/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/6034582/2259747d3b61/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c467/6034582/4c12ace6a07e/gr3.jpg

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