Fotovat Amirreza, Yavari Samira, Ayati Mohsen, Nowroozi Mohammad Reza, Sharifi Laleh
Uro-Oncology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Department of Anesthesiology, School of Medicine, Esfahan University of Medical Sciences, Esfahan, Iran.
Heliyon. 2023 Feb 26;9(3):e14038. doi: 10.1016/j.heliyon.2023.e14038. eCollection 2023 Mar.
Several self-inserted foreign bodies have been reported in the lower genitourinary system. We report a 27-year-old man with suprapubic severe pain, purulent discharge from the urethra and dribbling. He had a history of psychotic disorders and inserting an ink chamber of a pen into the urethra. Imaging showed hydronephrosis and a large urinary stone in the bladder with no sign of foreign body. During open cystotomy, we found that bladder stone was attached to a plastic tube that was extended into the patient's urethra. In such cases, timely surgery to prevent urinary retention and psychological support are required.
已有多例下泌尿生殖系统自插入异物的报道。我们报告一名27岁男性，有耻骨上区剧痛、尿道脓性分泌物及滴尿症状。他有精神病史，曾将钢笔的墨囊插入尿道。影像学检查显示肾积水及膀胱内有一枚大的尿路结石，未见异物迹象。在开放性膀胱切开术中，我们发现膀胱结石附着于一根延伸至患者尿道的塑料管上。对于此类病例，需要及时手术以防止尿潴留，并给予心理支持。
