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罕见的膀胱内异物:两例报告。

Unusual intravesical foreign bodies: a report of two cases.

机构信息

Division of Urology, Souro Sanou University Teaching Hospital, Bobo-Dioulasso, Burkina Faso.

Division of Surgery, Regional Hospital, Dori, Burkina Faso.

出版信息

Pan Afr Med J. 2023 Aug 3;45:148. doi: 10.11604/pamj.2023.45.148.39227. eCollection 2023.

Abstract

The introduction of a foreign body into the urethra is an exceptionally rare occurrence. It is often secondary, either to erotic curiosity or to psychiatric disorders. The symptomatology is multiple and the diagnosis is aided by radiologic imaging. The extraction is most often done by endoscopic. The management of these patients must be done systematically and will need psychiatric assessment. We report the case of two patients who inserted a foreign body into their urinary bladder. One was 22-year-old and the second was 20-year-old and all with no history of psychiatric disorders. The first accidentally inserted a pencil into the urethra while trying to flatten a vulvar papule. The second inserted a piece of broom through playful games. The foreign bodies were extracted endoscopically in both cases under rachianesthesia. The postoperative course was uneventful and both patients were referred to a psychiatric clinic for evaluation after discharge.

摘要

异物进入尿道是一种极其罕见的情况。它通常是继发于性好奇或精神障碍。其症状多种多样,放射影像学检查有助于诊断。取出异物最常通过内镜完成。对这些患者的处理必须系统进行,并需要进行精神评估。我们报告了两名将异物插入膀胱的患者的病例。第一个是 22 岁,第二个是 20 岁,都没有精神障碍病史。第一个是在试图压平阴阜丘疹时意外将铅笔插入尿道,第二个是在玩游戏时将扫帚插入。这两种情况均在全身麻醉下经内镜取出异物。术后过程顺利,两名患者出院后均被转介到精神科诊所进行评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdf0/10559154/514ee3f77df6/PAMJ-45-148-g001.jpg

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