Chen HongJie, Han Yaodong, Li Wu, Zhang Jun, Liang Zhong
Department of Urology The First Ren Ming Hospital of Lanzhou Lanzhou China.
Department of Imageology The First Ren Ming Hospital of Lanzhou Lanzhou China.
Clin Case Rep. 2024 Sep 13;12(9):e9440. doi: 10.1002/ccr3.9440. eCollection 2024 Sep.
A self-insertion of the styrofoam in urinary bladder is relatively rare. The diagnosis might be missed due to concealing the history of self-insertion of the foreign body and the presence of gas in the bladder on CT and MRI. Younger patients with lower urinary tract symptoms should raise the index of suspicion.
Transurethral self-insertion of a foreign body into the bladder is the most common type of bladder foreign body, which is unlikely to be misdiagnosed. we report a case of self-insertion bladder foreign body and present the symptoms, imaging, diagnosis and treatment in a 14-year-old Chinese boy of Han nationality. Younger patients with lower urinary tract symptoms should raise the index of suspicion. Endoscopic removal of foreign bodies can be a challenge. Patients with self-insertion of foreign objects should undergo psychiatric evaluation to avoid repeated transurethral insertion of foreign bodies.
膀胱内自行插入聚苯乙烯泡沫相对罕见。由于隐瞒异物自行插入史以及CT和MRI上膀胱内存在气体，可能会漏诊。出现下尿路症状的年轻患者应提高警惕。
经尿道将异物自行插入膀胱是膀胱异物最常见的类型，不太可能误诊。我们报告一例膀胱异物自行插入病例，并介绍一名14岁汉族中国男孩的症状、影像学表现、诊断及治疗。出现下尿路症状的年轻患者应提高警惕。内镜下取出异物可能具有挑战性。异物自行插入的患者应接受精神科评估，以避免反复经尿道插入异物。
