Al Shabaan Hasan R, Almodhi Hussain M, Alabdulwahab Abdulelah A, Aldoukhi Mohammed T, Alkhalifa Hasan Y
Urology, King Fahad Hospital Hofuf, Al Ahsa, SAU.
Emergency Department, King Fahad Hospital Hofuf, Al Ahsa, SAU.
Cureus. 2024 Oct 1;16(10):e70628. doi: 10.7759/cureus.70628. eCollection 2024 Oct.
Foreign bodies in the lower urinary system are relatively uncommon. The foreign body can cause significant discomfort, hematuria, or infection of the urinary system. Diagnosis is usually made by clinical examination and pelvic X-ray. The case we present is interesting in that the foreign body, that is the wire, coiled and made a knot within the bladder. We report a case of a 25-year-old male who presented with a history of dysuria after the insertion of a foreign body into the urethra. Examination showed a wire protruding from the urethra with no bleeding or discharge. X-ray showed a wire from the meatus, coiled and tied in the bladder. Open cystostomy and extraction of the wire were done successfully. Foreign bodies are usually a result of psychological illness. Thereby, psychiatric evaluation is needed in such a presentation. Management should be started by a trial of retrieval or, if failed, endoscopically or by open cystostomy.
下泌尿系统异物相对不常见。异物可引起明显不适、血尿或泌尿系统感染。诊断通常通过临床检查和盆腔X线进行。我们呈现的这个病例很有趣，因为异物，也就是金属丝，在膀胱内盘绕并打结。我们报告一例25岁男性病例，该患者在尿道插入异物后出现排尿困难史。检查发现一根金属丝从尿道突出，无出血或分泌物。X线显示金属丝从尿道口进入，在膀胱内盘绕并打结。成功进行了开放性膀胱造瘘术并取出金属丝。异物通常是心理疾病的结果。因此，对于这种情况需要进行精神科评估。治疗应首先尝试取出，如果失败，则通过内镜或开放性膀胱造瘘术进行处理。
