Brijawi Omar, Hartman Evan, Wright Steven, Schneegurt Noah R
Internal Medicine, Mount Carmel Health System, Grove, USA.
Internal Medicine, Wright State University Boonshoft School of Medicine, Dayton, USA.
Cureus. 2024 Nov 5;16(11):e73048. doi: 10.7759/cureus.73048. eCollection 2024 Nov.
Self-insertion of foreign objects into the lower urinary tract is an uncommon presentation with diverse underlying motivations, including psychiatric illness, sexual gratification, intoxication, and perceived contraception. A wide variety of objects may be inserted, leading to varied symptom presentations. We report the case of a 51-year-old male with a history of post-traumatic stress disorder, antisocial personality disorder, and prior self-mutilation, who presented to the ED following self-insertion of multiple foreign objects into the lower urinary tract. CT revealed an AAA battery lodged in his urethra alongside paper clips, with toothpaste caps found within his bladder. Cystoscopy was used to remove the paper clips and to advance the battery into the bladder, allowing the removal of all objects, including the toothpaste caps, via cystoscopy. The patient was prescribed a one-week course of ceftriaxone for a UTI, and his hospital stay was complicated by the need for physical restraint to prevent further self-harm.
将异物自行插入下尿路是一种不常见的情况，其背后动机多种多样，包括精神疾病、性满足、中毒和避孕观念等。可能插入各种各样的物体，导致症状表现各异。我们报告一例51岁男性病例，该患者有创伤后应激障碍、反社会人格障碍病史且既往有自残史，他在自行将多个异物插入下尿路后就诊于急诊科。CT显示一枚AAA电池卡在其尿道内，旁边还有回形针，膀胱内发现有牙膏帽。通过膀胱镜检查取出回形针，并将电池推进膀胱，从而能够通过膀胱镜检查取出所有物体，包括牙膏帽。患者因尿路感染接受了为期一周的头孢曲松治疗，住院期间因需要身体约束以防止进一步自我伤害而使病情复杂化。
