Alabassi Kholoud, Ata Yaser M, Alshahwani Noora, Elkadhi Abdelrahman
Urology Department, Hamad Medical Corporation, Doha, Qatar.
Pediatric Surgery Department, Sidra Medicine, Doha, Qatar.
J Surg Case Rep. 2024 Dec 26;2025(1):rjae819. doi: 10.1093/jscr/rjae819. eCollection 2025 Jan.
Bladder foreign bodies (BFB) are uncommon in the pediatric population. They typically arise from self-insertion, iatrogenic factors, or trauma. Cystoscopy is the preferred intervention. A 16-year-old female presented with a [2-]day history of dysuria, suprapubic pain, and a palpable rectal foreign body. Imaging revealed an 8.2 cm radiopaque object in the bladder. Diagnostic laparoscopy confirmed no perforation. Cystoscopy identified and removed a lead pencil from the bladder. A small bladder perforation was noted post-removal. The patient had a smooth recovery and was discharged with a Foley catheter, which was later removed following normal postoperative imaging results. Prompt diagnosis and intervention are crucial for managing pediatric BFBs to prevent complications. Imaging and cystoscopy play key roles in treatment.
膀胱异物（BFB）在儿科人群中并不常见。它们通常源于自我插入、医源性因素或创伤。膀胱镜检查是首选的干预措施。一名16岁女性出现尿痛、耻骨上疼痛和可触及的直肠异物，病史为2天。影像学检查显示膀胱内有一个8.2厘米的不透射线物体。诊断性腹腔镜检查证实没有穿孔。膀胱镜检查发现并从膀胱中取出一支铅笔。取出后发现一个小的膀胱穿孔。患者恢复顺利，带着导尿管出院，后来在术后影像学检查结果正常后拔除了导尿管。及时诊断和干预对于处理儿科膀胱异物以预防并发症至关重要。影像学检查和膀胱镜检查在治疗中起着关键作用。
