Rante Allo Frincia Bunga, Hendri Ahmad Zulfan, Yuri Prahara, Alfarizi Zico Yusuf
Urology Division, Department of Surgery, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada / Dr. Sardjito Hospital, Jl. Kesehatan No.1, Yogyakarta, 55281, Indonesia.
Urol Case Rep. 2025 Feb 9;59:102979. doi: 10.1016/j.eucr.2025.102979. eCollection 2025 Mar.
A 12-year-old female presented with lower abdominal pain and hematuria following the self-insertion of a pencil into her bladder. Imaging revealed a 10.2 cm radiopaque object, which was removed intact via cystoscopy. Postoperative recovery was uneventful, and psychiatric evaluation diagnosed mild depression, highlighting the need for integrated psychosocial intervention. This case underscores the critical importance of a multidisciplinary approach that combines medical and psychosocial care in the management of intravesical foreign bodies, particularly in pediatric populations. Proactive measures, including mental health education and early psychosocial support, are essential for prevention and recurrence mitigation.
一名12岁女性在自行将铅笔插入膀胱后出现下腹部疼痛和血尿。影像学检查发现一个10.2厘米的不透X线物体,通过膀胱镜检查完整取出。术后恢复顺利,经精神科评估诊断为轻度抑郁症,这凸显了综合心理社会干预的必要性。该病例强调了多学科方法在膀胱内异物管理中的至关重要性,这种方法将医疗和心理社会护理相结合,尤其适用于儿科人群。包括心理健康教育和早期心理社会支持在内的积极措施对于预防和减少复发至关重要。