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小儿膀胱内异物:一例强调心理社会评估与干预关键作用的病例报告。

Intravesical foreign bodies in pediatric: A case report highlighting the critical role of psychosocial assessment and intervention.

作者信息

Rante Allo Frincia Bunga, Hendri Ahmad Zulfan, Yuri Prahara, Alfarizi Zico Yusuf

机构信息

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.

出版信息

Urol Case Rep. 2025 Feb 9;59:102979. doi: 10.1016/j.eucr.2025.102979. eCollection 2025 Mar.

DOI:10.1016/j.eucr.2025.102979
PMID:40034262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11872544/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d73/11872544/c409ee201c86/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d73/11872544/6ff395f45d85/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d73/11872544/5919bd8e6dda/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d73/11872544/9d72b4c157c8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d73/11872544/c409ee201c86/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d73/11872544/6ff395f45d85/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d73/11872544/5919bd8e6dda/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d73/11872544/9d72b4c157c8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d73/11872544/c409ee201c86/gr4.jpg

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本文引用的文献

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Diagnosis and treatment strategies for pediatric urogenital tract foreign bodies: A retrospective study.小儿泌尿生殖道异物的诊断与治疗策略:一项回顾性研究。
Am J Emerg Med. 2024 May;79:12-18. doi: 10.1016/j.ajem.2024.01.042. Epub 2024 Feb 3.
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Vaginal Foreign Bodies in the Pediatric and Adolescent Age Group: A Review of Current Literature and Discussion of Best Practices in Diagnosis and Management.小儿和青少年群体的阴道异物:当前文献综述及诊断与处理最佳实践的讨论。
J Pediatr Adolesc Gynecol. 2024 Apr;37(2):121-125. doi: 10.1016/j.jpag.2023.11.010. Epub 2023 Nov 25.
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Deliberate foreign body ingestion in patients with underlying mental illness: A retrospective multicentre study.
有基础精神疾病的患者故意吞食异物:一项回顾性多中心研究。
Australas Psychiatry. 2023 Oct;31(5):619-624. doi: 10.1177/10398562231189431. Epub 2023 Jul 20.
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Self-inflicted intravesical insertion of 83 magnetic balls in a 10-year-old boy: a case report and literature review.10 岁男孩自行将 83 颗磁珠插入膀胱:病例报告及文献复习。
Turk J Pediatr. 2023;65(1):176-179. doi: 10.24953/turkjped.2022.429.
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Clinical Features and Management of Urethral Foreign Bodies in Children: A 10-Year Retrospective Study.儿童尿道异物的临床特征与处理:一项10年回顾性研究
Children (Basel). 2022 Sep 26;9(10):1468. doi: 10.3390/children9101468.
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Small spherical foreign bodies in the genitourinary tract and their management.泌尿系统内的小球形异物及其处理。
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A Self-Inserted Foreign Body in the Urinary Bladder and Urethra.膀胱和尿道内的自行插入异物
Cureus. 2021 Jul 11;13(7):e16322. doi: 10.7759/cureus.16322. eCollection 2021 Jul.
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Conservative Management for Urethral Foreign Body: A Case Report of an Adolescent Boy With Repeated Events.尿道异物的保守治疗:一名反复出现相关情况的青少年男性病例报告
Front Pediatr. 2021 Jul 26;9:691778. doi: 10.3389/fped.2021.691778. eCollection 2021.
9
Retained wooden foreign body in groin in a child: A case report and review of literature.腹股沟处遗留的木质异物:病例报告及文献复习。
Afr J Paediatr Surg. 2020 Jul-Dec;17(3 & 4):127-130. doi: 10.4103/ajps.AJPS_22_20.
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