Hoshino Sayaka, Obara Kenji, Yamana Kazutoshi, Ishizaki Fumio, Murata Masaki, Hoshii Tatsuhiko, Tomita Yoshihiko
Division of Urology, Graduate School of Medical and Dental Sciences Niigata University Niigata Japan.
IJU Case Rep. 2025 Mar 13;8(3):249-252. doi: 10.1002/iju5.70017. eCollection 2025 May.
We report a case of perianal abscess that developed after the presence of a urethral foreign body for 15 months.
A 14-year-old boy with intellectual disability due to agenesis of the corpus callosum presented to our hospital with complaints of perianal erythema, swelling, and pain. The patient admitted to self-inserting an allene fiber broom ear 15 months ago. A few days after the insertion, he was treated with antibiotics for hematuria and micturition pain. The symptoms resolved spontaneously 2 months later, although the foreign body was not removed. Computed tomography and magnetic resonance imaging demonstrated a perineal linear structure running anterior to posterior. The urethral foreign body was removed by cystourethroscopy and grasper.
Medical professionals should be aware of the possibility of underlying cognitive and behavioral problems and should be vigilant in screening and treating individuals with refractory lower urinary tract inflammation or hematuria.
我们报告一例在尿道异物存留15个月后发生的肛周脓肿病例。
一名因胼胝体发育不全导致智力残疾的14岁男孩因肛周红斑、肿胀和疼痛前来我院就诊。患者承认15个月前自行插入了一根丙纶纤维扫帚耳。插入几天后,他因血尿和排尿疼痛接受了抗生素治疗。尽管异物未取出,但症状在2个月后自行缓解。计算机断层扫描和磁共振成像显示一条会阴线性结构从前向后走行。通过膀胱尿道镜检查和抓取器取出了尿道异物。
医学专业人员应意识到潜在的认知和行为问题的可能性,并应警惕对难治性下尿路感染或血尿患者进行筛查和治疗。