Ngboko Mirotiga Pétula Annicette¹, Doui Doumgba Antoine¹*, Ngouyombo Alexandre Regis¹, Dibertbekoy Nouganga Emmanuel², Ndakala Serge Augustin¹, Kowoho Banneau Francis Georges³, Yakouma Lebrun³, Endjiadji Merly Bernard³, Kouandongui Songrou Francky⁴ and Ngarhio LUC²

¹Chirurgiens Service de Chirurgie Générale, CHU de l’Amitié Sino Centrafricaine de Bangui, Central African Republic
²Chirurgiens Service de Chirurgie Générale, CHU Maman Elisabeth Domitien de BIMBO, Central African Republic
³Médecins Résidents Service de Chirurgie Générale, CHU de l’Amitié Sino Centrafricaine de Bangui, Central African Republic
⁴Radiologue CHU Maman Elisabeth Domitien de BIMBO, Central African Republic

*Corresponding Author: Doui Doumgba Antoine, Chirurgiens Service de Chirurgie Générale, CHU de l’Amitié Sino Centrafricaine de Bangui, Central African Republic.

Received: December 08, 2022; Published: April 17, 2023

Abstract

Objective: To report the difficulties of diagnosis in presence of an intravesical foreign body and to draw the attention of practitioners to the practices likely to lead to iatrogenesis.

Patients and Methods: This was an unusual clinical case diagnosed incidentally during a cystostomy indicated for bladder stones. Results: The patient is a 36-year-old lady. She is 3rd Parent whose last child is five months old. She is received in our services 5 months after a delivery which had taken place in a maternity ward in Bangui. She would have benefited from a bladder sounding just before delivery and the circumstances are not well specified. His complaints are dominated by pelvic pain, pollakiuria and urinary burning. The physical examination is normal. The urine analysis shows a urinary tract infection with Escherichia Coli and the blood count shows hyper leukocytosis with 14000 white elements/mm³. Medical treatment with Ciprofloxacin 500 mg/8 hours is instituted for about ten days. The persistence of the symptoms motivates the realization of an abdominopelvic ultrasound which will highlight an intra vesical calculation of approximately 3 cm in diameter. We perform a cystostomy during which we discover a rigid probe whose distal end is surrounded by a stone. After extraction of the catheter and the stone, the bladder is closed and a urethral catheter is put in place and kept for 10 days. Ceftriaxone-based antibiotic therapy is instituted for a period of five days. The postoperative course was simple.

Conclusion: Foreign bodies in the lower urinary tract are rare in our practice. Their frequency is probably underestimated because practitioners do not think about them or because of a lack of means of exploration. Patient safety is first and foremost about continuous improvement, through learning from mistakes and adverse events. However, the practice of sounding with small rigid probes must be carried out under good supervision in order to avoid iatrogenic detrimental to the patients.

Keywords: Bladder Stone; Foreign Bodies; Cystostomy; Bladder; Lower Urinary Tract

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Citation

Citation: Doui Doumgba Antoine., et al. “Foreign Body Intra Vesical on an Unusual Diagnostic Case in Bangui”.Acta Scientific Medical Sciences 7.5 (2023): 120-123.

Copyright

Copyright: © 2023 Doui Doumgba Antoine., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.