Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 7 Issue 5

Foreign Body Intra Vesical on an Unusual Diagnostic Case in Bangui

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

References

  1. Makhloufi M., et al. “Localisation Intravésicale d’une Broche d’ostéosynthèse (A Propos D’un Cas)”. African Journal of Urology 1 (2011): 24-27.
  2. Pal DK and Bag AK. “Intra vésical wire as foreign body in urinary bladder”. International Brazilian Journal of Urology 5 (2005): 472-474.
  3. Bakshi GK., et al. “An unusual foreign body in the bladder”. Journal of Postgraduate Medicine 1(2000):41-42.
  4. Kenney RD. “Adolescent males who insert genitourinary foreign bodies: Is psychiatric referral required?” Urology 2 (1988): 127-129.
  5. Rabii R., et al. “Corps étranger de la vessie et de l’urètre. A propos de 2 cas [Foreign bodies of the bladder and urétral. A propos of 2 cases]”. Annals of Urology (Paris)5 (1998): 291-293.
  6. Mhiri M., et al. “Le calcul vésical chez la femme: à propos de 10 cas”. Journal de Gynécologie Obstétrique et Biologie de la Reproduction 19 (1990): 979-982.
  7. Kambou T., et al. “Prise en charge des corps étrangers des voies urinaires basses à Bobo-Dioulasso (Burkina Faso). Plaidoyer pour un accès aux moyens endoscopiques”. African Journal of Urology (2016).
  8. Van Ophoven A and De Kernion JB. “Clinical management of foreign bodies of the genitourinary tract”. Journal of Urology2 (2000): 274-287.
  9. Latib R., et al. “Lithiase vésicale compliquant une migration de dispositif intra-utérin”. Imagerie de la Femme 20 (2010): 155-157.
  10. Atakn T., et al. “Intra vésical migration of intra-utérine device resulting in stone formation”. Urology 60 (2002): 911.
  11. Özdemir H., et al. “Migration of an intra-utérine contraceptive device to the ovary”. Journal of Clinical Ultrasound 32 (2004): 91-94.
  12. Nouri M., et al. “Migration of an intra uterine device into the bladder. Report of a case”. Journal of Obstetrics and Gynecology and Reproductive Biology (Paris) 28 (1999): 1620-1624.
  13. Hajjar C., et al. “Migration trans-utero-vésicale d’un dispositif intra-utérin avec formation de calcul : à propos de 03 cas”. Uro Andro4 (2020): 145-151.

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.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

Indexed In





Contact US