Back from the Bread: Delayed Presentation of an Ingested Foreign Body

Rachel Hawthorne; Anthony Koupparis

doi:doi:10.11648/j.ijcu.20220601.15

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Back from the Bread: Delayed Presentation of an Ingested Foreign Body

Rachel Hawthorne, Anthony Koupparis

Published in International Journal of Clinical Urology (Volume 6, Issue 1)

Received: 8 January 2022 Accepted: 5 February 2022 Published: 16 February 2022

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Abstract

Background: Foreign body ingestion is often uneventful and rarely requires surgical intervention. It can however become problematic, predominantly affecting the gastrointestinal tract or more rarely the genitourinary tract. Few cases of the latter have been described. Objective: The aim of this case report is to raise awareness of the potentially indolent presentation of foreign body ingestion resulting in urological complications. Method: We report a unique case of a forty year old presenting with suprapubic pain, urgency and frequency twenty years following inadvertent ingestion of a needle. Results: Following initial investigation for common causes of lower urinary tract symptoms, ultrasound and computer tomography located the needle within a perivesical cavity associated with the bladder dome. Attempted removal via laparoscopy and open approach was unsuccessful. The patient ultimately underwent robotic assisted laparoscopic partial cystectomy in order to excise the cavity and foreign body. Conclusion: Extra-luminal migration of foreign bodies from the gastrointestinal to the genitourinary tract is rare but should be considered as a differential for urological symptoms in difficult cases when the aetiology remains elusive. Access to radiological imaging remains vital to enabling verification of the diagnosis. Optimal management involves localisation and excision of the foreign body and any containing cavity or fistulae. This may require advanced techniques including intra-operative imaging and a robotic-assisted laparoscopic approach.

Published in	International Journal of Clinical Urology (Volume 6, Issue 1)
DOI	10.11648/j.ijcu.20220601.15
Page(s)	19-22
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Foreign Object, Cystitis, Partial Cystectomy, Robotic

References

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[3]	Pinero Madrona A, Fernández Hernández JA, Carrasco Prats M, Riquelme Riquelme J, Parrila Paricio P. Intestinal perforation by foreign bodies. European Journal of Surgery. 2000Apr; 166 (4): 307-9. https://pubmed.ncbi.nlm.nih.gov/10817327/.
[4]	Henderson C, Engel J, Schlesinger P. Foreign Body Ingestion: Review and Suggested Guidelines for Management. Endoscopy. 1987; 19 (02): 68-71. https://pubmed.ncbi.nlm.nih.gov/3552641/.
[5]	Ambe P, Weber SA, Schauer M, Knoefel WT. Swallowed foreign bodies in adults. Deutsches Arztebatl International. 2012; 109 (50): 869-875. https://pubmed.ncbi.nlm.nih.gov/23293675/.
[6]	Kramer R, Lerner D, Lin T, Manfredi M, Shah M, Stephen T et al. Management of Ingested Foreign Bodies in Children. Journal of Pediatric Gastroenterology & Nutrition. 2015; 60 (4): 562-574. https://pubmed.ncbi.nlm.nih.gov/25611037/.
[7]	Wykes W, Barker JR. Urethral discharge associated with ingested foreign body. British medical journal. 1978; 2 (6154): 1751. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1609978/.
[8]	Misra S, Jain V, Ahmad F, Kumar R, Kichore N. Metallic sewing needle ingestion presenting as acute abdomen. Nigerian journal of clinical practice. 2013; 16 (4): 540-543. https://pubmed.ncbi.nlm.nih.gov/23974755/.
[9]	Bhardwaj M, Hong S, Berkowitz D. Where did the problem stem from? An unusual case of hematemesis and hematuria American Journal of Gastroenterology 2019; 114: doi: 10.14309/01.ajg.0000597404.45137.92.
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[12]	Zezos P, Oikonomou A, Souftas V, Gkotsis D, Pitiakoudis M, Kouklakis G. Endoscopic removal of a toothpick perforating the sigmoid colon and causing chronic abdominal pain: a case report. Cases Journal. 2009; 2 (1): 8469. https://pubmed.ncbi.nlm.nih.gov/19918434/.
[13]	Garcia-Segui A, Bercowsky E, Gómez-Fernández I, Gibernau R, Gascón Mir M. Late migration of a toothpick into the bladder: initial presentation with urosepsis and hydronephrosis. Archivos Espanoles de Urologia. 2012; 65 (6): 626-9. https://pubmed.ncbi.nlm.nih.gov/22832645/.
[14]	Fung B, Sweetser S, Song L, Tabibian J. Foreign object ingestion and esophageal food impaction: An update and review on endoscopic management. World Journal of Gastrointestinal Endoscopy. 2019; 11 (3): 174-192. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425280/.
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APA Style

Rachel Hawthorne, Anthony Koupparis. (2022). Back from the Bread: Delayed Presentation of an Ingested Foreign Body. International Journal of Clinical Urology, 6(1), 19-22. https://doi.org/10.11648/j.ijcu.20220601.15

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ACS Style

Rachel Hawthorne; Anthony Koupparis. Back from the Bread: Delayed Presentation of an Ingested Foreign Body. Int. J. Clin. Urol. 2022, 6(1), 19-22. doi: 10.11648/j.ijcu.20220601.15

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AMA Style

Rachel Hawthorne, Anthony Koupparis. Back from the Bread: Delayed Presentation of an Ingested Foreign Body. Int J Clin Urol. 2022;6(1):19-22. doi: 10.11648/j.ijcu.20220601.15

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@article{10.11648/j.ijcu.20220601.15,
  author = {Rachel Hawthorne and Anthony Koupparis},
  title = {Back from the Bread: Delayed Presentation of an Ingested Foreign Body},
  journal = {International Journal of Clinical Urology},
  volume = {6},
  number = {1},
  pages = {19-22},
  doi = {10.11648/j.ijcu.20220601.15},
  url = {https://doi.org/10.11648/j.ijcu.20220601.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20220601.15},
  abstract = {Background: Foreign body ingestion is often uneventful and rarely requires surgical intervention. It can however become problematic, predominantly affecting the gastrointestinal tract or more rarely the genitourinary tract. Few cases of the latter have been described. Objective: The aim of this case report is to raise awareness of the potentially indolent presentation of foreign body ingestion resulting in urological complications. Method: We report a unique case of a forty year old presenting with suprapubic pain, urgency and frequency twenty years following inadvertent ingestion of a needle. Results: Following initial investigation for common causes of lower urinary tract symptoms, ultrasound and computer tomography located the needle within a perivesical cavity associated with the bladder dome. Attempted removal via laparoscopy and open approach was unsuccessful. The patient ultimately underwent robotic assisted laparoscopic partial cystectomy in order to excise the cavity and foreign body. Conclusion: Extra-luminal migration of foreign bodies from the gastrointestinal to the genitourinary tract is rare but should be considered as a differential for urological symptoms in difficult cases when the aetiology remains elusive. Access to radiological imaging remains vital to enabling verification of the diagnosis. Optimal management involves localisation and excision of the foreign body and any containing cavity or fistulae. This may require advanced techniques including intra-operative imaging and a robotic-assisted laparoscopic approach.},
 year = {2022}
}

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TY - JOUR
T1 - Back from the Bread: Delayed Presentation of an Ingested Foreign Body
AU - Rachel Hawthorne
AU - Anthony Koupparis
Y1 - 2022/02/16
PY - 2022
N1 - https://doi.org/10.11648/j.ijcu.20220601.15
DO - 10.11648/j.ijcu.20220601.15
T2 - International Journal of Clinical Urology
JF - International Journal of Clinical Urology
JO - International Journal of Clinical Urology
SP - 19
EP - 22
PB - Science Publishing Group
SN - 2640-1355
UR - https://doi.org/10.11648/j.ijcu.20220601.15
AB - Background: Foreign body ingestion is often uneventful and rarely requires surgical intervention. It can however become problematic, predominantly affecting the gastrointestinal tract or more rarely the genitourinary tract. Few cases of the latter have been described. Objective: The aim of this case report is to raise awareness of the potentially indolent presentation of foreign body ingestion resulting in urological complications. Method: We report a unique case of a forty year old presenting with suprapubic pain, urgency and frequency twenty years following inadvertent ingestion of a needle. Results: Following initial investigation for common causes of lower urinary tract symptoms, ultrasound and computer tomography located the needle within a perivesical cavity associated with the bladder dome. Attempted removal via laparoscopy and open approach was unsuccessful. The patient ultimately underwent robotic assisted laparoscopic partial cystectomy in order to excise the cavity and foreign body. Conclusion: Extra-luminal migration of foreign bodies from the gastrointestinal to the genitourinary tract is rare but should be considered as a differential for urological symptoms in difficult cases when the aetiology remains elusive. Access to radiological imaging remains vital to enabling verification of the diagnosis. Optimal management involves localisation and excision of the foreign body and any containing cavity or fistulae. This may require advanced techniques including intra-operative imaging and a robotic-assisted laparoscopic approach.
VL - 6
IS - 1
ER -

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Author Information

Rachel Hawthorne

Bristol Urology Institute, North Bristol NHS Trust, Bristol, UK
Anthony Koupparis

Bristol Urology Institute, North Bristol NHS Trust, Bristol, UK

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Plain Text BibTeX RIS

APA Style

Rachel Hawthorne, Anthony Koupparis. (2022). Back from the Bread: Delayed Presentation of an Ingested Foreign Body. International Journal of Clinical Urology, 6(1), 19-22. https://doi.org/10.11648/j.ijcu.20220601.15

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ACS Style

Rachel Hawthorne; Anthony Koupparis. Back from the Bread: Delayed Presentation of an Ingested Foreign Body. Int. J. Clin. Urol. 2022, 6(1), 19-22. doi: 10.11648/j.ijcu.20220601.15

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AMA Style

Rachel Hawthorne, Anthony Koupparis. Back from the Bread: Delayed Presentation of an Ingested Foreign Body. Int J Clin Urol. 2022;6(1):19-22. doi: 10.11648/j.ijcu.20220601.15

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@article{10.11648/j.ijcu.20220601.15,
  author = {Rachel Hawthorne and Anthony Koupparis},
  title = {Back from the Bread: Delayed Presentation of an Ingested Foreign Body},
  journal = {International Journal of Clinical Urology},
  volume = {6},
  number = {1},
  pages = {19-22},
  doi = {10.11648/j.ijcu.20220601.15},
  url = {https://doi.org/10.11648/j.ijcu.20220601.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20220601.15},
  abstract = {Background: Foreign body ingestion is often uneventful and rarely requires surgical intervention. It can however become problematic, predominantly affecting the gastrointestinal tract or more rarely the genitourinary tract. Few cases of the latter have been described. Objective: The aim of this case report is to raise awareness of the potentially indolent presentation of foreign body ingestion resulting in urological complications. Method: We report a unique case of a forty year old presenting with suprapubic pain, urgency and frequency twenty years following inadvertent ingestion of a needle. Results: Following initial investigation for common causes of lower urinary tract symptoms, ultrasound and computer tomography located the needle within a perivesical cavity associated with the bladder dome. Attempted removal via laparoscopy and open approach was unsuccessful. The patient ultimately underwent robotic assisted laparoscopic partial cystectomy in order to excise the cavity and foreign body. Conclusion: Extra-luminal migration of foreign bodies from the gastrointestinal to the genitourinary tract is rare but should be considered as a differential for urological symptoms in difficult cases when the aetiology remains elusive. Access to radiological imaging remains vital to enabling verification of the diagnosis. Optimal management involves localisation and excision of the foreign body and any containing cavity or fistulae. This may require advanced techniques including intra-operative imaging and a robotic-assisted laparoscopic approach.},
 year = {2022}
}

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