Perivesical abscess caused by migration of a fish bone from the intestinal tract

A 55‐year‐old woman was admitted to the Department of Urology at Chiba University Hospital. The patient's chief complaint was frequent urination and micturition pain. Computed tomography of the abdomen demonstrated a mass lesion in contact with the anterior wall of the bladder. Mass extirpation...

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Bibliographic Details
Published in:International journal of urology 2002-07, Vol.9 (7), p.405-406
Main Authors: Imamoto, Takashi, Tobe, Toyofusa, Mizoguchi, Kenichi, Ueda, Takeshi, Igarashi, Tatsuo, Ito, Haruo
Format: Article
Language:English
Subjects:
Abdominal Abscess - diagnosis
Abdominal Abscess - etiology
Animals
Bone and Bones
Electron Probe Microanalysis
elemental analysis
Female
fish bone
Fishes
foreign body
Foreign-Body Migration - complications
Gastrointestinal Contents
Humans
Intestinal Fistula - complications
Intestinal Fistula - etiology
Middle Aged
perivesical abscess
Tomography, X-Ray Computed
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Summary:A 55‐year‐old woman was admitted to the Department of Urology at Chiba University Hospital. The patient's chief complaint was frequent urination and micturition pain. Computed tomography of the abdomen demonstrated a mass lesion in contact with the anterior wall of the bladder. Mass extirpation was performed transperitoneally. On dissection of the mass, a thin foreign body shaped like a skewer was detected. A specimen of the mass revealed non‐specific inflammation. Elemental analysis with an electron probe microanalyser (EPMA) revealed that the composition of the foreign body was consistent with bone. The perivesical mass was diagnosed as an abscess caused by a fish bone that migrated from the intestinal tract.
ISSN:0919-8172
1442-2042
DOI:10.1046/j.1442-2042.2002.00480.x