Bir Garip Kaza: Posterior Üretrasında İğne Olan Bir Çocuk

Abstract

Amaç: Penis içine yabancı cisim yerleştirilmesi tüm dünyada görülen bir fenomendir. Literatürde sayılı vaka bildirimleri vardır ancak Türkiye’ de bildirilen vakalar göreceli olarak çok azdır ve çoğunlukla yetişkindirler. Olgu: Acil servise 11 yaşında erkek hasta üretra dış ucunu kaşırken iğnenin yanlışlıkla kayıp üretra içine girmesi şikayeti ile başvurdu. Düz pelvis grafisinde posterior üretra seviyesinde iğne görüldü. Sistoskopi ile iğne bulbar üretradan çıkarıldı. Sonuç: Kendi üretrasına yabancı cisim yerleştirme vakaları nadir değildir. Hastalar çoğunlukla dizüri, piyüri, sık idrara çıkma,hematüri, idrar retansiyonu, penis veya perineal bölgede şişme şikayeti ile başvururlar. Tanı için düz pelvis grafisi çoğunlukla yeterlidir, ultrasonografi ve bilgisayarlı tomografi diğer seçeneklerdir. Tedavide endoskopik olarak çıkarma ilk seçenektir ve çoğu vakada başarılı sonuç alınır ancak nadiren açık cerrahi işlem gerekebilir.

Keywords

• üretra
• yabancı cisim
• acil servis

A Bizarre Accident: A Boy with a Needle in the Posterior Urethra

Abstract

Objectives: Self-insertion of penile foreign bodies is a common phenomenon worldwide. In the literature, there are numerous reported cases of self-inflicted foreign objects in the urethra but in Turkey, the reported cases are relatively few and these are usually adult cases. Case: An 11 years-old male presented to the emergency department with inadvertently slipping a needle in his urethra after itching the urethral orifice with the needle. A plain x-ray of the pelvis showed a needle approximately about the level of the posterior urethra. By cystoscopy, the needle is completely removed from the bulbar urethra without any complication. Conclusion: Cases of self-inserted urethral bodies are not rare. Patients often present with voiding symptoms such as dysuria, pyuria, increased urinary frequency, hematuria, urinary retention, and penile or perineal swelling. Pelvic x-ray is usually sufficient for diagnosis; ultrasonography and computerized tomography are the next choices. Endoscopic retrieval is the initial management and, in most cases, it is successful; open surgery is rarely required.

Keywords

• foreign body
• emergency room
• Urethra

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