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Serial X-rays show progressive forward advancement of the FB. FB: Foreign body
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USS was done immediately and reported that there was a needle-like FB in the posterior wall of the UB; a new X-ray was done also and revealed progressive forward advancement of the needle in comparison to the previous images [Figure 1].
(a) Endoscopic appearance of the needle held by the grasper to be pulled completely inside the UB, and (b) The needle is held longitudinally with the axis of instruments to facilitate trans-urethral removal. UB: Urinary bladder
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After that, we used the grasper to pull the needle inside the UB completely [Figure 2a], and then it was held by the grasper longitudinally with the axis of the scope to facilitate its endoscopic removal [Figure 2b].
The needle removed endoscopically
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Fortunately, endoscopic removal succeeded, and the needle was extracted outside without difficulty or urethral injury [Figure 3].
PMC10062516_02
Stick fragments removed from UB surgically. UB: Urinary bladder
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The bladder was opened through a transverse suprapubic incision and the FB was removed [Figure 4].