PMC2938437_01
X-ray of bladder: the foreign body penetrate the left wall of bladder.
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Bladder ultrasonography (US) (Figure 1), and intravenous urography (IVU) confirmed the presence of an object in the shape of a small pencil inside the bladder.
Ultrasonography shows a straight echogenic foreign body (arrow).
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Perforation was confirmed by the escape of contrast media outside the bladder at the left bladder wall (Figure 2).
CT scan through the mid pelvis demonstrates a foreign body in urinary bladder which penetrates the right side (arrow).
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Abdominal CT scan was performed to confirm the presence of a foreign body penetrating the left lateral wall of the urinary bladder and exclude concomitant trauma of adjacent organs (Figure 3).
Intraoperative view through a suprapubic cystotomy (arrow).
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Therefore, the patient underwent open cystotomy under general anesthesia for removal of the piece of pencil (Figures 4 and 5).
The piece of pencil after the surgical extraction.
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Therefore, the patient underwent open cystotomy under general anesthesia for removal of the piece of pencil (Figures 4 and 5).