PMC5288322_01
An abdominal radiograph revealed a cup-shaped foreign body stuck in the pelvis.
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An abdominal radiograph revealed a cup-shaped foreign body in the pelvis, approximately 8 cm in width and 10 cm in length (Fig. 1).
A coronal section of abdominal computed tomography showed that a foreign body in the rectum protruded into the bladder through a huge rectovesical fistula. Irregular thickening of the wall of the fistula (white arrow) was pathologically diagnosed as being due to inflammation. R: rectum, B: bladder.
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Computed tomography revealed scattered infiltrative shadow throughout both his lungs, and it also revealed a foreign body in the rectum protruding into the bladder through a huge rectovesical fistula (Fig. 2).
Surgical findings (a) and schematic drawing (b) of the operation. Through the incised anterior rectal wall, a 4 cm fistula between the anterior rectal wall and the posterior bladder above the peritoneal reflection was detected (white arrow).
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We incised the rectal wall, excised a ceramic cup-shaped foreign body (Fig. 3), and identified the fistula, which was approximately 4 cm in diameter (Fig. 4).
The schema of this surgery. The incised rectal wall and the bladder wall were sutured, and the rectum and the bladder were supposed to function as the bladder.
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The incised rectal wall and the bladder wall were sutured, and the rectum and the bladder together were supposed to function as the bladder (Fig. 5).