PMC6282118_01
Sagittal images from CT pelvis showing pencil extending from the bladder dome (which is tented superiorly) through the prostatic urethra then through a perforation in the bulbar urethra.
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fig1
A pelvic computerized tomography (CT) scan showed a 16 cm foreign body within the bladder perforating the ventral surface of the bulbar urethra and extending into the perineal soft tissues (Figure 1).
The pencil cystoscopically extracted in the operating room.
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fig2
He was admitted to Medicine for anticoagulation reversal prior to cystoscopic removal of the specimen by Urology (Figure 2).