Rectal impalement with perforation of the bladder.

Johnson, Peter Anto

doi:10.1136/bmj.2.5764.748

Cited by 12 publications

(9 citation statements)

References 8 publications

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“…FB in the urinary bladder due to migration from the gastrointestinal tract has been very rarely described. Once such case was reported by Garcia-Sequia et al 1 Johnson2 has reported the first case of rectal impalement with perforation of the urinary bladder. Following rectal impalement, combined rectal and bladder injuries remain a rare condition because of the deep bladder position within the bony pelvis 3.…”

Section: Discussionmentioning

confidence: 94%

Transrectal impalement of an incense stick in a child presenting as foreign body in the urinary bladder

et al. 2014

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The diversity of objects that can be found in the urinary bladder often surpasses the urologist's imagination and mostly they are introduced per urethrally. Impalement injuries of the rectum with bladder perforation have been rarely reported. A high index of clinical suspicion is required to make the diagnosis of bladder perforation while assessing patients presenting with rectal impalement. In this interesting case, a young male child presented with haematuria and dysuria. He had a history of accidentally sitting on an agarbatti (Indian incense stick) stand while playing, followed by perianal pain which subsided spontaneously. Next day he presented with haematuria and dysuria. Clinical examination was inconclusive. On thorough investigation, a linear echogenic foreign body was found in the urinary bladder. The child was operated and the foreign body (incense stick) was removed. This is the first reported case of rectal impalement injury with incense stick, migrated to the urinary bladder in a 2-year-old child.

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Section: Discussionmentioning

confidence: 94%

Transrectal impalement of an incense stick in a child presenting as foreign body in the urinary bladder

et al. 2014

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“…Up to 95% of extraperitoneal bladder trauma is associated with pelvic fracture 5 . Perforation of the bladder after rectal impalement, however, is extremely rare 6 . To our knowledge, only two cases of extraperitoneal bladder perforation secondary to rectal impalement have been reported in the Japanese published work.…”

Section: Discussionmentioning

confidence: 95%

Extraperitoneal bladder rupture secondary to rectal impalement

2001

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Impalement injury to both the urinary bladder and the rectum is a rare occurrence. A 45-year-old man was referred to our hospital because he had been stabbed through the internal femoral skin by a steel bar. Retrograde cystography and computed tomography failed to demonstrate bladder rupture. We carried out cystoscopy (CS) because of the existence of gross hematuria and found a penetrating wound in the posterior wall. Colon fiberscopy revealed two wounds in the rectum, one of which communicated with the bladder. A diagnostic laparoscopy revealed no associated injuries in the peritoneal cavity. Vesicorectal injury was diagnosed and treatment included transanal closure of fistulas and indwelling ureteral and urethral catheters. Postoperative CS revealed complete closure of the injury.

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“…6,8,19 Now days impalement injuries are rare. Most reported mechanisms are a fall from height, 4,5,6,7,10,21,22 gunshot injuries, stab wounds, sexual abuse, unusual sexual acts and iatrogenic injury (endoscopy, thermometers, etc.). 1,8,9,14,15,18,20 The self-introduction of foreign bodies into the rectum is however, not rare, although fortunately this seldom results in a perforation.…”

Section: Discussionmentioning

confidence: 98%