Abstract
Foreign body in the urinary bladder causes recurrent infection and stone formation. This is an unusual case report of a bladder stone formed on a non-absorbable suture 20 years after a female sterilization. It was detected with ultrasound and pelvic X-Ray. Laparotomy was done for its completed removal as cystoscopy failed to remove it. This case highlights that abdominal- pelvic scan and pelvic x-ray in addition to a urine test, should be included in the early part of the investigation in the management of recurrent urinary tract infection to exclude the possibility of the bladder stone.
Highlights
A 56-year-old woman presented with recurrent urinary tract infection for 2 years duration
She had six culture positive urinary tract infection episodes during the previous period of two years. She was referred to the gynaecology outpatient clinic to exclude possibility of genital prolapse as a cause of recurrent urinary tract infections
Sometimes they have delayed presentation such as calcified stitch after Stamey procedure, intrauterine contraceptive device, suprapubic catheter tip sheared off, by trochar. These clinical presentations can be delayed between 6 months to 5 years after the introduction of the foreign body [4].This reported case presented 20 years after the surgery and so far no case was reported after such a long interval
Summary
Foreign body in the urinary bladder causes recurrent infection and stone formation This is an unusual case report of a bladder stone formed on a non-absorbable suture 20 years after a female sterilization. It was detected with ultrasound and pelvic X-Ray. Laparotomy was done for its completed removal as cystoscopy failed to remove it. Laparotomy was done for its completed removal as cystoscopy failed to remove it This case highlights that abdominal- pelvic scan and pelvic x-ray in addition to a urine test, should be included in the early part of the investigation in the management of recurrent urinary tract infection to exclude the possibility of the bladder stone. Key word urinary bladder stone, urinary tract infection, female sterilization, foreign body
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