TITLE:
Acute Generalized Peritonitis Due to the Migration of a Ballpoint Pen from Bladder to Great Peritoneal Cavity: A Case Report
AUTHORS:
Barnabé Zango, Fasnéwindé A. Kaboré, Moussa Kaboré, Brahima Kirakoya, Bienvenue D. Ky, Clôtaire Alexis Marie Kiemdiba Donega Yameogo, Adama Ouattara, Boukary Kabré, Timothée Kambou
KEYWORDS:
Foreign Body, Peritonitis, Urinary Bladder, Surgery
JOURNAL NAME:
Open Journal of Urology,
Vol.6 No.3,
March
11,
2016
ABSTRACT: Foreign bodies of the bladder are rares.
The presence of a foreign body in the bladder is often anecdotic. We report a
case of acute generalized peritonitis due to migration of a ballpoint pen from
bladder to great peritoneal cavity in a 17-year-old man. He was admitted for a
peritoneal syndrome after introducing a ballpoint pen into the urethra to
masturbation purposes. He has no psychiatric history. Exploration had found an
agglutination of small bowel loops around the ballpoint pen. The ballpoint pen
was about 13.5 cm long and was transfixing the small intestine. We had noted
about 20 cm of ileal necrosis about 30 cm from the ileocecal junction. An exit
port was located at the posterior wall of the bladder. We performeda
resection of the necrotic portion followed by end-to-end anastomosis. Bladder
foreign bodies can have serious complications such as the formation of an acute
surgical abdomen after migration of the foreign body. The extraction must be
quickly carried as soon as the diagnosis is made to avoid these complications.