Foreign body in the bladder mimicking nephritis.
Cases of foreign bodies in the bladder self-inserted via urethra are not rare in childhood. Urinary tract infection, dysuria, lower abdominal pain, or haematuria with and without pain are common symptoms. We report on a 11-year-old boy with accidentally detected microscopic haematuria, proteinuria and leukocyturia. Because of increasing proteinuria up to 2330 mg/g creatinine and elevated antistreptolysin titre glomerulonephritis was suspected. However, some echogenic material was detected in the bladder by ultrasound. X-ray of the pelvis showed a 30 cm long tube projecting onto the bladder. The boy then admitted having had inserted a plastic tube into the urethra two years ago. The foreign body was removed cystoscopically. Four weeks after cystoscopy erythrocyturia, leucoyturia and proteinuria had disappeared. We state that symptoms of a local inflammation caused by a foreign body in the bladder can imitate the symptoms of nephritis.
Benz
Marcus R
MR
Pediatric Nephrology, Dr. von Haunersches Kinderspital, Ludwig-Maximilians-Universität München, Lindwurmstrasse 4, 80337, München, Germany. Marcus.Benz@med.uni-muenchen.de
Stehr
Maximilian
M
Kammer
Birgit
B
Glöckner-Pagel
Judith
J
Höfele
Julia
J
Eife
Rudolf
R
Weber
Lutz T
LT
D002648:Child; D003937:Diagnosis, Differential; D005547:Foreign Bodies / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000652:urine; D006417:Hematuria; D006801:Humans; D008297:Male; D009393:Nephritis / Q000175:diagnosis*; D011507:Proteinuria; D011859:Radiography; D014463:Ultrasonography; D001743:Urinary Bladder / Q000000981:diagnostic imaging