Successful endoscopic management of fish bone embedded into the bladder wall.
We report a case of a pyogenous vesical abscess resulting from an ingested fish bone embedded in the bladder wall that was treated endoscopically in an asymptomatic man. Computed tomography of the abdomen showed a linear radiopaque structure in the thickened left anterolateral wall of the bladder. Cystoscopy revealed a protruding mass, covered with normal-appearing mucosa, with outflow of pus from a shallow recess. Histopathological findings indicated that the transurethrally removed linear structure, located in the submucosa, was compatible with fish bone. A high index of suspicion should be maintained for the correct diagnosis to be made.
Kodama
Koichi
K
Department of Urology, Toyama City Hospital, 2-1 Imaizumihokubu-cho, Toyama, Toyama 939-8511, Japan.
Ofude
Mitsuo
M
Motoi
Isamu
I
Hinoue
Yoshinobu
Y
Saito
Katsuhiko
K