An Unusual Intravesical Foreign Body in a Female Child: A Case Report and Literature Review

Abstract

Intravesical foreign body is a well-documented presentation in adults, however in children, it is rarely reported. We report a case of 5-years-old girl who presented with increased frequency of micturition, dysuria and fever. On examination, we found suprapubic tenderness and ultrasonography revealed a 1.5cm stone in the bladder. Diagnosis of vesical calculus was made and suprapubic cystotomy was done for stone retrieval. Stone turned out to be a foreign body (matchstick) and this alongwith the encrusted stone was removed. Later on, she admitted to inserting the match stick accidently during play. Intravesical foreign body should always be included as a cause of vesical calculus in children, but its diagnosis requires a high index of suspicion. The mode of removal of foreign body should be tailored to its size, shape and nature, age and condition of the patient, and to the place and anatomy of urinary tract where it is lodged.