Migration of foreign bodies through the urinary system (clinical cases)
https://doi.org/10.20340/vmi-rvz.2024.6.CASE.7
Abstract
Introduction. Migration of implantable materials is a rare but significant complication of surgical interventions in urological practice. Objective: to present an analysis of two clinical cases of unusual migration of fixing Capron (nylon) structures in the urinary system.
Materials and methods. Two clinical observations are described: a case of migration of a fixing Capron suture into the kidney parenchyma after nephropexy and a case of transurethral migration of a supporting loop after surgery for urinary incontinence. Diagnostics was carried out using clinical examination, ultrasound imaging, computed tomography, and endoscopic methods.
Results. In the first case, the migration of the Capron suture into the kidney parenchyma was successfully resolved through laparoscopic removal of the structure and replacement with a polypropylene one. In the second case, spontaneous transurethral migration of the fixing loop occurred without the development of stricture and with preservation of the functional result of the operation.
Conclusion. The presented observations demonstrate the possibility of gradual migration of Capron structures through the tissues of the urinary system without developing serious complications. These cases emphasize the importance of suture material selection in urological operations and the need for long-term patient monitoring.
About the Authors
O. A. BaulinaRussian Federation
Ol'ga A. Baulina, Cand. Sci. (Med.), Doсent, Associate Professor of the Department of Surgery and Endoscopy named after N.A. Baulin; Deputy Director for Regional Healthcare; Member of the Board of the Penza Regional Branch of the Russian Society of Surgeons
8A, Stasova st., Penza, 440060
Competing Interests:
The authors declare no competing interests.
A. A. Baulin
Russian Federation
Anatoliy A. Baulin, Dr. Sci. (Med.), Professor; Honored Doctor of the Russian Federation, Chairman of the Penza Regional Branch of the Russian Society of Surgeons, Academician of the International Academy of Ecology and Life Safety Sciences
8A, Stasova st., Penza, 440060
Competing Interests:
The authors declare no competing interests.
V. A. Baulin
Russian Federation
Vladimir A. Baulin, Cand. Sci. (Med.), Associate Professor; Member of the Board of the Penza Regional Branch of the Russian Society of Surgeons
8A, Stasova st., Penza, 440060
Competing Interests:
The authors declare no competing interests.
L. A. Aver'yanova
Russian Federation
Lyudmila A. Aver'yanova, Postgraduate student of the Department of Surgery and Endoscopy named after N.A. Baulin, Penza Institute for Advanced Medical Studies; Head of the Admissions Department
7, Stasova st., Penza, 440071
Competing Interests:
The authors declare no competing interests.
References
1. Yelikar Aditya A rare case of a migrated foreign body found in and around the urinary bladder and urethra. MGM Journal of Medical Sciences. 2024;11.4:798-800.
2. Yang Bo et al. Migrating foreign bodies of penis: a case report and literature review. Basic and Clinical Andrology. 2024;34.1:9.
3. Liu Guangtao et al. Intrauterine devices migrated into the bladder: two case reports and literature review. BMC Women's Health. 2021;21:1–5.
4. Alzubier MAA, AlAsmi R, Taha SM, Osman YM. Migrating foreign body into the urinary bladder of children postperineal trauma. Urology Annals. 2023;15.1):109–112.
5. Okobi OE, Imobighe IC, Nnaji CG, Adaralegbe NJ, Akinsola Z, Evbayekha EO. Foreign body in the urinary bladder: Another outpatient presentation. Cureus. 2022;14.7.
6. Bansal A, Yadav P, Kumar M, Sankhwar S, Purkait B, Jhanwar A, Singh S. Foreign Bodies in the Urinary Bladder and its Management: a Single Centre Experience from North India. Indian Journal of Surgery. 2021;83:126–131.
7. Pare, Abdoul-Karim et al. Unusual intravesical foreign bodies: a report of two cases. Pan African Medical Journal. 2023;45.1.
Review
For citations:
Baulina O.A., Baulin A.A., Baulin V.A., Aver'yanova L.A. Migration of foreign bodies through the urinary system (clinical cases). Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2024;14(6):145-150. (In Russ.) https://doi.org/10.20340/vmi-rvz.2024.6.CASE.7