Case Report

Orthopedic screw penetration into the bladder following femoral neck internal fixation: a case report

Abstract

Although the presence of intravesical foreign body is not a rare finding, orthopedic screw penetration into the urinary bladder as a complication of the  internal  fixation  of  femoral  neck  fractures  is  extremely  rare.  We describe an 83-year-old man experiencing spontaneous penetration of a cannulated screw into the urinary bladder neck, 16 years after the internal fixation surgery for his femoral neck fracture.

Martinez-Valls PL, Honrubia VB, Rodriguez TA, Izquierdo ME, Pietricica BN, Rosino SA, et al. Voiding symptoms as presentation of an intravesical foreign body. Arch Esp Urol 2008;61(7): 781-5. [In Spanish].

Yadav S, Arora NC, Prasad M, Varma R.Spontaneous urinary voiding of metallic screws in a patient with symphyseal plating for type II pelvic ring disruption. Chin J Traumatol 2013; 16(4): 30-2.

van Ophoven A, de Kernion JB. Clinical management of foreign bodies of the genitourinary tract. The Journal of Urology 2000; 164(2): 274-87.

Wein AJ, Kavoussi LR, Novick A, Partin A, Peters CA. Campbell-Walsh urology. Philadelphia, PA: Saunders; 2012. p. 2702.

Davidov MI, Kharichev SV, Petruniaev AI. [Iatrogenic foreign body]. Urologiia 2002; (3):52-4. [In Russian].

Zantvoord Y, van der Weiden RM, van Hooff MH. Transmural migration of retained surgical sponges: a systematic review. Obstet Gynecol Surv 2008; 63(7): 465-71.

Heetveld MJ, Poolman RW, Heldeweg EA, Ultee JM. Spontaneous expulsion of a screw during urination: an unusual complication 9 years after internal fixation of pubic symphysis diastasis. Urology 2003; 61(3): 645.

Fridman M, Glass AM, Noronha JA, Carvalhal EF, Martini RK. Spontaneous urinary voiding of a metallic implant after operative fixation of the pubic symphysis: a case report. J Bone Joint Surg Am 2003; 85-A(6): 1129-32.

Peled E, Norman D, Kakiashvili D, Henley MB.Recurrent episodes of micturition with expulsion of symphyseal plate screws following pelvic ring fixation: case report. BMC Musculoskeletal Disorders 2015; 16: 127.

Files
IssueVol 1 No 2 (2016): Spring QRcode
SectionCase Report(s)
Keywords
Intravesical foreign body Orthopedic screws Internal fixation

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Gooran S, Guitynavard F, Fakhr-Yasseri A, Dehghaniathar R. Orthopedic screw penetration into the bladder following femoral neck internal fixation: a case report. CRCP. 2016;1(2):31-33.