World Journal of Nephrology and Urology, ISSN 1927-1239 print, 1927-1247 online, Open Access
Article copyright, the authors; Journal compilation copyright, World J Nephrol Urol and Elmer Press Inc
Journal website http://www.wjnu.org

Case Report

Volume 3, Number 1, March 2014, pages 54-57

Cystoscopic Extraction of a Whole Pen From the Bladder: A Case Report and Review of Bladder Foreign Bodies’ Treatment Options

Figures

Figure 1.
Figure 1. (A) Plain-X-ray showing the pen (radio-opaque shadow is the metal tip of the pen). (B) Computer tomography showing the pen is hanged inside the bladder.
Figure 2.
Figure 2. Steps of cystoscopic pen extraction: both pen ends penetrated into the bladder walls (A, B). The left ureter is secured (C). Failed trials of pen extraction using cold punch and forceps (D). Failed trials of pen fragmentation with the mechanical lithotripter as it was hard (E). Finally, we hold the tip of the pen with the lithotrite and disimpacted it backward away from the bladder mucosa, then pulled it with the lithotrite directed upward (F).
Figure 3.
Figure 3. The whole pen after its extraction.