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Case Reports in Medicine
Volume 2010, Article ID 578058, 3 pages
http://dx.doi.org/10.1155/2010/578058
Case Report

Successful Endoscopic Management of Fish Bone Embedded into the Bladder Wall

1Department of Urology, Toyama City Hospital, 2-1 Imaizumihokubu-cho, Toyama, Toyama 939-8511, Japan
2Department of Internal Medicine, Toyama City Hospital, 2-1 Imaizumihokubu-cho, Toyama, Toyama 939-8511, Japan
3Department of Pathology, Toyama City Hospital, 2-1 Imaizumihokubu-cho, Toyama, Toyama 939-8511, Japan

Received 1 July 2010; Accepted 27 September 2010

Academic Editor: Nabil K. Bissada

Copyright © 2010 Koichi Kodama et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.