case_images: PMC2938437_01
case_images: X-ray of bladder: the foreign body penetrate the left wall of bladder.
case_images: CRM2010-460385.001.jpg
case_images: PMC2938437_01_CRM2010-460385.001.jpg
case_images: fig1
case_images: Bladder ultrasonography (US) (Figure 1), and intravenous urography (IVU) confirmed the presence of an object in the shape of a small pencil inside the bladder.
case_images: Ultrasonography shows a straight echogenic foreign body (arrow).
case_images: CRM2010-460385.002.jpg
case_images: PMC2938437_01_CRM2010-460385.002.jpg
case_images: fig2
case_images: Perforation was confirmed by the escape of contrast media outside the bladder at the left bladder wall (Figure 2).
case_images: CT scan through the mid pelvis demonstrates a foreign body in urinary bladder which penetrates the right side (arrow).
case_images: CRM2010-460385.003.jpg
case_images: PMC2938437_01_CRM2010-460385.003.jpg
case_images: fig3
case_images: Abdominal CT scan was performed to confirm the presence of a foreign body penetrating the left lateral wall of the urinary bladder and exclude concomitant trauma of adjacent organs (Figure 3).
case_images: Intraoperative view through a suprapubic cystotomy (arrow).
case_images: CRM2010-460385.004.jpg
case_images: PMC2938437_01_CRM2010-460385.004.jpg
case_images: fig4
case_images: Therefore, the patient underwent open cystotomy under general anesthesia for removal of the piece of pencil (Figures 4 and 5).
case_images: The piece of pencil after the surgical extraction.
case_images: CRM2010-460385.005.jpg
case_images: PMC2938437_01_CRM2010-460385.005.jpg
case_images: fig5
case_images: Therefore, the patient underwent open cystotomy under general anesthesia for removal of the piece of pencil (Figures 4 and 5).