Successful Laparoscopic Removal of a Self-Inflicted Thermometer that Spontaneously Migrated into the Peritoneal Cavity

Jovo Bogdanovic, Vuk Sekulic, Tijana Kokovic, Senjin Djozic, Dragan Vulin

Abstract


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A sixty-three-year-old Caucasian male was referred to emergency service 10 hours after self-infliction of a mercury glass thermometer into the urethra. The patient presented without abdominal or voiding symptoms. Radiological
imaging confirmed the presence of a thermometer in the peritoneal cavity, without signs of contrast leakage from the bladder. The patient underwent suture of the perforation site with a subsequent successful removal of the foreign body using laparoscopic approach. Recovery was uneventful.
To the best of our knowledge, we are not aware of any previous report of laparoscopic removal of a mercury glass thermometer from the peritoneal cavity. Laparoscopic removal of fragile items, such as a thermometer, is obviously feasible but associated with substantial risks.

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References


van Ophoven A, de Kernion JB. Clinical management of foreign bodies of the genitourinary tract. J Urol 2000; 164: 274-87.

Bogdanović J, Sekulić V, Trivunić-Dajko S, Herin R. Re: Palmer et al.: Urethral Foreign Bodies: Clinical Presentation and Management Urology. 2017; 100; 256-8

Kiriyama T, Motonaga I, Ichikawa T: Foreign body migration from the bladder. J Urol 1976;115: 530-1.

Nie J, Zhang B, Duan YCet al.. Intestinal obstruction due to migration of a thermometer from bladder to abdominal cavity: a case report. World J Gastroenterol. 2014;20:2426-8.

Mazer-Amirshahi M, Bleecker ML, Barrueto, FJr. Intraperitoneal Elemental Mercury Exposure from a Mercury-Weighted Bougie. J Med Toxicol. 2013; 9: 270–3.

Haas NS, Shih R, Gochfeld M. A patient with postoperative mercury contamination of the peritoneum. J Toxicol Clin Toxicol. 2003;41:175–80




DOI: http://dx.doi.org/10.22037/uj.v14i6.3828


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