19 February 2024: Articles
A 56-Year-Old Woman Presenting 19 Years After Pubic Bone Fracture with a Surgical Screw Foreign Body in the Bladder
Challenging differential diagnosis, Unusual or unexpected effect of treatment, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)
Michael N. Chrysikos A* , Sergios Konstantinidis A , Anastasios Katsourakis A , Parthena Samara A , Alexandros Sarakatsanos A , Nikolaos Karakasis A , Konstantinos Fotiadis A , Iosif Chatzis A , Dimitra Vrampa E , Apostolos Papalakis ADOI: 10.12659/AJCR.942059
Am J Case Rep 2024; 25:e942059
Table 1. Review of the literature of migrating surgical screw from the pubic bone to the urinary tract.
| Hosseini (2017) [9] | Fridman (2003) [10] | Peled (2015) [11] | Martinez (2013)# [12] | Onur (2010)# [13] | Murugan (2016) [14] | Heetveld (2003) [15] | Yadav (2013) [16] | |
|---|---|---|---|---|---|---|---|---|
| Age/sex | 63/Male | 25/Male | 62/Female | 55/Male | 28/Male | 75/Male | 68/Female | 52/Female |
| Previous surgery | ORIF of the pubic rami and right acetabulum | ORIF | ORIF and Bladder repair | ORIF | ORIF bilateral and bladder repair | ORIF and bladder repair | External fixation – ORIF and vaginal repair | ORIF and bladder repair |
| Intermediate time | 2 months | 7 years | 7 years | 3 months | 6 months | 15 years | 9 years | 2 years |
| Pubic symphysis diastasis | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| Fistula | Yes | No | Not examined | No | No | No | Yes | Not examined |
| * Bladder or vaginal repair due to perforation during the pelvic ring injury; ** Time between the initial pelvic ring injury and the complication; *** Cutaneous bladder fistula with surgical scar in the right hip; # Urethral detection of the screw. ORIF – open reduction and internal fixation. | ||||||||