An Unusual Intra-Vesicle Foreign Body Following Fall off a Tropical Fruit Tree.

• Main Authors: Praveen S,, Khor TW,, James L,, Febra S,, Teh GC,
• Format: Article
• Language: English
• Published: Department of Surgery, UKM Medical Centre 2012
• Online Access: http://journalarticle.ukm.my/5183/1/07-MS1045%2823-25%29.pdf; http://journalarticle.ukm.my/5183/; http://jsurgacad.com/

Penetrating injuries to bladder occur in 20 % of cases. Synchronous bladder and rectal perforation occur in 30-64 % of cases. The management of rectal and bladder injuries depend on whether it is an extra-peritoneal or intra-peritoneal injury. We hereby, report a case of penetrating trauma in a 13 year old boy who fell off a tropical fruit (Rambutan - Nephelium lappaceum) tree. He sustained an extra-peritoneal rectal injury with intra-peritoneal bladder injury. The rectal injury was repaired primarily via per anal route while the bladder injury needed an open repair following laparotomy. Upon removal of bladder clots, a leaf of the ‘Rambutan’ tree was found intra-vesically. It was removed and bladder repaired as per standard method. We review the literature on rare intra-vesicle foreign bodies and discuss the treatment of synchronous rectal and bladder injuries.