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Gossypiboma mimicking posterior urethral stricture
Authors:Bindey Kumar  Prem Kumar  Sanjay Kumar Sinha  Neelam Sinha  Zaheer Hasan  Vinit Kumar Thakur  Utpal Anand  Rajiv Nayan Priyadarshi  Manish Mandal
Institution:1. Department of Paediatric Surgery, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna, Bihar, India;2. Department of Radiodiagnosis, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna, Bihar, India;3. Narayan Medical College, Sasaram, Bihar, India;4. Nalanda Medical College, Patna, Bihar, India;5. Department of Gastrointestinal Surgery, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna, Bihar, India
Abstract:INTRODUCTIONForeign bodies in the urogenital tract are not uncommon. Hairpins, glass rods, umbilical tapes, ball point pen are described in lower urogenital tract. Retained gauze piece (gossypiboma) in posterior urethra may cause diagnostic dilemma. Symptoms and investigations may mimic stricture of posterior urethra.PRESENTATION OF CASETwo cases of retained gauze pieces in the urethra are described here. The micturating cystourethrogram was suggestive of posterior urethral stricture.DISCUSSIONTwo cases described here had retained gauze piece as a cause of filling defect and abnormal appearance in the micturating cystourethrogram. Gossypiboma may be a possibility where posterior urethral stricture are seen after previous surgery in paediatric age group.CONCLUSIONIn the setting of previous urogenital surgery gossypiboma should be kept in the differential diagnosis where posterior urethral stricture are seen in the paediatric age group.
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