Transurethral needle insertion: self harm

Case contributed by Dr Chris O'Donnell

Presentation

PH of self harm. Has recently inserted 4 large needles into the urethra. Now has gross haematuria

Patient Data

Age: 50
Gender: Female
Modality: CT

4 large metallic needles traversing the urethra to enter the bladder.  Penetration of the bladder into the peritoneal cavity impinging on small bowel although there is no free gas to indicate bowel perforation.  Minimal haematoma.  Note a 5th needle in the left adnexum (arrow).  This is the remnant of a previous self harm episode.

Case courtesy of Dr. Richard Faris

Case Discussion

It is surprising that one could self perform such a procedure, let alone the pain that must have been intense.

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Case Information

rID: 41952
Case created: 29th Dec 2015
Last edited: 26th Nov 2016
System: Urogenital
Inclusion in quiz mode: Included

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