Presentation
Past history of self harm. Has recently inserted 4 large needles into the urethra. Now has gross hematuria.
Patient Data
Age: 50 years
Gender: Female
From the case:
Transurethral needle insertionn - self harm
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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 hematoma. Note a 5th needle in the left adnexa (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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