Recurrent Infection Caused by Non-absorbable Post-cesarean Sutures Leading to Bladder Calculus: Case Report and Review of the Literature
Year: 2024
Type: article
Study design: Case Report
Abstract: Background: Bladder stones are a rare pathological condition in women, often secondary to any etiology. Further investigations are required to identify the various factors involved in their formation and the complications they cause. For a woman, the appearance of a bladder stone following a predisposing factor, in particular an intra-vesical foreign body is a source of recurrent urinary tract infections and calculus, manifested by dysuria and hypogastric heaviness. This study aimed to describe the case of the formation of a bladder calculus from the presence of a non-absorbable suture. Case presentation: The case of a 30-year-old woman with a bladder stone causing several recurrent urogenital infections despite years of medical treatment is reported. After several additional para-clinical investigations, an ultrasound diagnosis of a bladder stone with pre-renal failure was established. The patient underwent a median exploratory laparotomy below the umbilicus for surgical management, followed by an open cystolithotomy with the extraction of a large bladder stone on which an old suture was implanted, probably as a result of the previous cesarean section. Conclusion: Bladder stones are rare, but relatively rare in our environment, with limited diagnostic resources. In this case, it appears that the non-absorbable suture was inadvertently placed in the bladder during the cesarean section, which has unfortunately contributed to recurrent urogenital infections and the formation of bladder calculus.
Authors: Mulakwa Morisho Lambert MD, MSc, Witandayi Batuvanwa Fiston MD, Masudi Kisoka Kevin MD, Munguakonkwa Mwenge Guillain MD, MPH, Chirimwami Muganda Serge MD, MSc, Mukamba Isokelo Lucien MD, Katana Nsimire Gracia MD, Amani Kahunga Grace MD, Isokelo Munyuku Fama MD, M. Med
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4404444002