Chad Ledford

Stumble It!

A 2cm long fish apparently found it’s way into the penis of a 14-year-old boy from India. This lead doctors to further investigate and write a case study on the findings.

image taken from practicalfishkeeping.co.uk

Case Presentation:

“A 14 year old boy came to us with complaints of pain, difficulty in voiding with dribbling of urine and subsequently developed acute urinary retention of 24 hours duration. On further questioning he gave an interesting history. While he was cleaning the fish tank in his house, he was holding a fish in his hand and went to the toilet for passing urine. While he was passing urine, the fish slipped from his hand and entered his urethra and then he developed all these symptoms. . Plain X ray KUB was normal. Abdominal Ultrasonogram showed normal kidneys, bladder was full and a 1.5 Cm echogenic object found inside the bladder without any after shadow.”

Conclusion:

“Introduction of foreign bodies into the bladder may be through self-insertion, iatrogenic means or migration from adjacent organs. Extraction should be tailored according to the nature of the foreign body and should minimize bladder and urethral trauma. Complete extraction should also be confirmed by panendoscopy at the end of the extraction procedure. The possibility of an intravenous foreign body should be considered in any patient with chronic unexplained lower urinary tract symptoms.”

The boy claimed that the fish slipped into his penis while he was cleaning his aquarium at home. RIIIIIIIIIIIIGHT!

He was later admitted into counseling to help him overcome any trauma.