47 yo male with PMH of hypertension, hyperlipidemia, intellectual disability presenting to the ED after he was found to have dysuria and hematuria. Patient has a history of inserting foreign bodies into his penis. Vital signs stable, on exam well appearing, soft nontender abdomen, GU exam normal, no penile tenderness, no blood at urethral meatus.
POCUS bladder showed:
In the transverse view of the bladder, you can see a curvilinear hyperechoic foreign body with posterior acoustic shadowing along the dependent bladder wall. Patient was also found to have a significant UTI on urinalysis and started on ceftriaxone. Urology was consulted and patient went to the OR for cystoscopy with successful retrieval of an intact Airpod encrusted with stone. On chart review, prior CT scan in August had demonstrated a 2 cm foreign body in the bladder, for which the patient had not followed up with urology. The foreign body was again identified on repeat CT imaging during the current visit.
