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Sharaf OM, Wilkinson EA, Elbadri E, Weber LeBrun EE. Retention of a Foreign Body in the Vagina of an Adult for 13 Years: A Case Report. Cureus 2023; 15:e34776. [PMID: 36909071 PMCID: PMC10005853 DOI: 10.7759/cureus.34776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/03/2023] [Indexed: 02/10/2023] Open
Abstract
Cases in which foreign bodies have been inserted into the vagina predominately occur in the pediatric population. This report presents the case of an adult woman with a retained foreign body for 13 years. A duplicated ureter suggestive of a Mullerian anomaly was incidentally identified on intraoperative cystoscopy. Mullerian anomalies may be associated with complex patient presentations and are associated with reproductive implications that should be discussed based on patient-specific characteristics.
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Affiliation(s)
- Omar M Sharaf
- College of Medicine, University of Florida, Gainesville, USA
| | - Elizabeth A Wilkinson
- Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Florida Health, Gainesville, USA
| | - Elizabeth Elbadri
- Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Florida Health, Gainesville, USA
| | - Emily E Weber LeBrun
- Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Florida Health, Gainesville, USA
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2
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Lamglait B, Moresco A, Couture ÉL, Ferrell ST, Lair S. Vaginal foreign bodies in six nonhuman primates with underlying pathological conditions. Zoo Biol 2022; 41:595-600. [PMID: 35253920 DOI: 10.1002/zoo.21689] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2021] [Revised: 12/26/2021] [Accepted: 02/22/2022] [Indexed: 12/16/2022]
Abstract
Four female Japanese macaques (Macaca fuscata) from the same group as well as Wolf's guenon (Cercopithecus wolfi) and a Western lowland gorilla (Gorilla gorilla gorilla) from a second institution presented with vaginal foreign bodies in parallel with diseases of the urogenital tract or with endocrine disorders. These foreign bodies were associated with a mild to marked, diffuse vaginitis in all cases. Underlying pathological conditions consisted of a cavernous uterine hemangioma in a 20-year-old macaque, diffuse endometritis in a 21-year-old macaque, an in situ endometrial carcinoma in a 24-year-old macaque, endometritis and an ovarian cyst-like structure in the 27-year-old Western lowland gorilla, chronic cystitis and chronic renal disease in a 24-year-old macaque, and a history of hypothyroidism with irregular reproductive cycles in the 12-year-old Wolf's guenon. Vaginal foreign bodies have been reported in nonhuman primates used in biomedical research, but their concurrence with underlying conditions has not been explored. In women, vaginal foreign bodies have been linked to serious underlying medical conditions. This case series emphasizes the recommendation to investigate this abnormal behavior for underlying medical or adverse psychosocial conditions in primates under human care.
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Affiliation(s)
- Benjamin Lamglait
- Centre québécois sur la santé des animaux sauvages/Canadian Wildlife Health Cooperative, Faculté de médecine vétérinaire, Université de Montréal St. Hyacinthe, St. Hyacinthe, Quebec, Canada
| | - Anneke Moresco
- Denver Zoo, Denver, Colorado, USA.,Reproductive Health Surveillance Program, Morrison, Colorado, USA
| | | | | | - Stéphane Lair
- Centre québécois sur la santé des animaux sauvages/Canadian Wildlife Health Cooperative, Faculté de médecine vétérinaire, Université de Montréal St. Hyacinthe, St. Hyacinthe, Quebec, Canada
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3
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Donaruma-Kwoh MM, Weary CE, Cruz AT. Polyembolokoilamania in Child Sexual Abuse: Physical Examination Findings After Abusive Foreign Body Insertion and Literature Summary. Pediatr Emerg Care 2022; 38:386-391. [PMID: 35904952 DOI: 10.1097/pec.0000000000002669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To characterize the physical examination findings in children and adolescents who disclosed insertion of an object into their bodies as part of their sexual abuse history and to identify how this population compares to similar cases described in the published literature. METHODS This is a 15-year retrospective review of children younger than 18 years seen at a large urban children's assessment center. In addition, we reviewed and summarized the last two decades of literature characterizing pediatric anogenital foreign bodies to better understand previously described findings in similar populations. RESULTS Sixty-eight children whose abuse histories included anal or genital insertion of a foreign body still presented with normal examination findings in the vast majority (89.7%) of cases, despite the diversity of items described. The literature on anogenital foreign bodies was sparse, offered a variety of approaches to the overall evaluation of such cases, and demonstrated inconsistent consideration of child sexual abuse in response to the diagnosis. CONCLUSIONS This article further supports the literature reflecting the overall rarity of abnormal anogenital findings in the clinical assessment for sexual abuse.
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Affiliation(s)
- Marcella M Donaruma-Kwoh
- From the Division of Public Health Pediatrics, Department of Pediatrics, Baylor College of Medicine, Houston, TX
| | - Casey E Weary
- Division of Public Health Pediatrics with Texas Children's Hospital, Houston, TX
| | - Andrea T Cruz
- Divisions of Emergency Medicine and Infectious Diseases, Department of Pediatrics, Baylor College of Medicine, Houston, TX
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Ma W, Sun YF, Liu JH, He DW, Lin T, Wei GH. Vaginal foreign bodies in children: a single-center retrospective 10-year analysis. Pediatr Surg Int 2022; 38:637-641. [PMID: 35129659 DOI: 10.1007/s00383-022-05075-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/20/2022] [Indexed: 10/19/2022]
Abstract
OBJECTIVE To evaluate the clinical features and outcome in girls with a vaginal foreign body. METHODS The clinical data of 97 girls with a vaginal foreign body were collected between 2010 and 2020. The descriptive analysis was used to summarize the clinical characteristics. RESULTS The patients were aged between 1.5 and 14.8 years, and the age of peak incidence was shown to be 3-10 years, which accounted for 88% of the cases. Blood-stained vaginal discharge or vaginal bleeding was the most common symptom (48%). The most common foreign bodies were small hard objects (57%), followed by bits of cloth or toilet tissue (22%). The patient whose foreign object was a disk battery had the most severe symptoms. When an injury of the vaginal mucosal was suspected, antibiotics were used to prevent infection, with full recovery of all patients without any additional treatment after removal of the foreign object. CONCLUSION If there is no damage to the vaginal mucosa, no additional treatment is needed after the foreign body is removed. When a vaginal foreign body is suspected to be a battery, emergency surgery is needed to prevent further damage.
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Affiliation(s)
- Wei Ma
- Department of Urology, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China
- Chongqing Key Laboratory of Pediatrics, Chongqing, People's Republic of China
| | - Yi-Fan Sun
- Department of Urology, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China
- Chongqing Key Laboratory of Pediatrics, Chongqing, People's Republic of China
| | - Jun-Hong Liu
- Department of Urology, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China.
- Chongqing Key Laboratory of Pediatrics, Chongqing, People's Republic of China.
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, People's Republic of China.
| | - Da-Wei He
- Department of Urology, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China
- Chongqing Key Laboratory of Pediatrics, Chongqing, People's Republic of China
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, People's Republic of China
| | - Tao Lin
- Department of Urology, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China
- Chongqing Key Laboratory of Pediatrics, Chongqing, People's Republic of China
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, People's Republic of China
| | - Guang-Hui Wei
- Department of Urology, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China
- Chongqing Key Laboratory of Pediatrics, Chongqing, People's Republic of China
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, People's Republic of China
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5
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Ultrasonography in Detection of Vaginal Foreign Bodies in Girls: A Retrospective Study. J Pediatr Adolesc Gynecol 2017; 30:620-625. [PMID: 28669787 DOI: 10.1016/j.jpag.2017.06.008] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2017] [Revised: 06/20/2017] [Accepted: 06/27/2017] [Indexed: 11/20/2022]
Abstract
STUDY OBJECTIVE In this study we investigated the sonographic features of vaginal foreign bodies in girls and the diagnostic role of combined transperineal and transabdominal ultrasonography in the detection of vaginal foreign bodies in this population. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: A retrospective review of the records of 249 girls seen in the outpatient pediatric and adolescent gynecology clinic of our hospital and referred to our department for sonographic evaluation of suspected vaginal foreign bodies between 2013 and 2016 was performed. All patients were transperineally and transabdominally scanned using an ultrasound machine with 3-MHz and 7.5-MHz transducers. The sonographic features of the detected foreign bodies were recorded and reported. All patients also underwent pelvic radiography. The presence of foreign bodies was confirmed using vaginoscopy. RESULTS Two hundred forty-nine patients were included in this study, and vaginal foreign bodies were detected in 181 patients. Vaginal foreign bodies often present in girls aged from 2 to 12 years old. The most common vaginal foreign bodies were toilet paper, beads, small parts of toys, cap of water color brush, and crayons. The overall sensitivity, specificity, positive and negative predictive values of transperineal/transabdominal sonography in the diagnosis of vaginal foreign bodies were 81%, 53%, 82%, and 51%, respectively. The sensitivity, specificity, and positive and negative predictive values of transabdominal sonography were 33%, 49%, 63%, and 21%, respectively. The sensitivity, specificity, and positive and negative predictive values of transperineal sonography were 64%, 49%, 77%, and 33%, respectively. Abnormal findings were detected using x-ray in only 43 of the 181 cases (23.7%). The sensitivity, specificity, and positive and negative predictive values of x-ray were 24%, 91%, 88%, and 31%, respectively. The size of the foreign bodies ranged from 2 mm to 35 mm. For foreign bodies larger than 5 mm, the rate of sonographic accuracy reached 100%. For foreign bodies smaller than 5 mm, 32 false positive results, and 34 false negative results were identified. One hundred thirty-nine of 181 foreign bodies were less than 2 cm from the vaginal orifice (77%). All foreign bodies were hyperechoic compared with adjacent tissues. Some vaginal foreign bodies had characteristic echo patterns. With the exception of 1 patient with a detained AAA battery that caused vaginal ulceration, the other patients had a full recovery. CONCLUSION Vaginal foreign bodies were hyperechoic compared with adjacent tissues and often had characteristic echo patterns. The use of combined transperineal and transabdominal ultrasonography might be helpful in diagnosing foreign bodies, especially when the size of the foreign body is larger than 5 mm. Therefore, ultrasonography might be preferred for the initial evaluation of suspected vaginal foreign bodies, because it is a noninvasive, radiation-free, and inexpensive technique.
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6
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Laya BF, Restrepo R, Lee EY. Practical Imaging Evaluation of Foreign Bodies in Children. Radiol Clin North Am 2017; 55:845-867. [DOI: 10.1016/j.rcl.2017.02.012] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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7
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Nakib G, Calcaterra V, Pelizzo G. Longstanding Presence of a Vaginal Foreign Body (Battery): Severe Stenosis in a 13-Year-Old Girl. J Pediatr Adolesc Gynecol 2017; 30:e15-e18. [PMID: 27614288 DOI: 10.1016/j.jpag.2016.08.015] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2016] [Revised: 08/24/2016] [Accepted: 08/29/2016] [Indexed: 10/21/2022]
Abstract
BACKGROUND In recurrent/unresponsive vaginal discharge a vaginal foreign body should be considered. CASE We present the case of a 13-year-old girl who suffered from a foul-smelling dark brownish and malodorous vaginal discharge since the age of 7 years. When the girl was 11 years old, a foreign body was discovered on ultrasound imaging; removal by colposcopy failed, because of the complete battery inclusion in the posterior vaginal wall. Two years later, at our institution, radiological images yielded the general position of the foreign body; colposcopy showed complete vaginal stenosis. Forced dilatation allowed surgical removal of the battery which was embedded in the vaginal fundal wall. SUMMARY AND CONCLUSION Early removal of foreign objects prevents ulceration, necrosis, stenosis, perforations, and late serious sequelae such as pelvic inflammation and infertility.
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Affiliation(s)
- Ghassan Nakib
- Department of Pediatric Surgery, Mediclinic Middle East, Mediclinic City Hospital Dubai, Dubai, United Arab Emirates
| | - Valeria Calcaterra
- Pediatric Unit, Department of Maternal and Children's Health, Fondazione IRCCS Policlinico San Matteo and Department of Internal Medicine, University of Pavia, Pavia, Italy
| | - Gloria Pelizzo
- Pediatric Surgery Unit, Department of Maternal and Children's Health, Fondazione IRCCS Policlinico San Matteo and Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
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8
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Surya M, Sharma C, Sood D, Soni A, Sharma R, Nandolia K. Neglected vaginal foreign body leading to vaginolith, vesicovaginal fistula and vesical calculus formation in an adolescent girl. BJR Case Rep 2016; 2:20150474. [PMID: 30363631 PMCID: PMC6180853 DOI: 10.1259/bjrcr.20150474] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2015] [Revised: 12/21/2015] [Accepted: 12/27/2015] [Indexed: 11/05/2022] Open
Abstract
Vaginal foreign body insertion is not an uncommon clinical entity; however, long-standing neglected vaginal foreign body causing vaginolith, vesicovaginal fistula and vesical calculus formation is unusual. We present a case of a neglected vaginal foreign body (plastic cap of a nail colour) leading to vesicovaginal fistula, vaginolith and vesical calculus formation in a 12-year-old female child presenting with continuous dribbling of urine per vagina. Diagnosis was confirmed on ultrasonography, non-contrast CT scan and MRI of the pelvis. The MRI demonstrated the exact size and site of the urinary bladder wall defect, besides the foreign body and the vesical calculus. The foreign body along with vaginolith and the vesical calculus were removed via suprapubic approach under general anaesthesia; the fistula was repaired by suturing the urinary bladder and vagina wall defect.
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Affiliation(s)
- Mukesh Surya
- Department of Radiodiagnosis, DRPGMC Kangra at Tanda, Kangra, India
| | - Chanderdeep Sharma
- Department of Obstetrics & Gynaecology, DRPGMC Kangra at Tanda, Kangra, India
| | - Dinesh Sood
- Department of Radiodiagnosis, DRPGMC Kangra at Tanda, Kangra, India
| | - Anjali Soni
- Department of Obstetrics & Gynaecology, DRPGMC Kangra at Tanda, Kangra, India
| | - Rajkumar Sharma
- Department of Surgery, DRPGMC Kangra at Tanda, Kangra, India
| | - Khanak Nandolia
- Department of Radiodiagnosis, DRPGMC Kangra at Tanda, Kangra, India
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9
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Gobbur VR, Gobbur RH, Patil AG, Endigeri P. A rare case of foreign body causing recurrent vaginal discharge in prepubertal child. J Clin Diagn Res 2015; 9:QD03-4. [PMID: 25738041 DOI: 10.7860/jcdr/2015/10227.5364] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2014] [Accepted: 08/16/2014] [Indexed: 11/24/2022]
Abstract
Vaginal discharge in prepubertal children is mainly due to hypoestrogenic state of vaginal mucosa making it thin and alkaline leading to mucosal invasion by pathogen. In a paediatric case with persistent foul smelling , blood stained vaginal discharge not responding to medical therapy, vaginal foreign body should always be ruled out. Here, we report a 3 -year -old girl with complaint of recurrent vaginal discharge occasionally blood stained not relieved despite few antibiotics courses. On X -ray pelvis, a radioopaque foreign body hair clip was seen. Under sedation foreign body was removed by forceps following which child became asymptomatic.
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Affiliation(s)
- Vijayalakshmi R Gobbur
- Professor, Department of Obstetrics and Gynaecology, Shri B.M.Patil Medical College Hospital & Research Centre , Bijapur, Karnataka, India
| | - Raghavendra H Gobbur
- Professor, Department of Paediatrics, Shri B.M.Patil Medical College Hospital & Research Centre , Bijapur, Karnataka, India
| | - Ashwini G Patil
- Post Graduate, Department of Obstetrics and Gynaecology, Shri B.M.Patil Medical College Hospital & Research Centre , Bijapur, Karnataka, India
| | - Preetish Endigeri
- Senior Resident, Department of Orthopaedics, Shri B.M.Patil Medical College Hospital & Research Centre , Bijapur, Karnataka, India
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Nanda S, Malhotra V, Yadav S, Sangwan N, Chauhan M, Bhuria V, Sen J. Foreign Body in the Vagina Mimicking a Transverse Vaginal Septum. J Gynecol Surg 2014. [DOI: 10.1089/gyn.2013.0080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Smiti Nanda
- Department of Obstetrics and Gynecology, Pt. B.D. Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Vani Malhotra
- Department of Obstetrics and Gynecology, Pt. B.D. Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Sakshi Yadav
- Department of Obstetrics and Gynecology, Pt. B.D. Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Neetu Sangwan
- Department of Obstetrics and Gynecology, Pt. B.D. Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Meenakshi Chauhan
- Department of Obstetrics and Gynecology, Pt. B.D. Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Vandana Bhuria
- Department of Obstetrics and Gynecology, Pt. B.D. Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Jyotsana Sen
- Department of Radiology, Pt. B.D. Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India
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Kyrgios I, Emmanouilidou E, Theodoridis T, Galli-Tsinopoulou A. An unexpected cause of vaginal bleeding: the role of pelvic radiography. BMJ Case Rep 2014; 2014:bcr-2013-202958. [PMID: 24532235 DOI: 10.1136/bcr-2013-202958] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Vaginal bleeding and/or discharge in young girls may result from infection, urological problems, endocrine causes, bleeding disorders, dermatological conditions, trauma, sexual abuse, masses or foreign bodies. We report a case of excessive vaginal bleeding caused by a foreign body in a prepubertal girl with emphasis on the diagnostic challenges and pitfalls regarding imaging techniques. In our patient, although invasive and expensive investigations had been initially made, the foreign body was last detected only when a plain pelvic radiography was performed.
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Affiliation(s)
- Ioannis Kyrgios
- 4th Department of Pediatrics, Faculty of Medicine, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece
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12
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Chinawa J, Obu H, Uwaezuoke S. Foreign body in vagina: an uncommon cause of vaginitis in children. Ann Med Health Sci Res 2013; 3:102-4. [PMID: 23634340 PMCID: PMC3634203 DOI: 10.4103/2141-9248.109463] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Vaginal discharge in children may result from a variety of causes. A long-standing intra-vaginal foreign body can pose both diagnostic and therapeutic challenges in children. Treatment failure may occur because of alteration of the normal vaginal flora. A 6-year-old girl, who lived with her parents, presented with a foul-smelling, blood-stained vaginal discharge as well as dysuria for 2 years. There was no history of sexual abuse. Initial evaluation that excluded gynecologic examination revealed lower abdominal tenderness. Vaginal swab and urine cultures yielded Staphylococcus aureus sensitive to ceftriaxone only. She was commenced on this antibiotic for 2 weeks, but the discharge persisted, necessitating referral to the gynecologist. Examination under anesthesia by the gynecologist revealed shreds of toilet tissue paper extracted from the vagina and slight excoriations on the wall of the vagina. Vaginal foreign body can present with diverse symptoms. It should be considered in any young female patient presenting with recurrent or persistent vaginal discharge.
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Affiliation(s)
- Jm Chinawa
- Department of Paediatrics, Faculty of Medical Sciences, University of Nigeria, Enugu Campus Enugu, Nigeria
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13
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Yıldız S, Ekin M, Cengiz H, Dağdeviren H, Kaya C. Vaginal foreign body: Successful management with vaginoscopy. J Turk Ger Gynecol Assoc 2013; 14:46-7. [PMID: 24592070 DOI: 10.5152/jtgga.2013.10] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2013] [Accepted: 02/08/2013] [Indexed: 11/22/2022] Open
Abstract
The etiology of chronic vaginal discharge in children varies and can be seen as infection, sexual abuse, congenital malformations, vulvar skin disease, vaginal neoplasms and a foreign body. A vaginal foreign body is not a common problem in childhood but it should always be considered when a little girl consults a physician with a chronic vaginal discharge problem. We present the diagnosis and treatment management via vaginoscopy applied to a 6 year old girl who complained of a foul smelling vaginal discharge that had been resistant to medical treatment for the last two years.
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Affiliation(s)
- Sükrü Yıldız
- Department of Obstetrics and Gynecology, Bakırköy Dr. Sadi Konuk Education and Research Hospital, İstanbul Turkey
| | - Murat Ekin
- Department of Obstetrics and Gynecology, Bakırköy Dr. Sadi Konuk Education and Research Hospital, İstanbul Turkey
| | - Hüseyin Cengiz
- Department of Obstetrics and Gynecology, Bakırköy Dr. Sadi Konuk Education and Research Hospital, İstanbul Turkey
| | - Hediye Dağdeviren
- Department of Obstetrics and Gynecology, Bakırköy Dr. Sadi Konuk Education and Research Hospital, İstanbul Turkey
| | - Cihan Kaya
- Department of Obstetrics and Gynecology, Bakırköy Dr. Sadi Konuk Education and Research Hospital, İstanbul Turkey
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14
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Chopra S, Singh Y, Magon N. A Case of Intravaginal Foreign Body. Med J Armed Forces India 2010; 66:266-8. [PMID: 27408315 DOI: 10.1016/s0377-1237(10)80053-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2009] [Accepted: 05/14/2010] [Indexed: 11/27/2022] Open
Affiliation(s)
| | | | - N Magon
- Clinical Tutor (Dept of Obstetrics & Gynaecology); AFMC, Pune-40
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15
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16
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Melamed Y, Dalyahu Y, Vaiman R, Bzura G, Bleich A. Foreign objects in the vagina of a mentally ill woman: case series. Gen Hosp Psychiatry 2007; 29:270-2. [PMID: 17484947 DOI: 10.1016/j.genhosppsych.2007.01.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2006] [Revised: 12/27/2006] [Accepted: 01/02/2007] [Indexed: 11/29/2022]
Abstract
OBJECTIVE Reports of the insertion of foreign objects to the vagina by psychiatric patients are scant. We present two such cases. METHODS Case I resulted from psychotic content and auditory command hallucinations. Case II -- the patient, in a manic state used her vagina as a hiding place for keys she stole from a staff member. RESULTS Both cases required gynecological intervention. CONCLUSIONS Medical cooperation between psychiatrists and gynecologists was necessary in order to achieve improvement in both the physical and mental conditions of the patients and in order to plan programs for continued care.
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Affiliation(s)
- Yuval Melamed
- Lev Hasharon Mental Health Center, Netanya 42100, Affiliated to Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
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17
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Deligeoroglou E, Deliveliotou A, Laggari V, Tsimaris P, Creatsas G. Vaginal foreign body in childhood: A multidisciplinary approach. J Paediatr Child Health 2006; 42:649-51. [PMID: 16972975 DOI: 10.1111/j.1440-1754.2006.00945.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
A 5-year-old girl referred to our division for evaluation of persisting foul-smelling brown vaginal discharge with pruritus for over 2 years, not corresponding to antibiotic therapy. Transabdominal ultrasound identified a heterogeneous mass intensely fixed in the upper third of vaginal wall. Vaginography revealed a filling defect in the upper part of vagina, confirming the diagnosis of an intravaginal foreign body. The foreign body was grasped and removed by traction; it turned out to be a thin double-wrapped piece of sponge. Psychological assessment of the girl was undertaken, in order to illuminate the potential of an underlying emotional and behavioural problem and revealed the existence of psychological disturbances mostly affecting social competence and adaptiveness.
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Affiliation(s)
- Efthimios Deligeoroglou
- Division of Pediatric-Adolescent Gynecology and Reconstructive Surgery, Second Department of Obstetrics and Gynaecology, University of Athens Medical School, Aretaieion Hospital, Athens, Greece
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18
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Affiliation(s)
- M Larrègue
- Service de Dermatologie, CHU de la Milèterie, BP 577, 86021 Poitiers Cedex
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Kjossev KT, Losanoff JE. Extraabdominal pelvic foreign body. Eur J Obstet Gynecol Reprod Biol 2004; 112:236-7. [PMID: 14746968 DOI: 10.1016/s0301-2115(03)00002-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Dahiya P, Agarwal U, Sangwan K, Chauhan M. Long retained intravaginal foreign body: a case report. Arch Gynecol Obstet 2002; 268:323-4. [PMID: 14504878 DOI: 10.1007/s00404-002-0321-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2002] [Accepted: 02/14/2002] [Indexed: 10/26/2022]
Abstract
Recurrent vaginal discharge in children may be due to variety of causes. Intravaginal foreign body retained for long duration can be a diagnostic dilemma. This report presents the case of a girl who had an intravaginal foreign body for over four years duration. Recurrent, unremitting, foul-smelling, bloody vaginal discharge in a child should alert the clinician to the possibility of a retained vaginal foreign body.
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Affiliation(s)
- Pushpa Dahiya
- Department of Obstetrics and Gynaecology, Pt. B.D. Sharma PGIMS, Rohtak-124001, Haryana, India.
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