Intravaginal Foreign Body: A Rare Cause of Persistent Vaginal Discharge in a Child.


Journal

African journal of paediatric surgery : AJPS
ISSN: 0974-5998
Titre abrégé: Afr J Paediatr Surg
Pays: India
ID NLM: 101255062

Informations de publication

Date de publication:
01 Jul 2024
Historique:
received: 18 10 2022
accepted: 15 03 2023
medline: 20 8 2024
pubmed: 20 8 2024
entrez: 20 8 2024
Statut: ppublish

Résumé

Vaginal discharge is a common gynaecologic complaint in pre-menarchal girls. However, an intravaginal foreign body (FB) must be suspected when it is persistent. We report the case of a referred 4-year-old girl with a 5-month history of persistent foul-smelling vaginal discharge. Clinical examination confirmed purulent vaginal discharge, along with a vaginal granuloma. A hard, intravaginal object was felt through the anterior rectal wall on digital rectal examination. A plain pelvic X-ray revealed a radiopaque object whose intravaginal position was confirmed by ultrasonography. The patient underwent granuloma excision plus FB removal and antibiotic treatment. The 12-month follow-up was unremarkable.

Identifiants

pubmed: 39162759
doi: 10.4103/ajps.ajps_138_22
pii: 01434821-202421030-00014
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

207-209

Informations de copyright

Copyright © 2024 Copyright: © 2024 African Journal of Paediatric Surgery.

Références

Smith YR, Berman DR, Quint EH. Premenarchal vaginal discharge: Findings of procedures to rule out foreign bodies. J Pediatr Adolesc Gynecol 2002;15:227–30
Someshwar J, Lutfi R, Nield LS. The missing “Bratz” doll: A case of vaginal foreign body. Pediatr Emerg Care 2007;23:897–8
Stricker T, Navratil F, Sennhauser FH. Vaginal foreign bodies. J Paediatr Child Health 2004;40:205–7
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:e15–8
Shiryazdi SM, Heiranizadeh N, Soltani HR. Rectorrhagia and vaginal discharge caused by a vaginal foreign body –A case report and review of literature. J Pediatr Adolesc Gynecol 2013;26:e73–5
Dahiya P, Sangwan K, Khosla A, Seth N. Foreign body in vagina –An uncommon cause of vaginitis in children. Indian J Pediatr 1999;66:466–7
Simon DA, Berry S, Brannian J, Hansen K. Recurrent, purulent vaginal discharge associated with longstanding presence of a foreign body and vaginal stenosis. J Pediatr Adolesc Gynecol 2003;16:361–3
Dahiya P, Agarwal U, Sangwan K, Chauhan M. Long retained intravaginal foreign body: A case report. Arch Gynecol Obstet 2003;268:323–4
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

Auteurs

Ndeye Fatou Seck (NF)

Department of Paediatric Surgery, Albert Royer National Children's Hospital Centre, Cheikh Anta Diop University, Dakar, Senegal.

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Classifications MeSH