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Long retained intravaginal foreign body: a case report.

Pushpa Dahiya1, Umber Agarwal, Krishna Sangwan

  • 1Department of Obstetrics and Gynaecology, Pt. B.D. Sharma PGIMS, Rohtak-124001, Haryana, India. pushpadahiya@yahoo.com

Archives of Gynecology and Obstetrics
|September 25, 2003
PubMed
Summary

Recurrent vaginal discharge in children can stem from various causes. A long-retained intravaginal foreign body may present as a diagnostic challenge, often leading to persistent, foul-smelling, bloody discharge.

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Area of Science:

  • Pediatric Gynecology
  • Diagnostic Imaging
  • Foreign Body Management

Background:

  • Recurrent vaginal discharge is a common pediatric complaint with diverse etiologies.
  • Intravaginal foreign bodies are a known cause of persistent vaginal discharge in children.
  • Delayed diagnosis of intravaginal foreign bodies can lead to significant morbidity.

Observation:

  • This case report details a pediatric patient with a retained intravaginal foreign body.
  • The foreign body was present for over four years.
  • The patient presented with recurrent, unremitting, foul-smelling, and bloody vaginal discharge.

Findings:

  • A retained intravaginal foreign body was identified as the cause of chronic vaginal discharge.
  • The prolonged duration of foreign body retention presented a diagnostic dilemma.

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  • The characteristic symptoms of foul-smelling, bloody discharge were key indicators.

    • Implications:

    • Clinicians should maintain a high index of suspicion for retained vaginal foreign bodies in children with persistent, concerning discharge.
    • Prompt diagnosis and removal of intravaginal foreign bodies are crucial to prevent complications.
    • This case underscores the importance of thorough history taking and physical examination in pediatric gynecological complaints.