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

Ndeye Fatou Seck1, Florent Tshibwid A Zeng, Ndeye Aby Ndoye

  • 1Department of Paediatric Surgery, Albert Royer National Children's Hospital Centre, Cheikh Anta Diop University, Dakar, Senegal.

African Journal of Paediatric Surgery : AJPS
|August 20, 2024
PubMed

Insights

Persistent vaginal discharge in pre-menarchal girls may indicate an intravaginal foreign body (FB). Early diagnosis and removal of the FB are crucial for successful treatment and recovery.

Area of Science:

  • Pediatric Gynecology
  • Medical Imaging
  • Surgical Case Reports

Background:

  • Vaginal discharge is a common complaint in pre-menarchal girls.
  • Persistent or unusual discharge warrants investigation for underlying causes.

Observation:

  • A 4-year-old girl presented with a 5-month history of persistent, foul-smelling vaginal discharge.
  • Clinical examination revealed purulent discharge and a vaginal granuloma.
  • A hard, intravaginal object was palpable on digital rectal examination.

Findings:

  • Pelvic X-ray identified a radiopaque object.
  • Ultrasonography confirmed the intravaginal location of the foreign body.
  • Surgical removal of the foreign body and granuloma excision were performed.

Implications:

  • Intravaginal foreign bodies should be considered in the differential diagnosis of persistent vaginal discharge in children.
  • A combination of physical examination and imaging is effective for diagnosis.
  • Prompt surgical intervention and antibiotic treatment lead to favorable outcomes.

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