Diagnostic Delay of a Vaginal Foreign Body: A Case Report

This report presents the case of vaginal foreign body (FB) in a seven-year-old girl with recurrent genitourinary symptoms that went unrecognized for two years. Despite thorough evaluation including MRI, cystourethroscopy, and several consultations with various specialists, the cause could not be diagnosed. Recurrent symptoms forced her to approach our center. Repeat cystourethroscopy with vaginal examination under anesthesia (VEUA) enabled the detection of the FB in the vagina. Removal helped achieve permanent relief. VEUA is crucial and is a test not to be missed in the evaluation protocol of vaginal FB. This report establishes that even MRI and cystourethroscopy without VEUA can miss the diagnosis.