Laparoscopic Removal of a Vaginal Foreign Body (Aerosol Cap): A Case Report

Vaginal foreign bodies, although uncommon, may cause significant complications when retained for prolonged periods. Firm objects can lead to chronic inflammation, fibrosis, and potential injury to adjacent organs, making removal technically challenging. A 19-year-old woman presented with persistent foul-smelling vaginal discharge and spotting that had continued for approximately four years after she was unable to remove a deodorant cap inserted vaginally. Examination revealed severe fibrotic narrowing and obliteration of the vaginal canal, and computed tomography demonstrated the foreign body localized in the vaginal vault. Due to the depth of localization and high risk of injury to surrounding structures, vaginal extraction was deemed unsafe. Laparoscopic surgery with posterior colpotomy was performed, and the foreign body was successfully removed without complications. The postoperative course was uneventful, and subsequent follow-up showed complete healing of inflammation, although severe vaginal stenosis persisted. This case highlights that removal of vaginal foreign bodies through the vaginal route, while generally preferred, may not always be feasible. In circumstances where the vaginal opening is compromised, the tissue is fibrotic, and the object is located deeply, laparoscopy provides a safe and effective alternative to prevent injury and preserve organ function.