Background: In recurrent/unresponsive vaginal discharge a vaginal foreign body should be considered. Case: We present the case of a 13-year-old girl who suffered from a foul-smelling dark brownish and malodorous vaginal discharge since the age of 7 years. When the girl was 11 years old, a foreign body was discovered on ultrasound imaging; removal by colposcopy failed, because of the complete battery inclusion in the posterior vaginal wall. Two years later, at our institution, radiological images yielded the general position of the foreign body; colposcopy showed complete vaginal stenosis. Forced dilatation allowed surgical removal of the battery which was embedded in the vaginal fundal wall. Summary and Conclusion: Early removal of foreign objects prevents ulceration, necrosis, stenosis, perforations, and late serious sequelae such as pelvic inflammation and infertility.

Longstanding Presence of a Vaginal Foreign Body (Battery): Severe Stenosis in a 13-Year-Old Girl / G. Nakib, V. Calcaterra, G. Pelizzo. - In: JOURNAL OF PEDIATRIC AND ADOLESCENT GYNECOLOGY. - ISSN 1083-3188. - 30:1(2017), pp. e15-e18. [10.1016/j.jpag.2016.08.015]

Longstanding Presence of a Vaginal Foreign Body (Battery): Severe Stenosis in a 13-Year-Old Girl

G. Pelizzo
2017

Abstract

Background: In recurrent/unresponsive vaginal discharge a vaginal foreign body should be considered. Case: We present the case of a 13-year-old girl who suffered from a foul-smelling dark brownish and malodorous vaginal discharge since the age of 7 years. When the girl was 11 years old, a foreign body was discovered on ultrasound imaging; removal by colposcopy failed, because of the complete battery inclusion in the posterior vaginal wall. Two years later, at our institution, radiological images yielded the general position of the foreign body; colposcopy showed complete vaginal stenosis. Forced dilatation allowed surgical removal of the battery which was embedded in the vaginal fundal wall. Summary and Conclusion: Early removal of foreign objects prevents ulceration, necrosis, stenosis, perforations, and late serious sequelae such as pelvic inflammation and infertility.
Longstanding foreign body; Disk battery; Vaginal stenosis; Children; Therapy
Settore MED/38 - Pediatria Generale e Specialistica
Settore MED/20 - Chirurgia Pediatrica e Infantile
2017
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/722540
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