Korean J Obstet Gynecol.  2010 Aug;53(8):742-745. 10.5468/kjog.2010.53.8.742.

A case of unrecognized foreign body in vagina presenting with chronic lower abdominal pain in 20-year-old patient

• Oh EK
• Song JY
• Jo HH
• Kwon DJ
• Lim YT
• Lew YO
• Kim EJ
• Kim JH
• Kim MR

• KMID: 2273994
• DOI: http://doi.org/10.5468/kjog.2010.53.8.742

Abstract

The foreign bodies in vagina cause intense inflammation. Genital complaints in patients could indicate the presence of a vaginal foreign object. Vaginal bleeding and blood-stained, foul-smelling discharge are considered to be the main clinical manifestations of vaginal foreign bodies, and toilet tissue reported as the most commonly found foreign body. The insertion of foreign bodies into the vagina is not uncommon but presentation as lower abdominal pain in an gynaecological clinic is rare. The causes of insertion are sexual stimulation, sexual abuse, accident of post-surgery and most cases find a solution after vaginal speculum examination. We describe a case of foreign body in the vagina of a patient presenting with chronic lower abdominal pain but undetectable and unrecognized in general examination.

Keyword

Chronic lower abdominal pain; Foreign body; Vagina

MeSH Terms

Abdominal Pain
Foreign Bodies
Humans
Inflammation
Sex Offenses
Surgical Instruments
Uterine Hemorrhage
Vagina
Young Adult

Figure

• 

  Fig. 1 About 4.5×4.5×5.8 cm sized cap appearing foreign body in the upper vagina. Opened margin of the foreign body shows lobulated vaginal wall. The uterus is upwardly displaced by the foreign body.

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  Fig. 2 About 6×4 cm sized plastic cap appearing foreign body.

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