Vaginal foreign body: Difference between revisions
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==Background== | ==Background== | ||
[[File:Vulva Figure 28 02 02.jpg|thumb|Labeled vulva, showing external and internal views.]] | |||
[[File:Blausen 0400 FemaleReproSystem 02b.png|thumb|Pelvic anatomy including organs of the female reproductive system.]] | |||
*Patients may be reluctant to provide history due to fear or embarrassment | *Patients may be reluctant to provide history due to fear or embarrassment | ||
*Foreign bodies most commonly found to be: | *Foreign bodies most commonly found to be: | ||
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==Management== | ==Management== | ||
*Remove object, either manually or with saline irrigation | *Remove object, either manually or with saline irrigation | ||
*Antibiotics typically unnecessary | |||
==Disposition== | ==Disposition== | ||
*Discharge | |||
==See Also== | ==See Also== | ||
*[[Vulvovaginitis]] | |||
==External Links== | ==External Links== |
Latest revision as of 20:08, 3 August 2022
Background
- Patients may be reluctant to provide history due to fear or embarrassment
- Foreign bodies most commonly found to be:
- Retained tampon
- Sex toys or other items used for sexual stimulation
- Packets of drugs
- Toilet paper
- Pieces of cloth or small toys (in young girls)
Clinical Features
- Vaginal discharge, chronic
- Often malodorous
- Consider foreign body in all prepubertal patients with discharge, especially if bloody or brown
- Vaginal bleeding
- Vulvovaginitis
- Pelvic pain
Differential Diagnosis
- Infection
- Bacterial Vaginosis, Trichomonas, chlamydia/gonorrhea infection, Candida Vaginitis
- Endometritis, PID, TOA
- Ob/gyn conditions
- Ectopic pregnancy, abortion (threatened, incomplete, or septic)
- Pelvic thrombophlebitis
- Ovarian torsion, ovarian cyst hemorrhage/rupture
- Dysmenorrhea, endometriosis
- Genitourinary
- Gastrointestinal
Evaluation
- Visualization may be aided by irrigation with normal saline
- Children <7yo or uncooperative patients may require vaginoscopy in the OR with anesthesia
- Plain films sometimes help identify radiopaque objects
- Some items may be identifiable on ultrasound or MRI
Management
- Remove object, either manually or with saline irrigation
- Antibiotics typically unnecessary
Disposition
- Discharge