A Case of Intravaginal Foreign Body in a 4-year-old Girl.

Kim, Moon Hong; Roh, Ju Won; Kim, Yong Beom; Kim, Jin Oh; Park, Noh Hyun; Song, Yong Sang; Kang, Soon Beom; Lee, Hyo Pyo

Case Report

Korean Journal of Obstetrics & Gynecology 1997;40(10):2311-2316.
Published online January 1, 2001.

A Case of Intravaginal Foreign Body in a 4-year-old Girl.

Moon Hong Kim, Ju Won Roh, Yong Beom Kim, Jin Oh Kim, Noh Hyun Park, Yong Sang Song, Soon Beom Kang, Hyo Pyo Lee

Department of Obstetrics and Gynecology, College of Medicine, Yonsei University, Korea.

Abstract

Vaginal foreign bodies in children are often associated with intermittent vaginal disch-arge, vaginal bleeding and create a clinical scenario similar to that of certain cases of sex-ual abuse and isolated premature menarche. Intravaginal foreign body of especially long duration can pose a diagnostic dilemma, since a number of diagnostic modalities may fail to detect its existence. A 4-year-old girl who suffered from a bloody, malodorous vaginal discharge visited SNUH. She had had such problems for over a year and had been evaluat-ed by several gynecologists. Preoperative evaluations including ultrasound was performed and pelvis MRI strengthened the suspicion that some foreign bodies could be an etiologic factor. A vaginal inspection performed under general anesthesia with 0degrees endoscope and nasal speculum size no. 43 revealed "pen top of ink pen" lodged in her vaginal mucosa of posterior fornix area. We were allowed to remove a foreign body without trauma of genital tract by nasal forceps. We report a case of intravaginal foreign body in a 4-year-old girl with a brief review.

Key Words: Vagina, Foreign body