Volume : IV, Issue : III, March - 2015
Foreign Body in Vagina Presenting as Chronic Vaginal Discharge: a Rare Case Report
Dr. Deeba Khanam, Dr. Zehra Mohsin
Abstract :
OBJECTIVE Foreign body in vagina in children presents as purulent vaginal discharge, pain lower abdomen, dysuria, urgency, frequency or it can stay there for long periods without producing any symptoms and ultimately landing in to sequlea.In children lack of protective effect of estrogens can make them prone to infection caused by intestinal commensals and adding to that is poor hygienic status. Purulent discharge not responding to antibiotics raises suspicion of intravaginal foreign body.Vaginoscopy or per vaginal examination under general anaesthesia can be both diagnostic and therapeutic. Thus vaginal discharge in children should not be ignored and promptly evaluated. CASE REPORT We report a case of 5 year old girl who presented to our opd with complaints of purulent vaginal discharge for 6 months; she underwent many private consultations and took several courses of antibiotics but got no relief. She was examined per vaginaly under general anaesthesia and a oken groundnut shell was found in posterior fornix which was removed with an artery forceps. Pus culture was sent and antibiotics were started and she was discharged within a week in a week. CONCLUSION Children who present with vaginal discharge should never be ignored and foreign body should be suspected when discharge is not responding to hygienic measures and antibiotics. Currently vaginoscopy is the ideal method for diagnosing if not available per vaginum examination under general anaesthesia is preferred. Plain radiographs and USG also helps in diagnosing radiopaque items, MRI is considered best for detecting foreign bodies in vagina but is usually not required.
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DOI : 10.36106/ijsr
Cite This Article:
Dr. Deeba Khanam, Dr. Zehra Mohsin Foreign Body in Vagina Presenting as Chronic Vaginal Discharge: a Rare Case Report International Journal of Scientific Research, Vol : 4, Issue : 3 March 2015
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Dr. Deeba Khanam, Dr. Zehra Mohsin Foreign Body in Vagina Presenting as Chronic Vaginal Discharge: a Rare Case Report International Journal of Scientific Research, Vol : 4, Issue : 3 March 2015
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