Missed diagnosis (A clinical case of a longstanding intravaginal foreign body in a 12-year-old patient)


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Background. According to the world and Russian literature, the detection rate of an intravaginal foreign body (IVFB) among patients with long-term abnormal vaginal discharge is 4-10%. There are single reports on a longstanding INFB in girls. Case report. The paper describes a clinical case of a 12-year-old girl with a 9-year history of IVFB unrecognized during multiple local examinations. Thepreclinical diagnosis was established when the girl attended the Research Center of Obstetrics, Gynecology, and Perinatology on the basis on the data of objective examination, small pelvic ultrasonography, and retrospective analysis of presented magnetic resonance mage findings. A foreign body (a felt-tip pen cap) was removed in the inpatient setting. Conclusion. Recurrent, intractable purulent or bloody vaginal discharge in prepubescent girls requires that vaginoscopy should rule out an IVFB.

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作者简介

Zaira Kumykova

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: zai-kumykova@yandex.ru
PhD, Senior Researcher, 2nd gynecological department

Elena Uvarova

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

MD, Professor, Head of the 2nd gynecological department

Vladimir Chuprynin

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

MD, Head of the Department of General Surgery

Zalina Batyrova

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: linadoctor@mail.ru
PhD, Researcher of 2nd gynecological department

Stanislav Lunkov

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

physician of visual diagnostics department

Irina Luzhina

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

physician of visual diagnostics department

参考

  1. Chinawa J.M., Obu H.A., Uwaezuoke S.N. Foreign body in vagina: an uncommon cause of vaginitis in children. Ann. Med. Health Sci. Res. 2013; 3(1): 102-4.
  2. Dahiya P., Agarwal U., Sangwan K., Chauhan M. Long retained intravaginal foreign body: a case report. Arch. Gynecol. Obstet. 2003; 268(4): 323-4.
  3. Kihara M., Sato N., Kimura H., Kamiyama M., Sekiya S., Takano H. Magnetic resonance imaging in the evaluation of vaginal foreign bodies in a young girl. Arch. Gynecol. Obstet. 2001; 265(4): 221-2.
  4. Sakhavar N., Teimoori B., Ghasemi M. Foreign body in the vagina of a four-year-old-girl: a childish prank or sexual abuse. Int. J. High Risk Behav. Addict. 2014; 3(2): e10534.
  5. Deligeoroglou E., Deliveliotou A., Laggari V., Tsimaris P., Creatsas G. Vaginal foreign body in childhood: a multidisciplinary approach. J. Paediatr. Child Health. 2006; 42(10): 649-51.
  6. Nayak S., Witchel S.F., Sanfilippo J.S. Vaginal foreign body: a delayed diagnosis. J. Pediatr. Adolesc. Gynecol. 2014; 27(6): e127-9.

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