African Journal of Paediatric Surgery (Sep 2024)

Intravaginal Foreign Body: A Rare Cause of Persistent Vaginal Discharge in a Child

  • Ndeye Fatou Seck,
  • Florent Tshibwid A. Zeng,
  • Ndeye Aby Ndoye,
  • Gabriel Ngom

DOI
https://doi.org/10.4103/ajps.ajps_138_22
Journal volume & issue
Vol. 21, no. 3
pp. 207 – 209

Abstract

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Vaginal discharge is a common gynaecologic complaint in pre-menarchal girls. However, an intravaginal foreign body (FB) must be suspected when it is persistent. We report the case of a referred 4-year-old girl with a 5-month history of persistent foul-smelling vaginal discharge. Clinical examination confirmed purulent vaginal discharge, along with a vaginal granuloma. A hard, intravaginal object was felt through the anterior rectal wall on digital rectal examination. A plain pelvic X-ray revealed a radiopaque object whose intravaginal position was confirmed by ultrasonography. The patient underwent granuloma excision plus FB removal and antibiotic treatment. The 12-month follow-up was unremarkable.

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