Document Detail

Vaginal Foreign Body: A Delayed Diagnosis.
MedLine Citation:
PMID:  24656699     Owner:  NLM     Status:  Publisher    
BACKGROUND: To describe a case of prolonged vaginal bleeding in a prepubertal girl. Review of medical record and literature search.
CASE: A 7-year-old female was referred to our pediatric and adolescent gynecologic clinic for evaluation of vaginal bleeding and ovarian cyst on ultrasonography. Her parents denied any history of trauma or sexual abuse. Initial evaluation revealed pre-pubertal luteinizing hormone and follicle stimulating hormone levels, and follow-up ultrasonography revealed normal pre-pubertal pelvic anatomy. However, a skeletal survey, which was obtained to assess for the presence of skeletal fibrous dysplasia, revealed a metal spring in the vagina. The patient ultimately underwent an exam under anesthesia and vaginoscopy with removal of 3 foreign bodies, with subsequent termination of symptoms.
SUMMARY AND CONCLUSIONS: In cases of pre-pubertal vaginal bleeding, the possibility of vaginal foreign body should not be excluded despite normal sonographic imaging. If clinical suspicion for a vaginal foreign body persists, additional imaging modalities or exam under anesthesia should be considered.
Shweta Nayak; Selma Feldman Witchel; Joseph S Sanfilippo
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-3-18
Journal Detail:
Title:  Journal of pediatric and adolescent gynecology     Volume:  -     ISSN:  1873-4332     ISO Abbreviation:  J Pediatr Adolesc Gynecol     Publication Date:  2014 Mar 
Date Detail:
Created Date:  2014-3-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9610774     Medline TA:  J Pediatr Adolesc Gynecol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2013 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
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