Two Cases of Vaginal Foreign Body

Abstract

Cases of vaginal foreign body is rare in children. We herein report two cases of vaginal foreign body. [Case 1] An eleven-year-old girl, who had complained of a foul-smelling brown vaginal discharge for 10 months, was referred to a former hospital owing to severe right lower abdominal pain. Computed tomography showed a vaginal foreign body, and she was transferred to our hospital. Ultrasonography and magnetic resonance imaging revealed the possibility of strangulation of the uterine cervix. Emergent removal of the foreign body was performed under general anesthesia. Although the uterine cervix was incarcerated into the cylindrical foreign body, the color of the cervix was improved following the removal of the foreign body. The symptoms were relieved immediately after operation. The child abuse committee concluded that the possibility of sexual abuse was low, and she was referred to a pediatric psychosomatic physician during hospitalization. It was unclear how the foreign body was inserted. [Case 2] A thirteen-year-old girl was referred to our hospital without any specific symptoms owing to a vaginal foreign body that she inserted herself. Ultrasonography and computed tomography showed a vaginal foreign body that was successfully removed under general anesthesia.