Vaginal Foreign Body in a Child: An Experience With Transvaginal Extirpation Under Laparoscopic Observation

Furuta Shigeyuki, Sato Hideaki, Tsuji Shiho, Manabe Shutaro, Kitagawa Hiroaki

doi:10.11164/jjsps.51.7_1230

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Other Title

小児膣異物の1例
症例報告小児膣異物の1例 : 腹腔鏡観察下経膣的異物全摘除の経験
ショウレイホウコクショウニチツイブツノ 1レイ : フククウキョウカンサツカケイチツテキイブツゼンテキジョノケイケン
―腹腔鏡観察下経膣的異物全摘除の経験―

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Description

An 8-year-old girl was brought to our hospital with a chief complaint of purulent bloody vaginal discharge that had persisted for 6 months. Magnetic resonance imaging revealed findings indicative of perforation of the vaginal wall by an intravaginal foreign body. When the Douglas pouch was laparoscopically inspected to confirm the location of a portion of the foreign body outside of the vagina and in preparation for a peritoneal intervention, a tumorlike process with the appearance of a foreign body was found to protrude from around the posterior vaginal fornix into the posterior peritoneal cavity. We were not able to find the vaginal foreign body by the adhesion of the vagina wall with a vaginoscope. However, complete transvaginal removal of the foreign body was achieved with a hysteroscope. The removed foreign body was a conical plastic toy measuring 1.5 cm in length. Because sexual abuse was also suspected as a cause of foreign body insertion, a staff member from a child consultation center investigated this case. However, because the possibility of sexual abuse was determined to be low, the girl was placed on follow-up. At present, 6 months after hysteroscopic removal, there is no evidence of sexual abuse and no recurrence of vaginal discharge.

Journal

Journal of the Japanese Society of Pediatric Surgeons

Journal of the Japanese Society of Pediatric Surgeons 51 (7), 1230-1233, 2015

The Japanese Society of Pediatric Surgeons

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