Journal List > Korean J Obstet Gynecol > v.53(8) > 1006461

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Oh, Song, Jo, Kwon, Lim, Lew, Kim, Kim, and Kim: A case of unrecognized foreign body in vagina presenting with chronic lower abdominal pain in 20-year-old patient
Case Report
Korean Journal of Obstetrics and Gynecology

Korean Journal of Obstetrics and Gynecology 2010; 53(8): 742-745.

Published online: 19 August 2010

DOI: https://doi.org/10.5468/kjog.2010.53.8.742

A case of unrecognized foreign body in vagina presenting with chronic lower abdominal pain in 20-year-old patient

Eun-Kyeong Oh, M.D., Jae-Yeon Song, M.D., Hyun-Hee Jo, M.D., Dong-Jin Kwon, M.D., Yong-Taik Lim, M.D., Young-Oak Lew, M.D., Eun-Jung Kim, M.D., Jang-Heup Kim, M.D., Mee-Ran Kim, M.D.

Department of Obstetrics and Gynecology, The Catholic University of Korea School of Medicine, Seoul, Korea.

Corresponding author (mrkim@catholic.ac.kr)

Received 31 March 2010       Accepted 12 July 2010

Copyright © 2010 Korean Society of Obstetrics and Gynecology

Abstract

The foreign bodies in vagina cause intense inflammation. Genital complaints in patients could indicate the presence of a vaginal foreign object. Vaginal bleeding and blood-stained, foul-smelling discharge are considered to be the main clinical manifestations of vaginal foreign bodies, and toilet tissue reported as the most commonly found foreign body. The insertion of foreign bodies into the vagina is not uncommon but presentation as lower abdominal pain in an gynaecological clinic is rare. The causes of insertion are sexual stimulation, sexual abuse, accident of post-surgery and most cases find a solution after vaginal speculum examination. We describe a case of foreign body in the vagina of a patient presenting with chronic lower abdominal pain but undetectable and unrecognized in general examination.

Keywords: Chronic lower abdominal pain, Foreign body, Vagina

Figures and Tables

Fig. 1
About 4.5×4.5×5.8 cm sized cap appearing foreign body in the upper vagina. Opened margin of the foreign body shows lobulated vaginal wall. The uterus is upwardly displaced by the foreign body.
kjog-53-742-g001
Fig. 2
About 6×4 cm sized plastic cap appearing foreign body.
kjog-53-742-g002

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