View source for Vaginal foreign body

==Background==
[[File:Vulva Figure 28 02 02.jpg|thumb|Labeled vulva, showing external and internal views.]]
[[File:Blausen 0400 FemaleReproSystem 02b.png|thumb|Pelvic anatomy including organs of the female reproductive system.]]
*Patients may be reluctant to provide history due to fear or embarrassment 
*Foreign bodies most commonly found to be:
**Retained tampon
**Sex toys or other items used for sexual stimulation
**Packets of drugs
**Toilet paper
**Pieces of cloth or small toys (in young girls)

==Clinical Features==
*[[Vaginal discharge]], chronic
**Often malodorous
**Consider foreign body in all prepubertal patients with discharge, especially if bloody or brown
*[[Vaginal bleeding]]
*[[Vulvovaginitis]]
*[[Pelvic pain]]

==Differential Diagnosis==
*Infection
**[[Bacterial Vaginosis]], [[Trichomonas]], [[chlamydia]]/[[gonorrhea]] infection, [[Candida Vaginitis]]
**[[Endometritis]], [[PID]], [[TOA]]
*Ob/gyn conditions
**[[Ectopic pregnancy]], [[spontaneous abortion|abortion]] (threatened, incomplete, or [[septic abortion|septic]])
**Pelvic [[thrombophlebitis]]
**[[Ovarian torsion]], [[ovarian cyst]] hemorrhage/rupture
**Dysmenorrhea, [[endometriosis]]
*Genitourinary
**[[Cystitis]], [[Pyelonephritis]]
**[[Renal colic]]
*Gastrointestinal
**[[Appendicitis]], [[SBO]], [[mesenteric ischemia]], [[hernia]]
**[[Anorectal abscess]]
**[[Diverticulitis]], [[Inflammatory bowel disease]]

==Evaluation==
*Visualization may be aided by irrigation with normal saline
*Children <7yo or uncooperative patients may require vaginoscopy in the OR with anesthesia
*Plain films sometimes help identify radiopaque objects
*Some items may be identifiable on [[ultrasound]] or [[MRI]]
 
==Management==
*Remove object, either manually or with saline irrigation
*Antibiotics typically unnecessary

==Disposition==
*Discharge

==See Also==
*[[Vulvovaginitis]]

==External Links==

==References==
<references/>

[[Category:OBGYN]]