Vaginal foreign body

Background

  • 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

Differential Diagnosis

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

Disposition

See Also

External Links

References

Authors:

Claire