Urinary Tract Infection as a Single Presenting Sign of Multiple Vaginal Foreign Bodies: Case Report and Review of the Literature

Neulander, Endre Z.; Tiktinsky, Alex; Romanowsky, Igor; Kaneti, Jacob

doi:10.1016/j.jpag.2009.04.003

Cited by 8 publications

(7 citation statements)

References 6 publications

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“…Reports have previously stated that the majority of these objects are inserted by the child during natural exploration of the body or during masturbatory play 7,12,13. Normal masturbation, however, is believed to involve clitoral and labial manipulation, not penetration of the vagina by objects 14.…”

Section: Discussionmentioning

confidence: 99%

Vaginal Foreign Bodies and Child Sexual Abuse: An Important Consideration

Closson¹,

Lichenstein²

2013

WestJEM

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Vaginal foreign bodies are a complaint occasionally encountered in pediatric clinics and emergency departments, and when pediatric patients present with a vaginal foreign body sexual abuse may not be considered. We describe two children with vaginal foreign bodies who were found to have been sexually abused. Each child had a discharge positive for a sexually transmitted infection despite no disclosure or allegation of abuse. We recommend that all pre-pubertal girls who present with a vaginal foreign body should be considered as possible victims of sexual abuse and should receive a sexual abuse history and testing for sexually transmitted infections.

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Section: Discussionmentioning

confidence: 99%

Vaginal Foreign Bodies and Child Sexual Abuse: An Important Consideration

Closson¹,

Lichenstein²

2013

WestJEM

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“…The clinical manifestations of genitourinary FBs depend on their physicochemical properties and residence time, and there are usually no specific clinical symptoms. FBs can manifest as repeated discharge, hematuria, and recurrent genitourinary infections, dysuria, and so on [ 2 – 5 , 8 – 10 , 12 ]. Our cases revealed the same symptoms, the difference is that the FBs were smaller and were easier for physicians to ignore, which made patients suffer more.…”

Section: Discussionmentioning

confidence: 99%

Small spherical foreign bodies in the genitourinary tract and their management

You

Wang

et al. 2022

BMC Pediatr

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Background Urogenital small foreign bodies (FBs) have rarely been reported in children, and their management is still challenging. This study aimed to describe the characteristics and treatment of spherical FBs no larger than 0.6 cm in the children’s genitourinary tracts. Methods The clinical data of spherical FBs removed in our hospital from June 2013 to June 2020 were recorded and retrospectively analyzed, including demographics, location, symptoms, imaging examinations and treatment methods. Results A total of 10 patients were enrolled: 6 girls and 4 boys. Their ages ranged from 5.1 to 16.8 years old, with a mean age of 9.2 years. The course of the disease ranged from 3 h to 1 year, and symptoms recurred in some cases. Their imaging characteristics were reviewed and analyzed, 6 patients underwent color Doppler ultrasonography, 1 patient was suspected to have an FB in the vagina, 7 patients underwent an X-ray examination, and FBs were revealed in 6 patients. All FBs were removed under endoscopic minimally invasive surgery. Six vaginal FBs were successfully retrieved via vaginoscopy, and in the other four cases, removal by transurethral cystoscopy failed because of mutual attraction, which was eliminated by laparoscopy under pneumovesicum. Postoperative recovery was uneventful; in a follow-up of 3 months to 2 years, there was no perforation or fistula formation, and there were no urethral strictures in boys. Conclusion Small spherical FBs are clinically rare; they are sometimes difficult to detect by imaging examinations and can be easily overlooked. Minimally invasive endoscopy remains the first-line approach for the diagnosis and removal of genitourinary spherical FBs.

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“…5 The clinical course should alert the health care provider to the presence of a foreign body. Neulander et al 6 reported that recurrent urinary tract infections could be the presenting symptom for the presence of a vaginal foreign body in children. High level of suspicion and strict basic diagnostic protocols were the most important steps for a timely diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Big Metallic Foreign Body in the Endocervix – A Case Report

Sen¹

2014

jemds

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Foreign objects in the female genital tract neglected for a long period of time may lead to many clinical problems, most commonly recurrent vaginal discharge. The diagnosis requires detailed history and physical examination of the genital tract. Though very uncommon big metallic foreign body may be encountered in the endocervix. We present a case of a 22-year-old female who presented with vaginal discharge and failure of evacuation of retained products of conception to emphasize the importance of establishing a diagnosis of foreign body in the endocervix in suspected cases.

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Urinary Tract Infection as a Single Presenting Sign of Multiple Vaginal Foreign Bodies: Case Report and Review of the Literature

Cited by 8 publications

References 6 publications

Vaginal Foreign Bodies and Child Sexual Abuse: An Important Consideration

Vaginal Foreign Bodies and Child Sexual Abuse: An Important Consideration

Small spherical foreign bodies in the genitourinary tract and their management

Big Metallic Foreign Body in the Endocervix – A Case Report

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