Recurrent, purulent vaginal discharge associated with longstanding presence of a foreign body and vaginal stenosis.
A 13-year-old presented with malodorous, purulent, vaginal discharge following each menses for the last three months since menarche. This discharge resolved following antibiotic therapy but recurred with each menses. On exam, the patient was found to have a blind ending vagina with a small, midline perforation. Ultrasound and MRI examinations done prior to surgery did not identify the vaginal foreign body. She was taken to the operating room for examination under anesthesia and vaginoscopy. During surgery this area was found to be comprised of dense adhesions which nearly obliterated the distal vagina. The vaginal adhesions were lysed and a plastic foreign body was discovered in the upper vagina. After removing the foreign body the superior vagina was undermined, pulled down, and sutured to normal inferior vagina. A Mentor mold was placed in the vagina to maintain patency.
Simon
Deborah A
DA
Department of Obstetrics and Gynecology, University of South Dakota School of Medicine, Sioux Falls, South Dakota 57105, USA.
Berry
Scott
S
Brannian
John
J
Hansen
Keith
K
D000293:Adolescent; D003251:Constriction, Pathologic / Q000209:etiology; D005260:Female; D005547:Foreign Bodies / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D000267:Tissue Adhesions / Q000209:etiology / Q000601:surgery; D014621:Vagina; D019522:Vaginal Discharge / Q000209:etiology*