title: Vaginal Burn from Alkaline Battery in an 8-Year-Old.
abstract: BACKGROUND
  Life-threatening injury from battery ingestion has mandated changes in the manufacture of battery-operated devices. Whilst esophageal burns are commonly publicized, there is scarce literature on vaginal burns and their potential morbidity.
  
  
  METHODS
  An 8-year-old girl presented with self-report of a "fluffy toy" per vagina. Under general anesthesia, her vagina was examined and the mucosa appeared coated in a "blue fur." It was soon identified as corrosive damage from an alkaline button battery. Fistula and rectal injury were excluded. Symptomatic relief was achieved with the use of estradiol lidocaine intravaginal concoction following removal.
  
  
  CONCLUSIONS
  Optimal management of a vaginal foreign body relies upon clinical suspicion, familiarity with prepubertal vaginal instrumentation, and expeditious removal of inserted batteries to avoid serious morbidity.
authors.affiliation: Department of Gynecology, Monash Health, Clayton, VIC, Australia.
authors.forename: Kelly
authors.initials: K
authors.lastname: Griffin
authors.affiliation: Department of Paediatric Surgery, Monash Health, Clayton, VIC, Australia.
authors.forename: Rohan
authors.initials: R
authors.lastname: Brent
authors.affiliation: Department of Gynecology, Monash Health, Clayton, VIC, Australia; Department of Obstetrics and Gynecology, Monash University, Clayton, VIC, Australia.
authors.forename: Beverley
authors.initials: B
authors.lastname: Vollenhoven
authors.affiliation: Department of Gynecology, Monash Health, Clayton, VIC, Australia. Electronic address: ymanosnaws@yahoo.com.
authors.forename: Amy E
authors.initials: AE
authors.lastname: Swanson
mesh_terms: D000468:Alkalies / Q000009:adverse effects*; D002057:Burns, Chemical / Q000175:diagnosis* / Q000209:etiology; D002648:Child; D020878:Device Removal; D003937:Diagnosis, Differential; D011211:Electric Power Supplies / Q000009:adverse effects*; D004724:Endoscopy; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D014621:Vagina / Q000293:injuries*
chemical_list: D000468:Alkalies
keywords: Battery; Burn; Pediatric; Vagina