Longstanding Presence of a Vaginal Foreign Body (Battery): Severe Stenosis in a 13-Year-Old Girl.
BACKGROUND
In recurrent/unresponsive vaginal discharge a vaginal foreign body should be considered.


METHODS
We present the case of a 13-year-old girl who suffered from a foul-smelling dark brownish and malodorous vaginal discharge since the age of 7 years. When the girl was 11 years old, a foreign body was discovered on ultrasound imaging; removal by colposcopy failed, because of the complete battery inclusion in the posterior vaginal wall. Two years later, at our institution, radiological images yielded the general position of the foreign body; colposcopy showed complete vaginal stenosis. Forced dilatation allowed surgical removal of the battery which was embedded in the vaginal fundal wall.


CONCLUSIONS
Early removal of foreign objects prevents ulceration, necrosis, stenosis, perforations, and late serious sequelae such as pelvic inflammation and infertility.
Department of Pediatric Surgery, Mediclinic Middle East, Mediclinic City Hospital Dubai, Dubai, United Arab Emirates.
Ghassan
G
Nakib
Pediatric Unit, Department of Maternal and Children's Health, Fondazione IRCCS Policlinico San Matteo and Department of Internal Medicine, University of Pavia, Pavia, Italy.
Valeria
V
Calcaterra
Pediatric Surgery Unit, Department of Maternal and Children's Health, Fondazione IRCCS Policlinico San Matteo and Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy. Electronic address: gloriapelizzo@gmail.com.
Gloria
G
Pelizzo
D000293:Adolescent; D003251:Constriction, Pathologic / Q000209:etiology; D011211:Electric Power Supplies / Q000009:adverse effects*; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D013997:Time Factors; D014463:Ultrasonography; D014621:Vagina; D019522:Vaginal Discharge / Q000209:etiology*; D014623:Vaginal Diseases / Q000209:etiology*
Children; Disk battery; Longstanding foreign body; Therapy; Vaginal stenosis