Rare pediatric foreign body: Case report and review of the literature

Résumé fourni par la source

Introduction Vaginal foreign bodies (VFBs) are rare clinical complaints, especially in school-aged girls. This report presents a case of VFB in a 7-year-old. Case presentation A 7-year-old girl presented with a 3-month history of intermittent vaginal bleeding, recurrent cystitis, and dysuria. Imaging suggested a lipoma; however, under general anesthesia, diagnostic laparoscopy and cystoscopy were inconclusive. A digital rectal examination revealed and retrieved a crayon from the vaginal canal, confirming the diagnosis of a VFB. Postoperative recovery was uneventful, and the patient remained symptom-free on follow-up. Literature review A review of 10 recent and similar cases was presented, with patient ages ranging from 2 to 15.5 years. Urinary symptoms included hematuria, dysuria, and incontinence, while vaginal symptoms commonly involved foul-smelling discharge, itching, and vaginal pain. Abdominal pain and fever were also reported. Two cases involved confirmed sexual abuse. Vaginoscopy was the most frequently used method for removing the foreign bodies. Retrieved objects included a pencil, batteries, an earring, a safety pin, a nut, a crayon, and a plastic bag. Hymenal damage was documented in four cases, and symptoms resolved in the majority of patients, with only one case showing persistent symptoms following object removal. Conclusion Vaginal bleeding and cystitis in school-aged girls may be caused by VFBs. A digital rectal examination can be employed for retrieval, leading to the resolution of symptoms.

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