Literature DB >> 25738041

A rare case of foreign body causing recurrent vaginal discharge in prepubertal child.

Vijayalakshmi R Gobbur1, Raghavendra H Gobbur2, Ashwini G Patil3, Preetish Endigeri4.   

Abstract

Vaginal discharge in prepubertal children is mainly due to hypoestrogenic state of vaginal mucosa making it thin and alkaline leading to mucosal invasion by pathogen. In a paediatric case with persistent foul smelling , blood stained vaginal discharge not responding to medical therapy, vaginal foreign body should always be ruled out. Here, we report a 3 -year -old girl with complaint of recurrent vaginal discharge occasionally blood stained not relieved despite few antibiotics courses. On X -ray pelvis, a radioopaque foreign body hair clip was seen. Under sedation foreign body was removed by forceps following which child became asymptomatic.

Entities:  

Keywords:  Foul smelling discharge; Sexual abuse; X-Ray pelvis

Year:  2015        PMID: 25738041      PMCID: PMC4347132          DOI: 10.7860/JCDR/2015/10227.5364

Source DB:  PubMed          Journal:  J Clin Diagn Res        ISSN: 0973-709X


  8 in total

1.  Recurrent, purulent vaginal discharge associated with longstanding presence of a foreign body and vaginal stenosis.

Authors:  Deborah A Simon; Scott Berry; John Brannian; Keith Hansen
Journal:  J Pediatr Adolesc Gynecol       Date:  2003-12       Impact factor: 1.814

2.  Vulvovaginitis and vaginal discharge in the pediatric patient.

Authors:  Kathleen Merkley
Journal:  J Emerg Nurs       Date:  2005-08       Impact factor: 1.836

3.  Foreign body in vagina--an uncommon cause of vaginitis in children.

Authors:  P Dahiya; K Sangwan; A Khosla; N Seth
Journal:  Indian J Pediatr       Date:  1999 May-Jun       Impact factor: 1.967

4.  Magnetic resonance imaging in the evaluation of vaginal foreign bodies in a young girl.

Authors:  M Kihara; N Sato; H Kimura; M Kamiyama; S Sekiya; H Takano
Journal:  Arch Gynecol Obstet       Date:  2001-11       Impact factor: 2.344

5.  Continuous-flow vaginoscopy in children and adolescents.

Authors:  A Golan; S Lurie; R Sagiv; M Glezerman
Journal:  J Am Assoc Gynecol Laparosc       Date:  2000-11

6.  Premenarchal vaginal discharge: findings of procedures to rule out foreign bodies.

Authors:  Yolanda R Smith; Deborah R Berman; Elisabeth H Quint
Journal:  J Pediatr Adolesc Gynecol       Date:  2002-08       Impact factor: 1.814

7.  Probability of vaginal foreign body in girls with genital complaints.

Authors:  J E Paradise; E D Willis
Journal:  Am J Dis Child       Date:  1985-05

8.  Vulvovaginitis in prepubertal girls.

Authors:  T Stricker; F Navratil; F H Sennhauser
Journal:  Arch Dis Child       Date:  2003-04       Impact factor: 3.791

  8 in total

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