Foreign Body in Female Genital Tract

Main Article Content

The Bangkok Medical Journal

Abstract

A74-year old unmarried female presents with the chief complaint of a stinking smell at the pelvic region which isrecognized by her relative and brings her to the hospital. She denied inserting any foreign body into vagina. On examination,she is healthy, no fever, heart and lungs appear normal. No abnormal palpable abdominal mass except stinking smell atthe pelvic region, on pelvic examination there is matted calcified foreign body in vaginal canal and broken salts bar (inhalantbar) (see arrow Fig A), however the residual foreign body remains in the vaginal canal because it could not evacuate all of thematerials. A CT of lower abdomen with and without and IV and contrast enhancement is performed. The images of CT oncoronal and sagittal sections reveal large rounded calcified FB in the uterine cavity measuring attenuation 832-1054 HounsfieldUnits (HU), with rod like appearance hypoattenuation in the center. A salt bar was removed before this picture taken (see arrowsFig C-D). She underwent a total hysterectomy (Fig B). It shows a salts bar embedded in a calcified foreign body. The patientrecovers eventually after the operation without any complication.

Article Details

How to Cite
1.
Medical Journal TB. Foreign Body in Female Genital Tract. BKK Med J [Internet]. 2017 Feb. 20 [cited 2024 Mar. 29];13(1):113. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/221818
Section
Medical Images

References

1. Paradise JE, Willis ED. Probability of vaginal foreign body in girls with general complaints. Am J Dis Child 1985;139(5):472-6.
2. Pushplata S, Devyani M, Pyari JS, et al. Bizarre foreign objects in the genital tract-our experience and review of literature.Open Journal of Obstetrics and Gynecology 2014;4:427-31.
3. Mausner EV, Yitta S, Slywotzky CM, et al. Commonly encountered foreign bodies and devices in the female pelvis: MDCT appearances. AJR Am J Roentgenol 2011;196:461-7