Bandarkar Anjum N, Adeyiga Adebunmi O, Shalaby-Rana Eglal
Department of Radiology, Children's National Health System, 111 Michigan Avenue NW, Washington, DC, USA.
Radiol Case Rep. 2017 Aug 12;12(4):720-725. doi: 10.1016/j.radcr.2017.07.015. eCollection 2017 Dec.
We present the case of a 13-year-old girl with a recurrent urinary tract infection, malodorous vaginal discharge, and urinary incontinence caused by a retained vaginal foreign body. The foreign body, an aerosol cap retained for over 2 years, resulted in the formation of a ureterovaginal fistula, an extremely rare complication. The critical value of ultrasound and magnetic resonance urography in delineating the foreign body, the fistulous tract, and the intraperitoneal urine leak is described. Through this unique diagnostic dilemma, we wish to highlight that the evaluation of persistent unusual urinary symptoms and vaginal discharge in a young girl must include a thorough pelvic examination and focused imaging to look for retained vaginal foreign bodies.
我们报告了一例13岁女孩的病例，她因阴道内异物残留导致复发性尿路感染、阴道分泌物有异味及尿失禁。该异物是一个气雾剂帽，已残留两年多，导致了输尿管阴道瘘的形成，这是一种极其罕见的并发症。文中描述了超声和磁共振尿路造影在确定异物、瘘管及腹腔内尿液渗漏方面的关键价值。通过这一独特的诊断难题，我们希望强调，对年轻女孩持续出现的异常泌尿症状和阴道分泌物进行评估时，必须包括全面的盆腔检查和针对性的影像学检查，以寻找阴道内残留的异物。
