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一名绝经后女性阴道异物被遗忘20年:病例报告

Vaginal Foreign Body Forgotten for 20 Years in a Postmenopausal Female: A Case Report.

作者信息

Sharma Nalini, Vegda Darshini S, Gandhi Vishwa S

机构信息

Obstetrics and Gynecology, Geetanjali Medical College and Hospital, Udaipur, IND.

出版信息

Cureus. 2022 Dec 30;14(12):e33132. doi: 10.7759/cureus.33132. eCollection 2022 Dec.

DOI:10.7759/cureus.33132
PMID:36726890
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9886363/
Abstract

Here, we present a case of a 70-year-old female, menopausal for 20 years, who came to our outpatient department with complaints of recurrent urinary tract infection (UTI) and foul-smelling vaginal discharge. She also had occasional abdominal pain and experienced social stigma due to the foul smell. No history of fever or bleeding per vaginum and no obvious vulval/cervicovaginal growth or uterovaginal prolapse was found. Per speculum and per vaginal examinations were carried out. On examination, a foreign body of approximately 10 × 10 cm was found free in the atrophic vaginal canal. She gave a history of insertion 20 years back, as treatment of prolapse, by some quack. The foreign body was removed, and no trauma occurred during the process of removal. She was then managed conservatively with antibiotics and supportive treatment. In the modern era, instead of ring pessary, the use of plastic balls or some fruit as a non-pharmacologic treatment of prolapse is unheard of. Our case draws attention that every gynecologist should be aware of the entity and have knowledge about its extraction, to give better care to menopausal females.

摘要

在此,我们报告一例70岁绝经20年的女性病例,她因反复尿路感染(UTI)和恶臭的阴道分泌物前来我院门诊就诊。她还偶尔腹痛,并因恶臭而遭受社会歧视。无发热或阴道出血史,未发现明显的外阴/宫颈阴道肿物或子宫阴道脱垂。进行了窥器检查和阴道检查。检查时,在萎缩的阴道管内发现一个约10×10 cm的异物。她讲述了20年前由一名庸医为治疗脱垂而置入异物的病史。异物被取出,取出过程中未发生创伤。然后对她进行了抗生素及支持治疗的保守处理。在现代,用塑料球或某些水果作为脱垂的非药物治疗方法来替代环形子宫托是闻所未闻的。我们的病例提醒注意,每位妇科医生都应了解这种情况并掌握其取出方法,以便为绝经女性提供更好的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9999/9886363/760e592f19dc/cureus-0014-00000033132-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9999/9886363/757d0cd92804/cureus-0014-00000033132-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9999/9886363/760e592f19dc/cureus-0014-00000033132-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9999/9886363/757d0cd92804/cureus-0014-00000033132-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9999/9886363/760e592f19dc/cureus-0014-00000033132-i02.jpg

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J Pediatr Nurs. 2020 Jul-Aug;53:e195-e198. doi: 10.1016/j.pedn.2020.04.002. Epub 2020 Apr 27.
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Ureterovaginal fistula secondary to retained vaginal foreign body in a young girl.一名年轻女孩因阴道内异物残留继发输尿管阴道瘘。
Radiol Case Rep. 2017 Aug 12;12(4):720-725. doi: 10.1016/j.radcr.2017.07.015. eCollection 2017 Dec.
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A Case of Intravaginal Foreign Body.
一例阴道内异物病例。
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Vaginal foreign body mimicking cervical cancer in postmenopausal woman - case study.绝经后女性阴道异物酷似宫颈癌——病例研究
Prz Menopauzalny. 2015 Sep;14(3):208-10. doi: 10.5114/pm.2015.54348. Epub 2015 Sep 30.
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Vaginal foreign body: a delayed diagnosis.阴道异物:延迟诊断
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Vesicovaginal fistula caused by a vaginal foreign body in a 72-year-old woman: case report and literature review.一名72岁女性因阴道异物导致膀胱阴道瘘:病例报告及文献综述
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