Sharma Nalini, Vegda Darshini S, Gandhi Vishwa S
Obstetrics and Gynecology, Geetanjali Medical College and Hospital, Udaipur, IND.
Cureus. 2022 Dec 30;14(12):e33132. doi: 10.7759/cureus.33132. eCollection 2022 Dec.
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.
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。