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著者:Mariah McNamara and Jessica Russell
 
Abstract
Vaginal foreign bodies must be considered in adults and children who present with symptoms of vaginal discharge and/or pain. Removal of foreign bodies can often be accomplished during pelvic examination.
 
Keywords
brown purulent vaginal discharge
foul-smelling vaginal discharge
friable foreign bodies
lost or forgotten tampons
malodorous vaginal discharge
pediatric vaginal bleeding
speculum examination
vaginal discharge
vaginal discomfort
Vaginal foreign body
vaginal discharge in a pediatric patient
vaginal vault
vaginoscopy

Presentation  
    Vaginal foreign bodies occur in both children and adults. The patient presents for care with a foul-smelling, bloody or brown purulent discharge, or pain. Children may insert a foreign body and not tell their parents or may be the victims of child abuse. Vaginal foreign bodies in the adult may be a result of a psychiatric disorder or sexual practices. Frequently, patients are reluctant to inform the examiner of the presence of the foreign body. Common vaginal foreign bodies in adults include condoms, contraceptive diaphragms, drug-smuggling devices, and sexual stimulation devices. Occasionally, a retained tampon or pessary is forgotten or lost and causes discomfort and a vaginal discharge. One study in children found the most common vaginal foreign bodies were toilet paper, beads, small parts of toys, cap of watercolor brush, and crayons.
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