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Unusual case of vaginal stenosis in an adolescent girl

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Case Report

Author Details : Rani Reddy S, Sowmya D*

Volume : 7, Issue : 1, Year : 2020

Article Page : 118-121

https://doi.org/10.18231/j.ijogr.2020.025

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Abstract

Foreign body insertion into the vagina has been described across all ages. The presenting symptoms may be
persistent vaginal discharge, chronic pelvic pain, post menopausal bleeding. Foreign body as a differential
diagnosis is rarely thought of with the above presentations and remains a diagnostic challenge. An unusual
case of a foreign body causing vagina l stenosis, haematocolpos and inflammatory adnexal masses leading
to diagnostic confusion and difficult surgery is presented.
An eighteen year old unmarried woman with chronic pelvic pain of 3 years duration was diagnosed to
have bilateral adnexal masses on pelvic USG. On suspicion of genital tuberculosis she received a course
of anti tuberculosis treatment with no symptomatic relief or decrease in size of the adnexal mass. A
second sonogram four months later suggested presence of vaginal /cervical foreign body surrounded by
fluid (haematocolpos?) and she was referred to a gynaecologist. An MRI confirmed the findings. As
examination showed what was presumed to be a transverse vaginal septum the patient was posted for
examination under anaesthesia. There were dense vaginal adhesions and as the haematocolpos could not
be accessed from below a laparotomy was performed, the vagina opened from above and after draining
300ml of chocolate colored fluid a bottle cap was retrieved. The stenosed vagina was successfully opened
by vaginal dissection by abdomino-vaginal approach. This case is an unusual presentation of a foreign
body causing vaginal stenosis and causing much diagnostic dilemma and difficult surgery.

Keywords: Foreign body, Vaginal stenosis, Vaginoscopy.

How to cite : Rani Reddy S, Sowmya D, Unusual case of vaginal stenosis in an adolescent girl. Indian J Obstet Gynecol Res 2020;7(1):118-121

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