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Vaginal Foreign Bodies
Douglas Rogers, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Clinical Issues

        TERMINOLOGY

        • Definitions

          • Device or foreign material found within vaginal lumen
            • Iatrogenic
              • Pessary
              • Vaginal contraceptive
              • Retained surgical swab/sponge
              • Fiducial markers for radiation, intracavitary brachytherapy
            • Noniatrogenic
              • Intentional
                • Tampon
                • Menstrual cup
                • Vaginal contraceptive
                • Objects for sexual gratification
                • Illicit substances
                • Pediatrics/intellectually disabled: Inserted toys, household objects, rocks, etc.
              • Unintentional
                • Abuse
                • Trauma/penetrating injury

        IMAGING

        • General Features

          • Imaging Findings

            • Imaging Recommendations

              DIFFERENTIAL DIAGNOSIS

                PATHOLOGY

                • Microscopic Features

                  CLINICAL ISSUES

                  • Presentation

                    • Demographics

                      • Natural History & Prognosis

                        • Treatment

                          Selected References

                          1. Anderson J et al: Vaginal foreign body evaluation and treatment. StatPearls, 2020
                          2. Wilhite S et al: Acute ureteral obstruction by deeply inserted menstrual cup. Urology. 139:e6-7, 2020
                          3. Sullivan T et al: Providing MR imaging for cervical cancer brachytherapy: lessons for radiologists. Radiographics. 38(3):932-44, 2018
                          4. Nakib G et al: Longstanding presence of a vaginal foreign body (battery): severe stenosis in a 13-year-old girl. J Pediatr Adolesc Gynecol. 30(1):e15-8, 2017
                          5. Yang X et al: Ultrasonography in detection of vaginal foreign bodies in girls: a retrospective study. J Pediatr Adolesc Gynecol. 30(6):620-5, 2017
                          6. Ekinci S et al: Prepubertal vaginal discharge: vaginoscopy to rule out foreign body. Turk J Pediatr. 58(2):168-71, 2016
                          7. Kyrgios I et al: An unexpected cause of vaginal bleeding: the role of pelvic radiography. BMJ Case Rep. 2014, 2014
                          8. Boortz HE et al: Migration of intrauterine devices: radiologic findings and implications for patient care. Radiographics. 32(2):335-52, 2012
                          9. Reiner JS et al: Multimodality imaging of intrauterine devices with an emphasis on the emerging role of 3-dimensional ultrasound. Ultrasound Q. 28(4):251-60, 2012
                          10. Russo JK et al: Comparison of 2D and 3D imaging and treatment planning for postoperative vaginal apex high-dose rate brachytherapy for endometrial cancer. Int J Radiat Oncol Biol Phys. 83(1):e75-80, 2012
                          11. Burger IA et al: FDG uptake in vaginal tampons is caused by urinary contamination and related to tampon position. Eur J Nucl Med Mol Imaging. 38(1):90-6, 2011
                          12. Mausner EV et al: Commonly encountered foreign bodies and devices in the female pelvis: MDCT appearances. AJR Am J Roentgenol. 196(4):W461-70, 2011
                          13. Komesu YM et al: Restoration of continence by pessaries: magnetic resonance imaging assessment of mechanism of action. Am J Obstet Gynecol. 198(5):563, 2008
                          14. Peri N et al: Imaging of intrauterine contraceptive devices. J Ultrasound Med. 26(10):1389-401, 2007
                          15. Siddiqui NY et al: Vesicovaginal fistula due to an unreported foreign body in an adolescent. J Pediatr Adolesc Gynecol. 20(4):253-5, 2007
                          16. Striegel AM et al: Vaginal discharge and bleeding in girls younger than 6 years. J Urol. 176(6 Pt 1):2632-5, 2006
                          17. Lopez C et al: MRI of vaginal conditions. Clin Radiol. 60(6):648-62, 2005
                          18. Hunter TB et al: Foreign bodies. Radiographics. 23(3):731-57, 2003
                          19. Hunter TB: Special report: medical devices and foreign bodies: an introduction. Radiographics. 23(1):193-4, 2003
                          20. Jawaid M: Gossypiboma: The forgotten swab. Special communication. Pak J Med Sci. 19(2):141-3, 2003
                          21. Simon DA et al: Recurrent, purulent vaginal discharge associated with longstanding presence of a foreign body and vaginal stenosis. J Pediatr Adolesc Gynecol. 16(6):361-3, 2003
                          Related Anatomy
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                          Related Differential Diagnoses
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                          References
                          Tables

                          Tables

                          KEY FACTS

                          • Terminology

                            • Imaging

                              • Clinical Issues

                                TERMINOLOGY

                                • Definitions

                                  • Device or foreign material found within vaginal lumen
                                    • Iatrogenic
                                      • Pessary
                                      • Vaginal contraceptive
                                      • Retained surgical swab/sponge
                                      • Fiducial markers for radiation, intracavitary brachytherapy
                                    • Noniatrogenic
                                      • Intentional
                                        • Tampon
                                        • Menstrual cup
                                        • Vaginal contraceptive
                                        • Objects for sexual gratification
                                        • Illicit substances
                                        • Pediatrics/intellectually disabled: Inserted toys, household objects, rocks, etc.
                                      • Unintentional
                                        • Abuse
                                        • Trauma/penetrating injury

                                IMAGING

                                • General Features

                                  • Imaging Findings

                                    • Imaging Recommendations

                                      DIFFERENTIAL DIAGNOSIS

                                        PATHOLOGY

                                        • Microscopic Features

                                          CLINICAL ISSUES

                                          • Presentation

                                            • Demographics

                                              • Natural History & Prognosis

                                                • Treatment

                                                  Selected References

                                                  1. Anderson J et al: Vaginal foreign body evaluation and treatment. StatPearls, 2020
                                                  2. Wilhite S et al: Acute ureteral obstruction by deeply inserted menstrual cup. Urology. 139:e6-7, 2020
                                                  3. Sullivan T et al: Providing MR imaging for cervical cancer brachytherapy: lessons for radiologists. Radiographics. 38(3):932-44, 2018
                                                  4. Nakib G et al: Longstanding presence of a vaginal foreign body (battery): severe stenosis in a 13-year-old girl. J Pediatr Adolesc Gynecol. 30(1):e15-8, 2017
                                                  5. Yang X et al: Ultrasonography in detection of vaginal foreign bodies in girls: a retrospective study. J Pediatr Adolesc Gynecol. 30(6):620-5, 2017
                                                  6. Ekinci S et al: Prepubertal vaginal discharge: vaginoscopy to rule out foreign body. Turk J Pediatr. 58(2):168-71, 2016
                                                  7. Kyrgios I et al: An unexpected cause of vaginal bleeding: the role of pelvic radiography. BMJ Case Rep. 2014, 2014
                                                  8. Boortz HE et al: Migration of intrauterine devices: radiologic findings and implications for patient care. Radiographics. 32(2):335-52, 2012
                                                  9. Reiner JS et al: Multimodality imaging of intrauterine devices with an emphasis on the emerging role of 3-dimensional ultrasound. Ultrasound Q. 28(4):251-60, 2012
                                                  10. Russo JK et al: Comparison of 2D and 3D imaging and treatment planning for postoperative vaginal apex high-dose rate brachytherapy for endometrial cancer. Int J Radiat Oncol Biol Phys. 83(1):e75-80, 2012
                                                  11. Burger IA et al: FDG uptake in vaginal tampons is caused by urinary contamination and related to tampon position. Eur J Nucl Med Mol Imaging. 38(1):90-6, 2011
                                                  12. Mausner EV et al: Commonly encountered foreign bodies and devices in the female pelvis: MDCT appearances. AJR Am J Roentgenol. 196(4):W461-70, 2011
                                                  13. Komesu YM et al: Restoration of continence by pessaries: magnetic resonance imaging assessment of mechanism of action. Am J Obstet Gynecol. 198(5):563, 2008
                                                  14. Peri N et al: Imaging of intrauterine contraceptive devices. J Ultrasound Med. 26(10):1389-401, 2007
                                                  15. Siddiqui NY et al: Vesicovaginal fistula due to an unreported foreign body in an adolescent. J Pediatr Adolesc Gynecol. 20(4):253-5, 2007
                                                  16. Striegel AM et al: Vaginal discharge and bleeding in girls younger than 6 years. J Urol. 176(6 Pt 1):2632-5, 2006
                                                  17. Lopez C et al: MRI of vaginal conditions. Clin Radiol. 60(6):648-62, 2005
                                                  18. Hunter TB et al: Foreign bodies. Radiographics. 23(3):731-57, 2003
                                                  19. Hunter TB: Special report: medical devices and foreign bodies: an introduction. Radiographics. 23(1):193-4, 2003
                                                  20. Jawaid M: Gossypiboma: The forgotten swab. Special communication. Pak J Med Sci. 19(2):141-3, 2003
                                                  21. Simon DA et al: Recurrent, purulent vaginal discharge associated with longstanding presence of a foreign body and vaginal stenosis. J Pediatr Adolesc Gynecol. 16(6):361-3, 2003