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Vaginal Foreign Bodies
Christine O. Menias, MD; Olga Hatsiopoulou, MD, FRCR; Evis Sala, MD, PhD
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KEY FACTS

  • Terminology

    • Imaging

      • Clinical Issues

        TERMINOLOGY

        • Definitions

          • Device or foreign material found within vaginal lumen
            • Iatrogenic
              • Vaginal pessary
              • Fiducial markers of radiation, intracavitary brachytherapy
              • Retained surgical swab/sponge
                • Vaginal contraception device
            • Noniatrogenic
              • Traumatic/penetrating injury
              • Intentional (e.g., tampon, contraceptive ring)
              • Abuse

        IMAGING

        • General Features

          • Radiographic Findings

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • Microscopic Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                Selected References

                                1. Kyrgios I et al: An unexpected cause of vaginal bleeding: the role of pelvic radiography. BMJ Case Rep. 2014, 2014
                                2. Boortz HE et al: Migration of intrauterine devices: radiologic findings and implications for patient care. Radiographics. 32(2):335-52, 2012
                                3. 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
                                4. 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
                                5. 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
                                6. 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
                                7. 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
                                8. Peri N et al: Imaging of intrauterine contraceptive devices. J Ultrasound Med. 26(10):1389-401, 2007
                                9. Siddiqui NY et al: Vesicovaginal fistula due to an unreported foreign body in an adolescent. J Pediatr Adolesc Gynecol. 20(4):253-5, 2007
                                10. Striegel AM et al: Vaginal discharge and bleeding in girls younger than 6 years. J Urol. 176(6 Pt 1):2632-5, 2006
                                11. Lopez C et al: MRI of vaginal conditions. Clin Radiol. 60(6):648-62, 2005
                                12. Hunter TB et al: Foreign bodies. Radiographics. 23(3):731-57, 2003
                                13. Hunter TB: Special report: medical devices and foreign bodies: an introduction. Radiographics. 23(1):193-4, 2003
                                14. Jawaid M: Gossypiboma: The forgotten swab. Special Communication. Pak J Med Sci. 19(2):141-3, 2003
                                15. 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
                                            • Vaginal pessary
                                            • Fiducial markers of radiation, intracavitary brachytherapy
                                            • Retained surgical swab/sponge
                                              • Vaginal contraception device
                                          • Noniatrogenic
                                            • Traumatic/penetrating injury
                                            • Intentional (e.g., tampon, contraceptive ring)
                                            • Abuse

                                      IMAGING

                                      • General Features

                                        • Radiographic Findings

                                          • CT Findings

                                            • MR Findings

                                              • Ultrasonographic Findings

                                                • Imaging Recommendations

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • Microscopic Features

                                                      CLINICAL ISSUES

                                                      • Presentation

                                                        • Demographics

                                                          • Natural History & Prognosis

                                                            • Treatment

                                                              Selected References

                                                              1. Kyrgios I et al: An unexpected cause of vaginal bleeding: the role of pelvic radiography. BMJ Case Rep. 2014, 2014
                                                              2. Boortz HE et al: Migration of intrauterine devices: radiologic findings and implications for patient care. Radiographics. 32(2):335-52, 2012
                                                              3. 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
                                                              4. 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
                                                              5. 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
                                                              6. 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
                                                              7. 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
                                                              8. Peri N et al: Imaging of intrauterine contraceptive devices. J Ultrasound Med. 26(10):1389-401, 2007
                                                              9. Siddiqui NY et al: Vesicovaginal fistula due to an unreported foreign body in an adolescent. J Pediatr Adolesc Gynecol. 20(4):253-5, 2007
                                                              10. Striegel AM et al: Vaginal discharge and bleeding in girls younger than 6 years. J Urol. 176(6 Pt 1):2632-5, 2006
                                                              11. Lopez C et al: MRI of vaginal conditions. Clin Radiol. 60(6):648-62, 2005
                                                              12. Hunter TB et al: Foreign bodies. Radiographics. 23(3):731-57, 2003
                                                              13. Hunter TB: Special report: medical devices and foreign bodies: an introduction. Radiographics. 23(1):193-4, 2003
                                                              14. Jawaid M: Gossypiboma: The forgotten swab. Special Communication. Pak J Med Sci. 19(2):141-3, 2003
                                                              15. 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