Abstract:

To report a case of a 28-year-old woman with a vaginal foreign body retained for 10 years. The patient reported a history of sexual assault 10 years ago and did not seek medical attention afterwards. She started having intercourse 2 years ago, and had vaginal bleeding. She developed abdominal pain and fever 1 year ago. The pelvic magnetic resonance imaging suggested a possible vaginal foreign body. After admission, the combined hysteroscopy and laparoscopic surgery was performed. Laparoscopy showed the surface of the pelvic organs was covered with a large amount of inflammatory adhesions, the tubes were stiff and tortuous bilaterally, and that no vaginal foreign body was protruded into the pelvis. Hysteroscopy showed a large number of hard inflammatory polyp-like superfluous organisms in the middle part of the vagina, with a 1 cm hole between them. After hysteroscopic access, a barrel-shaped hard black foreign body, approximately 3 cm long and 2 cm in diameter, was seen in the right fornix, which was extensively and densely adherented to the fornix and vaginal wall. The foreign body was removed under the hysteroscopy combined hysterolaparoscopy, the inflammatory tissue located in the vagina was resected, and the vagina was repaired. The patient was recovering well after surgery.

Key words: Foreign bodies, Vagina, Hysteroscopy, Laparoscopy, Case reports, Retention