Rectovaginal Fistula Complicated by Retained Vaginal Foreign Body: A Case Report

Foreign bodies in the genital tract are rare but can be found in females of all ages. Objects inserted vaginally may be for therapeutic purposes, accidental placement, and sometimes even for sexual gratification. Non therapeutic objects commonly seen include tampons, bottle caps, sex toys, and, rare...

Full description

Bibliographic Details
Main Authors: Sharma Nalini, Kothuni Christina Chakre, Donkupar Khongwar, Donboklang Lynser, Ahanthem Santa Singh
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2024-03-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/19148/68180_CE[Ra1]_F(SHU)_QC(KK_RDW_IS)_PF1(RI_DK)_PFA(RI_KM)_PN(KM).pdf
_version_ 1797276814945550336
author Sharma Nalini
Kothuni Christina Chakre
Donkupar Khongwar
Donboklang Lynser
Ahanthem Santa Singh
author_facet Sharma Nalini
Kothuni Christina Chakre
Donkupar Khongwar
Donboklang Lynser
Ahanthem Santa Singh
author_sort Sharma Nalini
collection DOAJ
description Foreign bodies in the genital tract are rare but can be found in females of all ages. Objects inserted vaginally may be for therapeutic purposes, accidental placement, and sometimes even for sexual gratification. Non therapeutic objects commonly seen include tampons, bottle caps, sex toys, and, rarely, metallic objects of various shapes and sizes. The authors report a case of a 40-year-old widowed woman, with no living children, presenting with foul-smelling vaginal discharge and passage of stool per vagina. Upon examination, a retained vaginal foreign body was noted intravaginally, complicating as a rectovaginal fistula, necessitating emergency laparotomy and requiring a colostomy. Long-retained objects are known to cause excessive foul-smelling discharge and can lead to serious complications such as lacerations, pelvic inflammatory disease, fistulas, fibrosis, and even death. Therefore, patients should seek medical attention and be treated promptly to prevent any complications.
first_indexed 2024-03-07T15:34:27Z
format Article
id doaj.art-6f58fa0413f1412381cf0ca579b44911
institution Directory Open Access Journal
issn 2249-782X
0973-709X
language English
last_indexed 2024-03-07T15:34:27Z
publishDate 2024-03-01
publisher JCDR Research and Publications Private Limited
record_format Article
series Journal of Clinical and Diagnostic Research
spelling doaj.art-6f58fa0413f1412381cf0ca579b449112024-03-05T12:09:13ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2024-03-011803070910.7860/JCDR/2024/68180.19148Rectovaginal Fistula Complicated by Retained Vaginal Foreign Body: A Case ReportSharma Nalini0Kothuni Christina Chakre1Donkupar Khongwar2Donboklang Lynser3Ahanthem Santa Singh4Additional Professor, Department of Obstetrics and Gynaecology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.Senior Resident, Department of Obstetrics and Gynaecology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.Additional Professor, Department of General Surgery, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.Additional Professor, Department of Radiology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.Professor and Head, Department of Obstetrics and Gynaecology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.Foreign bodies in the genital tract are rare but can be found in females of all ages. Objects inserted vaginally may be for therapeutic purposes, accidental placement, and sometimes even for sexual gratification. Non therapeutic objects commonly seen include tampons, bottle caps, sex toys, and, rarely, metallic objects of various shapes and sizes. The authors report a case of a 40-year-old widowed woman, with no living children, presenting with foul-smelling vaginal discharge and passage of stool per vagina. Upon examination, a retained vaginal foreign body was noted intravaginally, complicating as a rectovaginal fistula, necessitating emergency laparotomy and requiring a colostomy. Long-retained objects are known to cause excessive foul-smelling discharge and can lead to serious complications such as lacerations, pelvic inflammatory disease, fistulas, fibrosis, and even death. Therefore, patients should seek medical attention and be treated promptly to prevent any complications.https://www.jcdr.net/articles/PDF/19148/68180_CE[Ra1]_F(SHU)_QC(KK_RDW_IS)_PF1(RI_DK)_PFA(RI_KM)_PN(KM).pdfcolostomyimpacted vaginal foreign bodylaparotomyvaginal discharge
spellingShingle Sharma Nalini
Kothuni Christina Chakre
Donkupar Khongwar
Donboklang Lynser
Ahanthem Santa Singh
Rectovaginal Fistula Complicated by Retained Vaginal Foreign Body: A Case Report
Journal of Clinical and Diagnostic Research
colostomy
impacted vaginal foreign body
laparotomy
vaginal discharge
title Rectovaginal Fistula Complicated by Retained Vaginal Foreign Body: A Case Report
title_full Rectovaginal Fistula Complicated by Retained Vaginal Foreign Body: A Case Report
title_fullStr Rectovaginal Fistula Complicated by Retained Vaginal Foreign Body: A Case Report
title_full_unstemmed Rectovaginal Fistula Complicated by Retained Vaginal Foreign Body: A Case Report
title_short Rectovaginal Fistula Complicated by Retained Vaginal Foreign Body: A Case Report
title_sort rectovaginal fistula complicated by retained vaginal foreign body a case report
topic colostomy
impacted vaginal foreign body
laparotomy
vaginal discharge
url https://www.jcdr.net/articles/PDF/19148/68180_CE[Ra1]_F(SHU)_QC(KK_RDW_IS)_PF1(RI_DK)_PFA(RI_KM)_PN(KM).pdf
work_keys_str_mv AT sharmanalini rectovaginalfistulacomplicatedbyretainedvaginalforeignbodyacasereport
AT kothunichristinachakre rectovaginalfistulacomplicatedbyretainedvaginalforeignbodyacasereport
AT donkuparkhongwar rectovaginalfistulacomplicatedbyretainedvaginalforeignbodyacasereport
AT donboklanglynser rectovaginalfistulacomplicatedbyretainedvaginalforeignbodyacasereport
AT ahanthemsantasingh rectovaginalfistulacomplicatedbyretainedvaginalforeignbodyacasereport