|
1
|
Frąckowiak A, Sajdak S, Jarząbek-Bielecka G, Dolińska-Kaczmarek K, Plagens-Rotman K, Merks P, Kościński T, Englert-Golon M. A Foreign Body as a Gynaecological and Sexological Issue-Case Study and Literature Review. MEDICINA (KAUNAS, LITHUANIA) 2025; 61:290. [PMID: 40005407 PMCID: PMC11857605 DOI: 10.3390/medicina61020290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/27/2024] [Revised: 01/20/2025] [Accepted: 02/04/2025] [Indexed: 02/27/2025]
Abstract
Introduction: The most commonly encountered foreign body in the vagina is a tampon, which is routinely removed during gynaecological examinations. While these cases are common and well-known in medical practice, there are also situations involving much more unusual foreign bodies. This article focuses on these rare and often surprising cases, which can pose diagnostic and therapeutic challenges. Highlighting this topic aims to draw attention to the variety of situations gynaecologists may encounter in their daily professional practice. Case Study: A 62-year-old woman was admitted to the Gynaecological Obstetric Clinical Hospital of the Poznan University of Sciences to have a foreign body removed from her vagina. An MRI examination revealed a calcified well-defined structure (94 mm × 68 mm × 96 mm). The material removed during surgery were calcified fragments surrounding a plastic deodorant cap. After decalcification of the lesion, a histopathological examination ruled out cancerous cells. The patient received gynaecological and urological treatments due to a vesicovaginal fistula. Conclusions: The gynaecologists' expertise and skills in diagnosing and removing foreign bodies are essential in order to provide postmenopausal women with comprehensive and responsible medical care.
Collapse
Affiliation(s)
- Aleksander Frąckowiak
- Division of Gynaecological Oncology, Department of Gynaecology, Gynecological Obstetric Clinical Hospital, Poznan University of Medical Sciences, 33 Polna St, 60-535 Poznan, Poland; (A.F.); (M.E.-G.)
| | - Stefan Sajdak
- Poznan University of Medical Sciences, 10 Fredry St, 61-701 Poznan, Poland; (S.S.); (K.D.-K.); (T.K.)
- Collegium Medicum University of Zielona Góra, Zyty 28, 65-046 Zielona Góra, Poland
| | - Grażyna Jarząbek-Bielecka
- Center for Pediatric, Adolescent Gynecology and Sexology, Division of Gynecology, Department of Gynecology, Poznan University of Medical Sciences, 61-758 Poznan, Poland;
| | | | - Katarzyna Plagens-Rotman
- Center for Pediatric, Adolescent Gynecology and Sexology, Division of Gynecology, Department of Gynecology, Poznan University of Medical Sciences, 61-758 Poznan, Poland;
| | - Piotr Merks
- Department of Pharmacology and Clinical Pharmacology, Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszyński University, 01-815 Warsaw, Poland;
| | - Tomasz Kościński
- Poznan University of Medical Sciences, 10 Fredry St, 61-701 Poznan, Poland; (S.S.); (K.D.-K.); (T.K.)
| | - Monika Englert-Golon
- Division of Gynaecological Oncology, Department of Gynaecology, Gynecological Obstetric Clinical Hospital, Poznan University of Medical Sciences, 33 Polna St, 60-535 Poznan, Poland; (A.F.); (M.E.-G.)
| |
Collapse
|