SELF-REPORTED FOREIGN BODY IN VAGINA; ACTUALLY, FOUND TO BE INTRAVESICAL - A RARE CASE REPORT.

Abstract

Background: Insertion of foreign objects into one or more bodily orifice, otherwise known as polyembolokoilamania, occurs as a result of a variety of psychosocial and psychiatric states. Such behaviour exposes the affected individual to the complications of object insertion, surgical removal and its adverse sequelae such as a colovesical fistula. Foreign body insertion into the vagina mainly involves children and can be associated with premenarchal vaginal discharge or sexual abuse.Foreign bodies are occasionally reported in the bladder. In the majority of cases, a carefully obtained history and physical examination will render the diagnosis, although imaging modalities may be required to locate the misplaced objects. Here, we present 15-year-old girl who presented to emergency OPD of Case Presentation: gynecology with complaint of accidental slippage of pencil into vagina. As hymen was intact, she was subjected to radiological evaluation. The pencil was found to be lying in urinary bladder and she was planned for transurethral cystolitholapaxy to remove the same. But it got expelled transurethrally during micturition. Psychiatry consultation was put up for this patient and was found to be unremarkable.