복통을 호소한 20세 환자에서 발견된 인식되지 못한 질내 이물 1예
A case of unrecognized foreign body in vagina presenting with chronic lower abdominal pain in 20-year-old patient
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
질내 이물은 심한 염증, 질 출혈, 질 분비물을 유발한다. 질내 이물이 있을 경우 환자들은 대개 생식기 불편감을 호소한다. 산부인과에서 질내 이물의 삽입은 흔하지 않으며 하복부 통증을 보이는 경우도 드물다. 대부분 성적 자극, 성적 학대, 질식 처치 등의 원인으로 발생하며 질경 검사로 발견 및 제거가 용이하다. 저자들은 원인을 알 수 없는 만성적 하복부 통증으로 산부인과를 내원한 20세 여자 환자에서 환자도 인식하지 못하였고 질경 검사로도 관찰되지 않는 질내 이물을 영상 검사로 진단한 증례 1예를 경험하였기에 보고하는 바이다.
Abstract
The foreign bodies in vagina cause intense inflammation. Genital complaints in patients could indicate the presence of a vaginal foreign object. Vaginal bleeding and blood-stained, foul-smelling discharge are considered to be the main clinical manifestations of vaginal foreign bodies, and toilet tissue reported as the most commonly found foreign body. The insertion of foreign bodies into the vagina is not uncommon but presentation as lower abdominal pain in an gynaecological clinic is rare. The causes of insertion are sexual stimulation, sexual abuse, accident of post-surgery and most cases find a solution after vaginal speculum examination. We describe a case of foreign body in the vagina of a patient presenting with chronic lower abdominal pain but undetectable and unrecognized in general examination.
참고문헌 (12)
- Sanfilippo JS, "Gynecologic problems of childhood. In Nelson textbook of pediatrics. 16th ed.", pp.2273~2279 (2000), WB Saunders
- Henderson PA, "Foreign body vaginitis caused by toilet tissue", Am J Dis Child, 111, pp.529~532 (1966)
- Cowan BD, "Management of abnormal genital bleeding in girls and women", N Engl J Med, 324, pp.1710~1715 (1991)
- Jaluvka V, "Vaginal foreign bodies in women in postmenopause and in senium", Eur J Obstet Gynecol Reprod Biol, 61, pp.167~169 (1995)
- Hanai T, "Vesicovaginal fistula due to a vaginal foreign body: a case report", Hinyokika Kiyo, 46, pp.141~143 (2000)
- Koberstein B, "Incidental diagnosis of a vaginal foreign body during early pregnancy after an unusually long-term presence", Zentralbl Gynakol, 122, pp.106~108 (2000)
- Herman-Giddens ME, , Arch Pediatr Adolesc Med, 148, pp.195~200 (1994)
- Le SQ, "Atypical presentation of a vaginal foreign body", Obstet Gynecol, 88, pp.736~ (1996)
- Jansen AA, "Foreign body in the rectum", N Z Med J, 70, pp.174~175 (1969)
- O'Hanlan KA, "First report of a vaginal foreign body perforating into the retroperitoneum", Am J Obstet Gynecol, 173, pp.962~964 (1995)
- Emge KR, "Vaginal foreign body extraction by forceps: a case report", Am J Obstet Gynecol, 167, pp.514~515 (1992)
- Knobel J, "Letter: Injuries of the vagina", S Afr Med J, 47, pp.1675~ (1973)