Challenging Case Report of a Postmenopausal Woman with Pyometra due to Impacted Foreign Body in Cervix

Authors

Hansa Dhar , Qamariya Ambusaidi, Shireen Ayesha Khan

  

Abstract

Forgotten foreign bodies in female genital tract can be a menace due to persistent offensive discharge. Such cases are challenging to manage as most women present late, sometimes even in menopause or in early childhood. This case report highlights a postmenopausal woman with purulent vaginal discharge, mistakenly thought to be pyometra, which ultimately turned out to be an impacted foreign body in cervix.An initial examination under anesthesia failed to reveal this impacted foreign body thus making the diagnosis difficult. A Total Abdominal Hysterectomy revealed a tightly impacted foreign body in the cervical canal which was forgotten for ages. A bottle cork with foul-smelling discharge was removed from the cervical canal that was inserted many years back. As the woman was demented, history failed to reveal its presence, making the diagnosis challenging.This presentation justifies the need for adequate examination with proper imaging to exclude the presence of such forgotten foreign body before planning any surgical intervention in cases with chronic vaginal discharge.

Keywords

Pyometra, Foreign Body, Postmenopausal, Chronic Vaginal Discharge.

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Challenging Case Report of a Postmenopausal Woman with Pyometra due to Impacted Foreign Body in Cervix