Journal of pediatric and adolescent gynecology
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J Pediatr Adolesc Gynecol · Dec 2003
Case ReportsRecurrent, purulent vaginal discharge associated with longstanding presence of a foreign body and vaginal stenosis.
A 13-year-old presented with malodorous, purulent, vaginal discharge following each menses for the last three months since menarche. This discharge resolved following antibiotic therapy but recurred with each menses. On exam, the patient was found to have a blind ending vagina with a small, midline perforation. ⋯ The vaginal adhesions were lysed and a plastic foreign body was discovered in the upper vagina. After removing the foreign body the superior vagina was undermined, pulled down, and sutured to normal inferior vagina. A Mentor mold was placed in the vagina to maintain patency.