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Re: Bic Pen---Foreign body From: Steve & Eryl Raymond (eryl@intekom.co.za) Sun Dec 24 08:58:20 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Bic Pen---Foreign body" Previous message: Larry Glazerman: "Re: LS/PG was: Follow-up on patient with cholestasis of" Not so long ago I had a girl of about 20 who presented with PV bleeding. She was sullen and there is a language barrier so the history was almost nonexistent. She said she had been bleeding for about two weeks. Examination showed a constriction in the vagina halfway up with a hard edge and there was concern that she had a malignancy. At EUA I found the cap off an aerosol (possibly a deodorant from its size and the fact that its end was rounded) with its open end down. Inside the open end something could be felt which was loose and mobile but the constriction was such that it couldn't fall out spontaneously. This proved to be a small plastic dropper bottle of the type used for eye drops. After removing that with a volsellum, I struggled to get the plastic aerosol cap out as the edge of the vagina had hypertrophied around it. It came out after I cut a large triangle of the plastic out. To my surprise there was still something above it, which I couldn't get hold of as it was round and hard. A sponge-holder eventually grabbed the plastic ball from a roll-on deodorant. Whe never found out how long they had been there or why?! "Braun, R. Daniel" wrote: > When I was a first year resident 1965. A pt. was admitted to psych service > of hospital. On admitting exam 3rd year MS described banana shaped mass in > LUQ. Resident said "Yeah Sure" 3 days later patient developed slight vaginal > bleeding. Gyn consult obtained and revealed a ragged tear in posterior fornix. > X-Ray revealed "Banana shaped object in LUQ. Explor. Lap revealed Plastic > banana behind mesentery in LUQ. > I learned two lessons: First always believe the "BMS" and second Foreign > bodies that enter the pelvis thru the cul-de-sac migrate to the LUQ. > > Dan > > -----Original Message----- > As a resident, removed a 5 cm calculus from the bladder with a bic > insert embedded in it. That was 1982 and you don't forget those!! > > Jay -- Dr. S.H. Raymond Department of Obstetrics & Gynaecology Empangeni Hospital Private Bag X20005 Empangeni South Africa 3880 Ph. (+27) (035) 7721111 Fax (+27) (035) 7922596 Next message: DoctorJoe@aol.com: "Re: Bic Pen---Foreign body" Previous message: Larry Glazerman: "Re: LS/PG was: Follow-up on patient with cholestasis of"

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