{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:50:37Z","timestamp":1777693837654,"version":"3.51.4"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,8,8]],"date-time":"2022-08-08T00:00:00Z","timestamp":1659916800000},"content-version":"vor","delay-in-days":219,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["European J Pediatr Surg Rep."],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Acquired vaginal strictures are rare entities in children. As a result, they are generally difficult to manage and tend to recur despite appropriate initial therapy. This case study reports the staged management of vaginal stenosis following the insertion of a button battery. In this case, an 11-year-old girl experienced at 4 years old a battery insertion in the vaginal canal by her neighbor's son, who was 6-year-old at the time. Two weeks from insertion, the parents noted the foreign body discharge spontaneously. The girl had not complained of any symptoms at the time and had been asymptomatic for many years. In November 2020, she came to the emergency department reporting cramping abdominal pain accompanied by mucopurulent discharge. An abdominal ultrasound showed the presence of hematometrocolpos, and a vaginal stenosis dilation under general anesthesia was performed the following day. After 3 weeks, the stenosis was still present, preventing the passage of Hegar number 4. The girl was subjected to a vaginoscopic stenosis resection utilizing a monopolar hook passed through an operative channel. A Bakri catheter filled with 120\u2009mL of water was left in place. After 10 days, the girl was discharged home with the Bakri inserted. Two weeks after discharge, she was reevaluated in the outpatient setting, where the Bakri was removed with no signs of residual stenosis. Acquired vaginal stenosis could be demanding to treat, particularly with the sole conservative approach. A first-line option can be the Hegar dilation. The endoscopic approach can be a second-line, minimally invasive treatment, but long-term outcomes are difficult to predict.<\/jats:p>","DOI":"10.1055\/a-1920-5849","type":"journal-article","created":{"date-parts":[[2022,8,8]],"date-time":"2022-08-08T22:39:20Z","timestamp":1659998360000},"page":"e135-e140","source":"Crossref","is-referenced-by-count":3,"title":["Endoscopic Treatment of a Severe Vaginal Stenosis Following Battery Insertion in an 11-Year-Old Girl"],"prefix":"10.1055","volume":"10","author":[{"given":"Riccardo","family":"Guan\u00e0","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Regina Margherita Children's Hospital, Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Carpino","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Ospedale Infantile Regina Margherita, Turin, Piemonte, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Garbagni","sequence":"additional","affiliation":[{"name":"Department of Pediatric Gynaecology, Regina Margherita Children's Hospital, Turin, Piemonte, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cecilia","family":"Morchio","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Regina Margherita Children's Hospital, Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvatore","family":"Garofalo","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Ospedale Infantile Regina Margherita, Turin, Piemonte, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Pane","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Ospedale Infantile Regina Margherita, Turin, Piemonte, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Scottoni","sequence":"additional","affiliation":[{"name":"Department of Surgery and Transplantation Centre, Bambino Ges\u00f9 Children's Hospital - Bambino Ges\u00f9 Children's Hospital, Rome, Italy"},{"name":"University College London Institute of Child Health, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9610-1708","authenticated-orcid":false,"given":"Elisa","family":"Zambaiti","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health, Pediatric Surgery, Universita degli Studi di Padova Dipartimento di Medicina, Padova, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulia","family":"Perucca","sequence":"additional","affiliation":[{"name":"Pediatric Radiology Unit, Regina Margherita Children's Hospital, Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Madonia","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Regina Margherita Children's Hospital, Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabrizio","family":"Gennari","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Regina Margherita Children's Hospital, Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,9,19]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1097\/01.TA.0000068993.90723.46","article-title":"Severe vaginal ulcerations secondary to insertion of an alkaline battery","volume":"58","author":"K Yanoh","year":"2005","journal-title":"J Trauma"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"e147","DOI":"10.1016\/j.jpag.2014.12.001","article-title":"Severe vaginal burns in a 5-year-old girl due to an alkaline battery in the vagina","volume":"28","author":"A Semaan","year":"2015","journal-title":"J Pediatr Adolesc Gynecol"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"e99","DOI":"10.1016\/j.jpag.2014.08.010","article-title":"Vaginal burn from alkaline battery in an 8-year-old","volume":"28","author":"K Griffin","year":"2015","journal-title":"J Pediatr Adolesc Gynecol"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"e133","DOI":"10.1016\/j.jpag.2008.10.009","article-title":"Vaginal burn injury due to alkaline batteries","volume":"22","author":"J Huppert","year":"2009","journal-title":"J Pediatr Adolesc Gynecol"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"e15","DOI":"10.1016\/j.jpag.2016.08.015","article-title":"Longstanding presence of a vaginal foreign body (battery): severe stenosis in a 13-year-old girl","volume":"30","author":"G Nakib","year":"2017","journal-title":"J Pediatr Adolesc Gynecol"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1097\/GRF.0b013e3181ce8a89","article-title":"Management of vulvovaginal strictures\/shortened vagina","volume":"53","author":"Y A Amankwah","year":"2010","journal-title":"Clin Obstet Gynecol"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"20042","DOI":"10.1038\/s41598-019-56471-2","article-title":"Vaginoscopic incision of oblique vaginal septum in adolescents with OHVIRA syndrome","volume":"9","author":"C Cheng","year":"2019","journal-title":"Sci Rep"},{"issue":"03","key":"ref8","first-page":"512","article-title":"Management of iatrogenic vaginal constriction","volume":"102","author":"B J Vassallo","year":"2003","journal-title":"Obstet Gynecol"},{"issue":"06","key":"ref9","doi-asserted-by":"crossref","first-page":"2316","DOI":"10.1016\/j.fertnstert.2009.12.061","article-title":"Management of transverse vaginal septum using the Olbert balloon catheter to mobilize the proximal vaginal mucosa and facilitate low anastomosis","volume":"94","author":"L C Layman","year":"2010","journal-title":"Fertil Steril"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1016\/j.ijscr.2020.11.098","article-title":"Management of a transverse vaginal septum complicated with hematocolpos in an adolescent girl: case report","volume":"77","author":"E M Kamal","year":"2020","journal-title":"Int J Surg Case Rep"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"456","DOI":"10.4103\/2141-9248.117934","article-title":"Large vesico-vaginal fistula caused by a foreign body","volume":"3","author":"A Massinde","year":"2013","journal-title":"Ann Med Health Sci Res"}],"container-title":["European Journal of Pediatric Surgery Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1920-5849.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,19]],"date-time":"2022-09-19T23:02:13Z","timestamp":1663628533000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1920-5849"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":11,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2022,1,15]]},"published-print":{"date-parts":[[2022,1]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1920-5849","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2194-7619","2194-7627"],"issn-type":[{"value":"2194-7619","type":"print"},{"value":"2194-7627","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,8,8]]},"published":{"date-parts":[[2022,1]]}}}