{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T04:29:36Z","timestamp":1789705776283,"version":"4.0.1"},"reference-count":26,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T00:00:00Z","timestamp":1738886400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Introduction: The most commonly encountered foreign body in the vagina is a tampon, which is routinely removed during gynaecological examinations. While these cases are common and well-known in medical practice, there are also situations involving much more unusual foreign bodies. This article focuses on these rare and often surprising cases, which can pose diagnostic and therapeutic challenges. Highlighting this topic aims to draw attention to the variety of situations gynaecologists may encounter in their daily professional practice. Case Study: A 62-year-old woman was admitted to the Gynaecological Obstetric Clinical Hospital of the Poznan University of Sciences to have a foreign body removed from her vagina. An MRI examination revealed a calcified well-defined structure (94 mm \u00d7 68 mm \u00d7 96 mm). The material removed during surgery were calcified fragments surrounding a plastic deodorant cap. After decalcification of the lesion, a histopathological examination ruled out cancerous cells. The patient received gynaecological and urological treatments due to a vesicovaginal fistula. Conclusions: The gynaecologists\u2019 expertise and skills in diagnosing and removing foreign bodies are essential in order to provide postmenopausal women with comprehensive and responsible medical care.<\/jats:p>","DOI":"10.3390\/medicina61020290","type":"journal-article","created":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T09:02:42Z","timestamp":1738918962000},"page":"290","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A Foreign Body as a Gynaecological and Sexological Issue\u2014Case Study and Literature Review"],"prefix":"10.3390","volume":"61","author":[{"given":"Aleksander","family":"Fr\u0105ckowiak","sequence":"first","affiliation":[{"name":"Division of Gynaecological Oncology, Department of Gynaecology, Gynecological Obstetric Clinical Hospital, Poznan University of Medical Sciences, 33 Polna St, 60-535 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8641-4188","authenticated-orcid":false,"given":"Stefan","family":"Sajdak","sequence":"additional","affiliation":[{"name":"Poznan University of Medical Sciences, 10 Fredry St, 61-701 Poznan, Poland"},{"name":"Collegium Medicum University of Zielona G\u00f3ra, Zyty 28, 65-046 Zielona G\u00f3ra, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1385-5641","authenticated-orcid":false,"given":"Gra\u017cyna","family":"Jarz\u0105bek-Bielecka","sequence":"additional","affiliation":[{"name":"Center for Pediatric, Adolescent Gynecology and Sexology, Division of Gynecology, Department of Gynecology, Poznan University of Medical Sciences, 61-758 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaudia","family":"Doli\u0144ska-Kaczmarek","sequence":"additional","affiliation":[{"name":"Poznan University of Medical Sciences, 10 Fredry St, 61-701 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7646-7430","authenticated-orcid":false,"given":"Katarzyna","family":"Plagens-Rotman","sequence":"additional","affiliation":[{"name":"Center for Pediatric, Adolescent Gynecology and Sexology, Division of Gynecology, Department of Gynecology, Poznan University of Medical Sciences, 61-758 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8966-3799","authenticated-orcid":false,"given":"Piotr","family":"Merks","sequence":"additional","affiliation":[{"name":"Department of Pharmacology and Clinical Pharmacology, Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszy\u0144ski University, 01-815 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomasz","family":"Ko\u015bci\u0144ski","sequence":"additional","affiliation":[{"name":"Poznan University of Medical Sciences, 10 Fredry St, 61-701 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika","family":"Englert-Golon","sequence":"additional","affiliation":[{"name":"Division of Gynaecological Oncology, Department of Gynaecology, Gynecological Obstetric Clinical Hospital, Poznan University of Medical Sciences, 33 Polna St, 60-535 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,2,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"208","DOI":"10.5114\/pm.2015.54348","article-title":"Vaginal foreign body mimicking cervical cancer in postmenopausal woman\u2014Case study","volume":"3","author":"Ciebiera","year":"2015","journal-title":"Menopause Rev.\/Przegl\u0105d Menopauzalny"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1387","DOI":"10.1007\/s00192-009-0877-y","article-title":"Vesicovaginal fistula caused by a vaginal foreign body in a 72-year-old woman: Case report and literature review","volume":"20","author":"Puppo","year":"2009","journal-title":"Int. Urogynecol. J."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1016\/S0377-1237(10)80053-X","article-title":"A case of intravaginal foreign body","volume":"66","author":"Chopra","year":"2010","journal-title":"Med. J. Armed Forces India"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.ejogrb.2024.04.019","article-title":"Vaginal foreign body in the pediatric patient: A systematic review","volume":"297","author":"Umans","year":"2024","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/S0020-7292(03)00222-4","article-title":"Vesico-vaginal fistulas in developing countries","volume":"82","author":"Hilton","year":"2003","journal-title":"Int. J. Gynecol. Obstet."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Grabowska, M., Baum, E., Lewandowska, M., Sajdak, S., Doli\u0144ska-Kaczmarek, K., and Englert-Golon, M. (2022). A Unique Glassy Cell Carcinoma (GCC) of the Cervix Diagnosed during Pregnancy\u2014A Case Report. Healthcare, 10.","DOI":"10.3390\/healthcare10081583"},{"key":"ref_7","first-page":"e13727","article-title":"Disk Battery as a Vaginal Foreign Body in a Five-Year-Old Preadolescent Child","volume":"13","author":"Alkharboush","year":"2021","journal-title":"Cureus"},{"key":"ref_8","first-page":"557","article-title":"Retained polyurethane foam in the vagina: A case report","volume":"33","year":"2013","journal-title":"J. Obstet. Gynaecol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1016\/j.jpag.2017.06.008","article-title":"Ultrasonography in Detection of Vaginal Foreign Bodies in Girls: A Retrospective Study","volume":"30","author":"Yang","year":"2017","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1007\/s40477-021-00596-6","article-title":"Importance of Doppler ultrasound in vaginal foreign body: Case report and review of the literature","volume":"25","author":"Saidman","year":"2022","journal-title":"J. Ultrasound"},{"key":"ref_11","first-page":"100836","article-title":"Evaluation of vulvovaginitis in the adolescent patient","volume":"50","author":"Itriyeva","year":"2020","journal-title":"Curr. Probl. Pediatr. Adolesc. Heal. Care"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1080\/01443615.2020.1755631","article-title":"Tampon loss\u2014Management among adolescents and adult women","volume":"41","author":"Meyer","year":"2021","journal-title":"J. Obstet. Gynaecol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.maturitas.2022.10.012","article-title":"Cognitive decline and dementia in women after menopause: Prevention strategies","volume":"168","author":"Stefanowski","year":"2023","journal-title":"Maturitas"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.12740\/PP\/OnlineFirst\/138338","article-title":"Malignant complications of masturbation\u2014A case study","volume":"57","author":"Rodek","year":"2023","journal-title":"Psychiatr. Pol."},{"key":"ref_15","first-page":"e33132","article-title":"Vaginal Foreign Body Forgotten for 20 Years in a Postmenopausal Female: A Case Report","volume":"14","author":"Sharma","year":"2022","journal-title":"Cureus"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e127","DOI":"10.1016\/j.jpag.2013.10.006","article-title":"Vaginal foreign body: A delayed diagnosis","volume":"27","author":"Nayak","year":"2014","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"bcr0120125596","DOI":"10.1136\/bcr.01.2012.5596","article-title":"Incarcerated foreign body in the vagina\u2014A metal bangle used as a pessary","volume":"2012","author":"Dasari","year":"2012","journal-title":"BMJ Case Rep."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1097\/GCO.0000000000000398","article-title":"Current review of prepubertal vaginal bleeding","volume":"29","author":"Dwiggins","year":"2017","journal-title":"Curr. Opin. Obstet. Gynecol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"82","DOI":"10.31083\/j.ceog5004082","article-title":"Cervical Cancer Prevention: The Role of the Nurse and Medical Care in Primary and Secondary Cancer Prevention","volume":"50","author":"Merks","year":"2023","journal-title":"Clin. Exp. Obstet. Gynecol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"e21","DOI":"10.1016\/j.forsciint.2013.10.030","article-title":"The case of a prosthetic limb used to cause lethal intravaginal injuries: Forensic medical aspects in a case of intimate partner violence","volume":"234","author":"Rancati","year":"2014","journal-title":"Forensic Sci. Int."},{"key":"ref_21","first-page":"437","article-title":"Large Vesicovaginal Fistula After Vaginal Insertion of a Plastic Cap Healed with Two Weeks of Catheterization: A Case Report","volume":"15","author":"Mengistu","year":"2022","journal-title":"Int. Med. Case Rep. J."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1186\/s13256-023-04339-5","article-title":"An intricate vagina penetrating injury with a 22 cm cassava stick in situ for 6 months: A case report","volume":"18","author":"Irumba","year":"2024","journal-title":"J. Med. Case Rep."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1186\/s13256-017-1457-2","article-title":"Urethrovaginal fistula following vaginal prolapse of a pedunculated uterine myoma: A case report","volume":"11","author":"Nkwabong","year":"2017","journal-title":"J. Med. Case Rep."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1016\/0028-2243(79)90135-7","article-title":"Secondary cervical perforation by the Copper-T intrauterine device","volume":"9","author":"Ovadia","year":"1979","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_25","first-page":"e61811","article-title":"A Self-Induced Foreign Body in the Urinary Bladder of an Adolescent Female","volume":"16","author":"Warraich","year":"2024","journal-title":"Cureus"},{"key":"ref_26","first-page":"437","article-title":"Clinical usefulness of evaluation of quality parameters of blood flow: Pulsation index and resistance index in the uterine arteries in the initial differential diagnostics of pathology within the endometrium","volume":"31","author":"Wilczak","year":"2010","journal-title":"Eur. J. Gynaecol. Oncol."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/61\/2\/290\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:28:48Z","timestamp":1760027328000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/61\/2\/290"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,7]]},"references-count":26,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,2]]}},"alternative-id":["medicina61020290"],"URL":"https:\/\/doi.org\/10.3390\/medicina61020290","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,7]]}}}