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The Missing "Bratz" Doll: A Case of Vaginal Foreign Body

Someshwar, Jean MD*; Lutfi, Riad MD; Nield, Linda S. MD*

doi: 10.1097/pec.0b013e31815c9dd2
Illustrative Cases
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Young female patients with gynecologic complaints, including vaginal discharge, commonly seek care in the emergency department. Prepubertal vaginal discharges have various potential etiologies including nonspecific vulvovaginitis, infections, inflammatory or dermatologic processes, precocious puberty, malignancy, anatomical anomaly, trauma, sexual abuse, and foreign body. We present the case of a 4-year-old girl with vaginal odor and discharge secondary to a foreign body. The foreign body was part of a toy, the lower half of the patient's missing "Bratz" (MGA Entertainment) doll. Although it is well known that a vaginal foreign body can cause a vaginal discharge, the unusual nature of the foreign body in this case and the revealing radiograph made this a case of particular interest.

*West Virginia University School of Medicine and †Department of Pediatrics, West Virginia University School of Medicine, Morgantown, WV.

Address correspondence and reprint requests to Linda S. Nield, MD, West Virginia University School of Medicine, Morgantown, WV 26505. E-mail: lnield@hsc.wvu.edu.

© 2007 Lippincott Williams & Wilkins, Inc.