Background

In early adolescence, irregular menstrual bleeding patterns are common and are frequently due to anovulatory cycles or bleeding disorders. As such, the diagnosis of a vaginal foreign body might initially be missed.

Case

We describe a 14-year-old adolescent female presenting with ongoing irregular menstrual spotting despite reassuring laboratory workup and ultrasonography. She was found to have an embedded vaginal sea sponge eroding through the vaginal wall. On further discussion, she reported using a natural sea sponge for menstrual blood absorption.

Summary and Conclusion

In cases of persistent vaginal spotting, vaginal foreign body should be considered in the differential diagnosis. Use of nontraditional menstrual hygiene products could lead to medical complications and negative health outcomes in adolescents.

中文翻译：

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使用“天然”物质进行月经卫生：嵌入阴道海海绵的案例报告

背景

在青春期早期，不规则的月经出血模式很常见，通常是由于无排卵周期或出血性疾病所致。因此，最初可能会漏诊阴道异物的诊断。

案件

我们描述了一名 14 岁的青春期女性，尽管进行了令人安心的实验室检查和超声检查，但仍出现月经不调。她被发现有一个嵌入的阴道海海绵侵蚀阴道壁。在进一步的讨论中，她报告说使用天然海海绵来吸收月经血。

总结与结论

在持续性阴道点滴的情况下，鉴别诊断应考虑阴道异物。使用非传统月经卫生用品可能导致青少年出现医疗并发症和负面健康结果。