65years old lady came with leucorrhoea and on and off fever Perspeculum examination shows brownish mass seen Pervaginal examination felt as stony hard mass which was the Long standing retained foreign body in vagina removed with forceps that is the wood apple Some practitioner inserted wood Apple to treat prolapse 10years back

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IT IS ASTONTIONING THAT IST OF ALL SINCE 10 YEARS HOW THE OLD LADY TOLERATED , WITHIM 3 DAYS OF INSERTION SHE HAD TO FEEL INTENSE PAIN LOWER ABDOMEN WITH FEVER , FOR TOLERATING THAT UNUSUAL DISCOMFORT AND PAIN LOWER ABDOMEN AND FEVER , ALL DOCTORS SHOULD ARRANGE FOR GIVING HER ONE GIFT. ON LAPAROSCOPY IT SHOULD BE FOUND FROZEN PELVIS , IMMEDIATELY TOTAL HYSTERE TOMY SHOULD BE DONE AND SENDING THE MATERIAL FOR H.P. EXAMINATION , CA-125 , AND BLOOD CULTURE SHOULD ALSO BE DONE , AND TO LOOK AFTER ANY METASTASIS FOUND OR NOT.

FB inserted to treat prolapse 10 yrs back. Are we really in 21 st century ? Hat's off to lady for her physical and mental power or trauma she had suffered. Concerned health authority must enforce law laid down by GOI from time to time. Pl help her as possible as you can . Surgical intervention and BS antibiotics cover required immediately.

Thanks Dr Dinesh Gupta
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OMG,do vaginal swab for c/s ,pap smear.treat with antibiotics for aerobic and anaerobic infection, daily vaginal wash with betadine solution, seitz bath. After recovery from infection depend on degree of prolapse do vaginal Hysterectomy free of cost under govt. Rajive Gandhi Or other scheme if she is poor.

Antisepticdressings reduce swelling Antibiotic anti inflammatory Reduce proposes vagina swab for c/s Histopathology All CBC Sugar Left Cholesterol Pre pare for vaginal surgery

Thank you doctor
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SUGGESTIVE OF FOREIGN BODY INDUCED GENITAL AND SYSTEMIC. SEPSIS.... NEEDS. IMMEDIATE INVESTIGATIONS. AND. MANAGEMENT

Sir. Dr k k mangal. Please believe this.if you listen to your village folk patients you will find worst than this.

Foreign body induced genital sepsis leading to fever.

Leukorrhea Imduced genital Systemic spesiis

Horrible...This happens only in india

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