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Case Reports
. 2017 Oct 18;1(4):365-369.
doi: 10.5811/cpcem.2017.5.33495. eCollection 2017 Nov.

Uterine Body Stuffing Confirmed by Computed Tomography

Affiliations
Case Reports

Uterine Body Stuffing Confirmed by Computed Tomography

Michael G Abesamis et al. Clin Pract Cases Emerg Med. .

Abstract

A 31-year-old woman presented to an emergency department for suspected vaginal "stuffing" of cocaine. Her physical and pelvic exams were unremarkable despite agitation, tachycardia and hypertension. Abdominal radiograph was concerning for foreign body; transabdominal ultrasound was non-diagnostic. A noncontrast abdominal/pelvic computed tomography (CT) revealed a radiopaque mass within the cervix extending into the uterus. Gynecology was consulted, but the patient refused removal and left against medical advice. Radiographs have varied sensitivity for detecting stuffed foreign bodies; CT is more sensitive and specific. This case suggests that CT is suitable to evaluate for this rare event.

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Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

Figures

Image 1
Image 1
Kidney, ureter, bladder radiograph with arrows showing an area concerning for a possible foreign body in the right hemipelvis
Image 2
Image 2
Coronal computed tomography of the abdomen/pelvis with arrows revealing a tablet-like, radiopaque mass within the cervix extending into the uterus.
Image 3
Image 3
Axial computed tomography of the abdomen/pelvis with arrows revealing a tablet-like, radiopaque mass within the cervix that extends into the uterus.

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