Clinical Practice and Cases in Emergency Medicine

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 aradiopaque mass within the cervix extending into the uterus. Gynecology was consulted, but thepatient refused removal and left against medical advice. Radiographs have varied sensitivity fordetecting stuffed foreign bodies; CT is more sensitive and specific. This case suggests that CT issuitable to evaluate for this rare event.