What Not To Wear *In Your Vagina*
Via a tip from the fabulous Ms. Becky, the New England Journal of Medicine has a disturbing new entry in their “Images in Clinical Medicine” series. The CT scan to your left reveals “large intraabdominal cystic lesion with variable density and a thick wall.” That would be the big circle you see at the top of the left image, and the white circle in the right photo. The image was taken of a 50-year-old woman who presented with abdominal tenderness, fever, and vaginal bleeding. On exam she had “necrosis of the upper wall of the vagina.”
When random things like this appear in medical images, exploratory surgery is often done, as was done in this case. What did they find? A plastic bag containing 80g of cocaine.
The patient subsequently acknowledged inserting the plastic bag, containing individual packets of cocaine, into the vagina 3 months earlier. The bag must have migrated through the vaginal wall into the abdominal cavity, where it was encapsulated.
Did you get that? She put a plastic bag of coke in her vagina. 3 months ago. And apparently lost track of it. And it migrated into her abdominal cavity. From her vagina. Meanwhile, her body tried to seal it up in gunk.
Bottom line: Don’t wear coke baggies anywhere in your person. In general, don’t use your body as a hiding place. If you put something in your vagina and never see it again, check on it before 3 months go by. Unless it’s a frat boy – then you should just let it go.
Excuse me while I rock back and forth and shudder for the rest of the afternoon.