Background: This study aimed to assess the vaginal button battery insertion in a child with attention deficit hyperactivity disorder (ADHD).
Materials and methods: For the literature review, databases such as Google Scholar and PubMed with keywords including "vaginal battery" OR "vaginal button battery" OR "vaginal battery insertion" AND girl" were searched. The search process considered articles in English with no publication year limitation. The included studies were published from ۲۰۰۵ until ۲۰۲۳ years.
Case presentation: We presented an eight-year-old, second-grade elementary school girl with ADHD and a history of Methylphenidate consumption, referred to the general educational hospital in north Iran with the chief complaint of inserting a vaginal foreign body (VFB). On the night of the event, the child removed a small disc battery of her toys and inserted it into her vagina; then, she told this action to their parents and was referred to the hospital. The psychiatrist’s assessment showed no psychiatric disorder except ADHD. The patient's abdomen was soft in physical examination and had a rebound tenderness complaint. Also, the entrance of the vagina was erythematosus, and vaginal discharge was seen. The primary assessment by pelvic radiography indicated a round button buttery in the upper segment of the rectum. In the surgery room, a gynecologist gently removed the button battery from the wall by rectal examination and milking from the upper under general anesthesia. The patient was febrile in the follow-up for ۴۸ hours and discharged with good general health without fever and severe psychiatric symptoms. In the review section of this study, case reports conducted regarding the insertion of vaginal battery as a VFB in girls were searched and reported. Overall, ۱۵ case reports were included in the literature review.
Conclusions: Interdisciplinary cooperation among pediatric clinicians and gynecology specialists in dealing with cases of VFB associated with a wide range of emotional and behavioral disorders such as ADHD should be considered.