# Long forgotten perfume bottle nozzle in the uterus: challenges in retrieval in a low resource setting!

## TL;DR

A woman had a forgotten perfume bottle nozzle in her uterus, requiring complex surgical removal due to complications.

## Contribution

Highlights challenges in retrieving large uterine foreign bodies in low-resource settings.

## Key findings

- A perfume bottle nozzle was found impacted in the endocervical canal.
- Partial vaginal and complete surgical removal via laparotomy was required.
- Posterior uterine incision provided better access for removal.

## Abstract

Foreign body in the uterus may lead to severe complications and pose significant management dilemmas. We report a 26-year-old lady who presented with foul-smelling discharge, subfertility, and a failed attempt at foreign body removal outside. Pelvic ultrasound revealed an impacted structure in the endocervical canal while a descending pipe was visualized in the endocervical canal per speculum examination. Partial removal vaginally and surgical removal of the nozzle via laparotomy was necessary due to the size, location, and impaction of the object. Posterior uterine incision was used due to easy accessibility. The post-operative stay was uneventful. This case underscores the importance of early detection, imaging, and multidisciplinary management in cases of uterine foreign bodies.