Uterine Body Stuffing Confirmed by Computed Tomography

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.