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Case Reports
. 2017 Dec 1;3(1):182-185.
doi: 10.1089/cren.2017.0100. eCollection 2017.

Primary Vaginal Calculus in a Woman with Disability: Case Report and Literature Review

Pietro Castellan  1 , Michele Nicolai  1 , Piergustavo De Francesco  1 , Luciano Di Tizio  2 , Roberto Castellucci  1 , Maida Bada  3 , Michele Marchioni  3 , Luca Cindolo  1 , Luigi Schips  3
Affiliations
Case Reports

Primary Vaginal Calculus in a Woman with Disability: Case Report and Literature Review

Pietro Castellan et al. J Endourol Case Rep. .

Abstract

Background: Vaginal stones are rare and often unknown entities. Most urologists may never see a case in their careers. Case Presentation: We present the case of a 34-year-old bedridden Caucasian woman with mental and physical disabilities who presented with a large primary vaginal calculus, which, surprisingly, had remained undiagnosed until the patient suffered a right renal colic caused by a ureteral stone. The vagina was completely filled and a digital examination was not possible. For this reason, the stone was removed using surgical pliers with some maneuvering. A vesicovaginal fistula was excluded, as well as foreign bodies or other nidi of infection. After, urethral lithotripsy was performed as planned. The postoperative course and follow-up were uneventful. Conclusion: Although vaginal calculi are extremely rare in literature, their differential diagnosis should be considered in women with incontinence and associated disabilities, paraplegia, or prolonged immobilization in recumbent position.

Keywords: disability; paraplegia; primary calculus; urinary incontinence; vaginal calculus.

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Conflict of interest statement

No competing financial interests exist.

Figures

<b>FIG. 1.</b>
FIG. 1.
Rx fluoroscopy imaging of the vaginal calculus during the urethral catheterization.
<b>FIG. 2.</b>
FIG. 2.
Vaginal calculus is seen through hymenal orifice in the vagina during its removal.
<b>FIG. 3.</b>
FIG. 3.
The large round hard vaginal stone (∼5.1 × 3.7 × 3.1 cm) removed from the vagina.
See this image and copyright information in PMC

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