Huge vaginal stone: Case report and review of the literature
Primary vaginal stones have been rarely reported; the reports that do exist are usually case reports. Because of their low incidence, they are often misdiagnosed. This case report and literature review of a primary vaginal stone presents an assessment of symptoms and common risk factors for vaginal...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-07-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.937371/full |
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| author | Jae Yoon Jo Jae Yoon Jo Seon Mi Lee Jeong Kyu Shin Jeong Kyu Shin Won Jun Choi Won Jun Choi In Ae Cho In Ae Cho |
| author_facet | Jae Yoon Jo Jae Yoon Jo Seon Mi Lee Jeong Kyu Shin Jeong Kyu Shin Won Jun Choi Won Jun Choi In Ae Cho In Ae Cho |
| author_sort | Jae Yoon Jo |
| collection | DOAJ |
| description | Primary vaginal stones have been rarely reported; the reports that do exist are usually case reports. Because of their low incidence, they are often misdiagnosed. This case report and literature review of a primary vaginal stone presents an assessment of symptoms and common risk factors for vaginal stone formation. A 28-year-old woman with spastic quadriplegia who had been bedridden for most of her life presented to the emergency department for abdominal distension and fever. She had chronic constipation, recurrent urinary tract infections (UTIs), and vaginal discharge. Abdominopelvic computed tomography (CT) was performed and a large stone observed. The vaginal stone was completely removed through the vaginal stump after hysterectomy. Differential diagnoses of vesicovaginal fistula, urethrovaginal fistula, genital anomaly, and ectopic ureter were made by performing several tests using indigo-carmine dye. She recovered from surgery without any complications. There was no recurrence of vaginal stones after 3 months. A biochemical analysis reported that the vaginal stone was 100% struvite. Vaginal stones are caused by repeated infections in an environment in which urine collects gradually. Patients with recurrent UTIs who are bedridden should be able to prevent vaginal stones with periodic gynecological examinations for early diagnosis and management. |
| first_indexed | 2024-12-12T07:19:15Z |
| format | Article |
| id | doaj.art-0e1ddc32059d49a5bb7347cb8f502fa1 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-12-12T07:19:15Z |
| publishDate | 2022-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-0e1ddc32059d49a5bb7347cb8f502fa12022-12-22T00:33:25ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-07-01910.3389/fsurg.2022.937371937371Huge vaginal stone: Case report and review of the literatureJae Yoon Jo0Jae Yoon Jo1Seon Mi Lee2Jeong Kyu Shin3Jeong Kyu Shin4Won Jun Choi5Won Jun Choi6In Ae Cho7In Ae Cho8Department of Obstetrics and Gynecology, Gyeongsang National University Hospital, Jinju, South KoreaInstitute of Health Sciences, Gyeongsang National University, Jinju, South KoreaDepartment of Obstetrics and Gynecology, Korea University, College of MedicineInstitute of Health Sciences, Gyeongsang National University, Jinju, South KoreaDepartment of Obstetrics and Gynecology, Korea University, College of Medicine, Seoul, South KoreaInstitute of Health Sciences, Gyeongsang National University, Jinju, South KoreaDepartment of Obstetrics and Gynecology, Korea University, College of Medicine, Seoul, South KoreaDepartment of Obstetrics and Gynecology, Gyeongsang National University Hospital, Jinju, South KoreaInstitute of Health Sciences, Gyeongsang National University, Jinju, South KoreaPrimary vaginal stones have been rarely reported; the reports that do exist are usually case reports. Because of their low incidence, they are often misdiagnosed. This case report and literature review of a primary vaginal stone presents an assessment of symptoms and common risk factors for vaginal stone formation. A 28-year-old woman with spastic quadriplegia who had been bedridden for most of her life presented to the emergency department for abdominal distension and fever. She had chronic constipation, recurrent urinary tract infections (UTIs), and vaginal discharge. Abdominopelvic computed tomography (CT) was performed and a large stone observed. The vaginal stone was completely removed through the vaginal stump after hysterectomy. Differential diagnoses of vesicovaginal fistula, urethrovaginal fistula, genital anomaly, and ectopic ureter were made by performing several tests using indigo-carmine dye. She recovered from surgery without any complications. There was no recurrence of vaginal stones after 3 months. A biochemical analysis reported that the vaginal stone was 100% struvite. Vaginal stones are caused by repeated infections in an environment in which urine collects gradually. Patients with recurrent UTIs who are bedridden should be able to prevent vaginal stones with periodic gynecological examinations for early diagnosis and management.https://www.frontiersin.org/articles/10.3389/fsurg.2022.937371/fullvaginal stonespastic quadriplegiaprimary vaginal calculusstruviterecurrent urinary tract infections (rUTIs) |
| spellingShingle | Jae Yoon Jo Jae Yoon Jo Seon Mi Lee Jeong Kyu Shin Jeong Kyu Shin Won Jun Choi Won Jun Choi In Ae Cho In Ae Cho Huge vaginal stone: Case report and review of the literature Frontiers in Surgery vaginal stone spastic quadriplegia primary vaginal calculus struvite recurrent urinary tract infections (rUTIs) |
| title | Huge vaginal stone: Case report and review of the literature |
| title_full | Huge vaginal stone: Case report and review of the literature |
| title_fullStr | Huge vaginal stone: Case report and review of the literature |
| title_full_unstemmed | Huge vaginal stone: Case report and review of the literature |
| title_short | Huge vaginal stone: Case report and review of the literature |
| title_sort | huge vaginal stone case report and review of the literature |
| topic | vaginal stone spastic quadriplegia primary vaginal calculus struvite recurrent urinary tract infections (rUTIs) |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.937371/full |
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