Naka Y, Doi H, Harada T, Shintani H, Komatz Y
Department of Urology, Kansai Medical University.
Hinyokika Kiyo. 1991 Jul;37(7):755-8.
A 32-year-old female was admitted to our hospital with the chief complaint of vaginal discharge of urine. She had undergone radical hysterectomy due to uterine cancer at another hospital by a gynecologic surgeon 5 years earlier. X-ray examination showed a stone-like shadow at the left ureter without hydronephrosis. She was diagnosed with ureterovaginal fistula with the left ureteral stone. Left ureterolithotomy and ureterovesiconeostomy was performed. The stone revealed a foreign body stone originating from the silk worm-gut which had penetrated accidentally the ureter when the vaginal wall was sutured at the previous surgery. Including our case, 15 cases of foreign body stones in the upper urinary tract were found in the Japanese literature and none of them were associated with ureterovaginal fistula.
一名32岁女性因主诉阴道漏尿入住我院。5年前，她在另一家医院由一名妇科外科医生因子宫癌接受了根治性子宫切除术。X线检查显示左输尿管有结石样阴影，无肾积水。她被诊断为左输尿管结石伴输尿管阴道瘘。行左输尿管切开取石术及输尿管膀胱吻合术。结石显示为异物结石，起源于丝线，在前次手术缝合阴道壁时意外穿透输尿管。包括我们的病例在内，日本文献中发现了15例上尿路异物结石，其中无一例与输尿管阴道瘘相关。
