Heintz Jay, Chason Judd, Kramer Andrew
Division of Urology, Department of Surgery, The University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.
Can J Urol. 2009 Oct;16(5):4870-2.
We present a case of a large, vaginal calculus which eroded into the bladder ultimately causing bilateral ureteral obstruction and acute renal failure.
A 34-year-old female presented with dysuria and urinary hesitancy. The diagnosis, workup, and treatment are outlined.
Consistent with radiographic findings, the stone was a primary vaginal stone which eroded into the bladder, the nidus of the stone being a vaginal foreign body. This vaginal stone, by eroding into the bladder, caused bilateral ureteral obstruction and renal failure.
A vaginal foreign body can grow so large that it can erode into the bladder and obstruct both ureters. This stone can be treated purely endoscopically, but a later fistula repair was required in this case. Recognizing this entity and instituting the appropriate treatment may enable this to be promptly managed with minimal patient morbidity.
我们报告一例巨大阴道结石病例，该结石侵蚀膀胱，最终导致双侧输尿管梗阻和急性肾衰竭。
一名34岁女性出现排尿困难和尿踌躇。概述了诊断、检查及治疗过程。
与影像学检查结果一致，该结石为原发性阴道结石，已侵蚀至膀胱，结石的核心为阴道异物。这块阴道结石侵蚀膀胱后，导致双侧输尿管梗阻和肾衰竭。
阴道异物可长得很大，以至于侵蚀膀胱并阻塞双侧输尿管。这种结石可通过单纯内镜治疗，但该病例后来需要进行瘘管修复。认识到这一情况并采取适当治疗措施，有望以最小的患者发病率对其进行及时处理。
