Castellan Pietro, Nicolai Michele, De Francesco Piergustavo, Di Tizio Luciano, Castellucci Roberto, Bada Maida, Marchioni Michele, Cindolo Luca, Schips Luigi
Department of Urology, SS. Annunziata Hospital, Chieti, Italy.
Department of Obstetrics and Gynecology, ASL02 Abruzzo, SS. Annunziata Hospital, Chieti, Italy.
J Endourol Case Rep. 2017 Dec 1;3(1):182-185. doi: 10.1089/cren.2017.0100. eCollection 2017.
Vaginal stones are rare and often unknown entities. Most urologists may never see a case in their careers. 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. 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.
阴道结石是罕见且常不为人知的病症。大多数泌尿科医生在其职业生涯中可能从未见过此类病例。我们报告一例34岁的卧床不起的患有精神和身体残疾的白种女性病例，该患者患有一颗巨大的原发性阴道结石，令人惊讶的是，直到患者因输尿管结石引发右肾绞痛之前，该结石一直未被诊断出来。阴道被完全填满，无法进行指诊。因此，通过一些操作使用手术钳取出了结石。排除了膀胱阴道瘘、异物或其他感染病灶。之后，按计划进行了尿道碎石术。术后过程和随访均顺利。尽管阴道结石在文献中极为罕见，但对于患有尿失禁及相关残疾、截瘫或长期卧床不起的女性，应考虑其鉴别诊断。
