Surya Mukesh, Sharma Chanderdeep, Sood Dinesh, Soni Anjali, Sharma Rajkumar, Nandolia Khanak
Department of Radiodiagnosis, DRPGMC Kangra at Tanda, Kangra, India.
Department of Obstetrics & Gynaecology, DRPGMC Kangra at Tanda, Kangra, India.
BJR Case Rep. 2016 May 8;2(2):20150474. doi: 10.1259/bjrcr.20150474. eCollection 2016.
Vaginal foreign body insertion is not an uncommon clinical entity; however, long-standing neglected vaginal foreign body causing vaginolith, vesicovaginal fistula and vesical calculus formation is unusual. We present a case of a neglected vaginal foreign body (plastic cap of a nail colour) leading to vesicovaginal fistula, vaginolith and vesical calculus formation in a 12-year-old female child presenting with continuous dribbling of urine per vagina. Diagnosis was confirmed on ultrasonography, non-contrast CT scan and MRI of the pelvis. The MRI demonstrated the exact size and site of the urinary bladder wall defect, besides the foreign body and the vesical calculus. The foreign body along with vaginolith and the vesical calculus were removed suprapubic approach under general anaesthesia; the fistula was repaired by suturing the urinary bladder and vagina wall defect.
阴道异物插入并非罕见的临床情况；然而，长期被忽视的阴道异物导致阴道结石、膀胱阴道瘘和膀胱结石形成则较为少见。我们报告一例12岁女童因阴道长期存在被忽视的异物（指甲油瓶盖），导致膀胱阴道瘘、阴道结石和膀胱结石形成，患儿表现为经阴道持续滴尿。通过超声、盆腔非增强CT扫描及MRI确诊。MRI除显示异物及膀胱结石外，还明确了膀胱壁缺损的确切大小和部位。在全身麻醉下经耻骨上入路取出异物、阴道结石和膀胱结石；通过缝合膀胱和阴道壁缺损修复瘘管。
