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巨大阴道结石作为长期尿道阴道瘘的并发症:一例报告。

Giant vaginal stone as a complication of long-term urethrovaginal fistula: A case report.

作者信息

Noegroho Bambang Sasongko, Adi Kuncoro, Salima Siti, Mustafa Akhmad, Bahagianto Aditya Fajar

机构信息

Department of Urology, Faculty of Medicine Padjadjaran University, Hasan Sadikin Hospital Bandung, Indonesia.

Obstetric and Gynaecology Department, Hasan Sadikin Hospital Bandung, Faculty of Medicine Padjadjaran University, Indonesia.

出版信息

Urol Case Rep. 2020 Nov 11;34:101491. doi: 10.1016/j.eucr.2020.101491. eCollection 2021 Jan.

Abstract

CASE PRESENTATION

A case of a 57 years old woman came with the chief complaint of urinary incontinence since 20 years ago. After labor, she complained of urinary incontinence and left untreated. Physical examination and urethrocystoscopy revealed vaginal stone sized 90 × 70 mm and urethrovaginal fistula. We performed hysterectomy and vaginal stone removal, continued with fistula closure and vaginal repair. Up to 2 months follow up, no sign of urinary leakage and incontinence was found.

CONCLUSION

Vaginal stone is a rare Case that might be present in a case of long term urethrovaginal fistula with neglected contraceptive device.

摘要

病例报告

一名57岁女性因20年前出现尿失禁为主诉前来就诊。分娩后,她诉说有尿失禁但未接受治疗。体格检查及尿道膀胱镜检查发现一枚大小为90×70毫米的阴道结石及尿道阴道瘘。我们实施了子宫切除术及阴道结石取出术,接着进行了瘘管闭合及阴道修补术。随访2个月,未发现尿漏及尿失禁迹象。

结论

阴道结石是一种罕见病例,可能出现在长期尿道阴道瘘且避孕装置被忽视的情况下。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9030/7701185/fd3946c53efe/gr1.jpg

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