Departamento de Medicina Interna, Hospital Dr. Mario Catarino Rivas, San Pedro Sula, Honduras.
Facultad de Medicina y Cirugía, Universidad Católica de Honduras - Campus San Pedro y San Pablo, San Pedro Sula, Cortés, Honduras.
J Med Case Rep. 2024 Mar 17;18(1):117. doi: 10.1186/s13256-024-04355-z.
Bladder lithiasis comprises 5% of urological lithiasis. Large bladder stones associated with vesicovaginal fistulas are rare, and the risk factors are not an isolated process. There are metabolic comorbidities associated with this pathology, including diabetes mellitus.
A 70-year-old Mestizo patient is presented, reporting dysuria, pollakiuria, and abdominal pain of 4 months of evolution, located in the hypogastric region, also with a sensation of a foreign body in the vaginal introitus. In her pathological history, she presented type 2 diabetes mellitus. A computed tomography scan of the abdomen and pelvis was performed, reporting a tumor lesion in the abdominal wall. Therefore, surgical intervention was performed by cystolithotomy, obtaining a giant stone adhered to the vaginal wall with a size of 10 cm × 12 cm.
Early detection of this pathology should be exhaustive in patients with characteristics and comorbidities associated with stone development to avoid possible complications, such as vesicovaginal fistulas.
膀胱结石占尿石症的 5%。伴有膀胱阴道瘘的大膀胱结石很少见，且其危险因素并非孤立的过程。该病理与包括糖尿病在内的代谢合并症相关。
现介绍一名 70 岁梅斯蒂索人患者，诉 4 个月来出现尿痛、尿频和下腹痛，位于下腹部，阴道入口处也有异物感。其病史中患有 2 型糖尿病。行腹部和骨盆 CT 扫描，报告腹壁有肿瘤病变。因此，行膀胱切开取石术进行手术干预，取出一个附着在阴道壁上的巨大结石，大小为 10cm×12cm。
对于具有结石形成相关特征和合并症的患者，应彻底早期发现该病理，以避免可能的并发症，如膀胱阴道瘘。
Zotero 插件
