Horiguchi A, Hatakeyama N, Ikeuchi K
Department of Urology, Ootawara Red Cross Hospital.
Hinyokika Kiyo. 1998 Jul;44(7):521-3.
A 74-year-old female with the chief complaint of lower abdominal and anal pain had been suffering from total incontinence due to cerebral palsy since her childhood. A giant stone was palpable on vaginal examination. A radiograph showed a giant calcification in the pelvis. Magnetic resonance imaging (MRI) revealed a giant vesico-vaginal stone, which occupied most of the bladder and vagina. Cystolithotomy was performed. The removed stone weighed 435 g, and measured 9.0 x 6.5 x 5.5 cm, and was composed of magnesium ammonium phosphate. To our knowledge only eight cases of female giant vesical stone have been reported. We herein report a rare case of vesico-vaginal stone unrelated to gynecological procedures.
一名74岁女性，以下腹及肛门疼痛为主诉，自幼因脑瘫导致完全失禁。阴道检查可触及一块巨大结石。X线片显示骨盆有巨大钙化。磁共振成像（MRI）显示一块巨大的膀胱阴道结石，占据了大部分膀胱和阴道。进行了膀胱切开取石术。取出的结石重435克，尺寸为9.0×6.5×5.5厘米，由磷酸镁铵组成。据我们所知，仅报道过8例女性巨大膀胱结石病例。我们在此报告一例与妇科手术无关的罕见膀胱阴道结石病例。
