Bilateral ureteral obstruction caused by vaginal foreign body: a case report.
ABSTRACT We present a case of a large, vaginal calculus which eroded into the bladder ultimately causing bilateral ureteral obstruction and acute renal failure.
A 34-year-old female presented with dysuria and urinary hesitancy. The diagnosis, workup, and treatment are outlined.
Consistent with radiographic findings, the stone was a primary vaginal stone which eroded into the bladder, the nidus of the stone being a vaginal foreign body. This vaginal stone, by eroding into the bladder, caused bilateral ureteral obstruction and renal failure.
A vaginal foreign body can grow so large that it can erode into the bladder and obstruct both ureters. This stone can be treated purely endoscopically, but a later fistula repair was required in this case. Recognizing this entity and instituting the appropriate treatment may enable this to be promptly managed with minimal patient morbidity.
- SourceAvailable from: Anthony Naju Massinde[show abstract] [hide abstract]
ABSTRACT: Foreign body is a rare cause of vesico-vaginal fistula most often reported in developed countries. In developing countries obstructed labor is the commonest cause of fistula. A nulliparous 19-year-old female presented with a 3-week history of a foreign body in the vagina causing urinary incontinence and offensive vaginal discharge. Her guardian allegedly inserted the foreign body after she refused a pre-arranged marriage. A plastic container was removed from the vagina under general anesthesia. A large vesico-vaginal fistula was discovered, which was successfully surgically repaired. We recommend urgent removal of the foreign body, preferably under general anesthesia. However, if the history or physical examination reveals prolonged exposure, repair of the fistula should be delayed to allow for adequate debridement in order to prevent any life-threatening complications.Annals of medical and health sciences research. 01/2013; 3(3):456-457.