Vaginal calculus secondary to vaginal outlet obstruction

Abstract

Primary vaginal stones are extremely rare and are often mistaken for bladder calculi on plain radiography. However, intravenous pyelography and sonography can help differentiate between the two. We report a case of a large vaginal stone in a 21-year-old woman referred for apareunia and difficult micturation. The clinical findings of vaginal outlet obstruction and a hard mass anterior to the rectum made us suspect a bladder calculus; however, sonography of the pelvis indicated that the mass was in the vagina. Further examination using a probe to physically define the stone's location confirmed it to be a vaginal calculus. Surgery was performed to repair the outlet obstruction and remove the stone, which permitted the woman to urinate normally and engage in normal sexual relations.

Principles of demineralization: Modern strategies for the isolation of organic frameworks

“…There are 208 bones in the skeleton and 32 teeth in the oral cavity of a normal adult (Skinner, 2000) and 2. unexpected, and undesired, or pathologic mineral deposits including pancreatic calculi (Jin et al, 2002) and stones (Multinger et al, 1983); renal stones (Kageyama et al, 2001); kidney stones (Ryall et al, 2000;Khan et al, 2002); urinary calculi (Suto and Wooley, 1972), stones (Prien and Prien, 1968;Rose, 1977;Williams et al, 2006) and cystoliths (Saetre, 1954); gallstones (Been et al, 1979); bladder stones (Chaudhri et al, 2007); rhinoliths (calculus present in the nasal cavity) (Rasinger et al, 1985;Cellikkanat et al, 1997;Vink et al, 2002;Shaw, 2007); tonsilloliths (oropharyngeal concretions) (Cerny and Bekarek, 1990;Mesolella et al, 2004); vaginoliths-vaginal calculi (Malik et al, 2006;Cetinkursun et al, 2001;Malhotra et al, 2004); cardiolytes (Gilinskaya et al, 2003); cutaneous calculi (Neild and Marsden, 1985;Tezuka, 1980;Moulik et al, 1974); enteroliths (Rudge, 1992;Lopez and Welch, 1991;Pantongrag-Brown et al, 1996); sialoliths-salivary submandibular (Burstein et al, 1979) and parotid gland stones (Thompson, 1973;Slomiany et al, 1983); ptyaliths-calculus in a salivary glands (Anneroth et al, 1975); dental calculi (Rabinowitz et al, 1969).…”

Primary vaginal calculus secondary to urethrovaginal fistula with imperforate hymen in a 6-year-old girl

“…Primary vaginal calculi are believed to originate from stasis of urine in the vagina with or without vaginal obstruction, whereas secondary vaginal calculi are the result of crystallization of urinary constituents around a foreign body in the vagina [1,2]. Primary vaginal calculi form from the deposition of urinary salts as a result of urinary leakage in association with a urethrovaginal fistula that developed after trauma, vaginal stenosis, or scarring after trauma or surgery; ectopic vaginal ureter; neurogenic bladder; or vaginal outlet obstruction [1][2][3][4][5].We recently treated a 6-year-old girl with a primary vaginal calculus secondary to urethrovaginal fistula and imperforate hymen. The imaging findings and treatment are discussed.…”

A rare case of vaginolith, vesical calculus with vesicovaginal fistula in adolescent female

“…9,10 They have also been reported after abdomino-perineal resection for carcinoma of rectum. 11 Primary vaginal stones are often mistaken for bladder calculi on plain radiography. However, intravenous pyelography and sonography can help differentiate between the two.…”