Bladder stones associated with vesicovaginal fistula: A case report.
Bladder stone
Case report
Cystolithotomy
Vesicovaginal fistula
Vesicovaginal fistula repair
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
2020
2020
Historique:
received:
11
07
2020
revised:
13
08
2020
accepted:
05
09
2020
pubmed:
21
9
2020
medline:
21
9
2020
entrez:
20
9
2020
Statut:
ppublish
Résumé
The presentation of bladder stones is the most common manifestation of a lower urinary tract stone. In severe cases, it can cause pressure necrosis and lead to vesico-vaginal fistula (VVF). This case reports a female patient diagnosed with a bladder stone accompanied by VVF. A 56-year-old female came to the hospital with complaints of dysuria accompanied by continual urinary incontinence symptoms dating back about a month. During vaginal examination, we found a fistula and a stone. An ultrasound (US) showed a hyperechoic shadow measuring 1.27 × 1.36 cm in the vesica urinary and plain kidney, ureter, and bladder (KUB) x-ray showed the presence of a radiopaque shadow of about 7.5 × 5 cm in the pelvic area. This stone was removed through an open cystolithotomy. Intraoperatively, a fistula of about 1 cm in diameter was found in the trigonum close to the internal meatus. A fistula repair was performed immediately without complications, and the follow-up results were satisfactory. The presentation of a bladder stone is an uncommon condition that can cause VVF. Therefore, it is important to pay attention to its clinical signs.
Identifiants
pubmed: 32950941
pii: S2210-2612(20)30700-8
doi: 10.1016/j.ijscr.2020.09.028
pmc: PMC7508701
pii:
doi:
Types de publication
Case Reports
Langues
eng
Pagination
122-125Informations de copyright
Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved.
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