BMJ Case Reports 2012; doi:10.1136/bcr-2012-007540
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Acute renal failure and multiple fistulae formation related to an unusual vaginal foreign body

  1. Claudia Munn2
  1. 1IVF Unit, Hammersmith Hospital, London, UK
  2. 2Department of Gynaecology, Royal Sussex County Hospital, Brighton, UK
  1. Correspondence to Georgios Christopoulos, geoichristopoulos{at}


A 52-year-old patient presented with suprapubic pain, mild vaginal bleeding and continuous urinary incontinence. The patient was nulliparous with a history of cerebral palsy and mild learning difficulties. A bimanual examination revealed a hard and calcified vaginal mass, which appeared to be in direct continuation with her cervix. Investigations revealed leucocytosis (white blood cell count: 26.7×106/ml), raised …

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