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Case report
Large primary vaginal stone in a woman with multiple sclerosis
  1. S Lot Aronson1,
  2. Marina C Hovius2 and
  3. Erica W M Janszen1
  1. 1Department of Obstetrics and Gynaecology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands
  2. 2Department of Urology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands
  1. Correspondence to S Lot Aronson; aronson_lot{at}hotmail.com

Abstract

Vaginal stones are rare and therefore a delay in accurate diagnosis often occurs. We present a 54-year old woman with multiple sclerosis who was diagnosed with a primary vaginal stone. Initially, she presented with recurring urinary tract infections (UTI) and macroscopic haematuria to the urologist. A cystoscopy showed no abnormalities. Because of persistent bleeding, she was referred to the gynaecologist, and on gynaecological examination, a vaginal stone was revealed. Stone formation was likely to be the result of urinary pooling due to incontinence, which was caused by a neurogenic bladder. Other contributing factors were prolonged recumbency, threads of an intrauterine device and a UTI. The presence of a vesicovaginal fistula was excluded by testing with methylene blue. The stone was surgically removed and composed of 70% struvite and 30% apatite. The patient was treated for decubitus ulcerations of the vaginal wall with estriol (Synapause-E3). Follow-up was uneventful.

  • obstetrics and gynaecology
  • urology
  • vulvovaginal disorders
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Footnotes

  • Contributors SLA prepared the first draft of the manuscript, which was then revised by EWMJ and MCH.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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