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Acute renal failure and multiple fistulae formation related to an unusual vaginal foreign body
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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 …