title: Factitious renal stone as a sign of internal conflict about sexual intercourse in an adolescent.
abstract: Conflicts about the onset of sexual intercourse have been reported to cause a variety of symptoms. A 16-year-old black female claimed to have passed a stone in her urine. Investigation of her complaints caused some doubt that an organic cause was involved. Social history showed that she had recently begun to have sexual intercourse despite a religious belief that intercourse before marriage was wrong. After an extensive medical work-up, she was discharged with instructions to bring in another stone if passed. A stone subsequently presented by the patient proved to be a piece of lead shot. Those caring for adolescents need to be aware that conflicts about sexual intercourse may present in a number of ways, including urinary-tract complaints.
mesh_terms: D000293:Adolescent; D003220:Conflict, Psychological; D005162:Factitious Disorders / Q000523:psychology*; D005260:Female; D005783:Gender Identity; D006801:Humans; D007669:Kidney Calculi / Q000523:psychology*; D012725:Sexual Behavior