title: [Giant vesico-vaginal stone: a case report].
abstract: A 74-year-old female with the chief complaint of lower abdominal and anal pain had been suffering from total incontinence due to cerebral palsy since her childhood. A giant stone was palpable on vaginal examination. A radiograph showed a giant calcification in the pelvis. Magnetic resonance imaging (MRI) revealed a giant vesico-vaginal stone, which occupied most of the bladder and vagina. Cystolithotomy was performed. The removed stone weighed 435 g, and measured 9.0 x 6.5 x 5.5 cm, and was composed of magnesium ammonium phosphate. To our knowledge only eight cases of female giant vesical stone have been reported. We herein report a rare case of vesico-vaginal stone unrelated to gynecological procedures.
authors.affiliation: Department of Urology, Ootawara Red Cross Hospital.
authors.forename: A
authors.initials: A
authors.lastname: Horiguchi
authors.forename: N
authors.initials: N
authors.lastname: Hatakeyama
authors.forename: K
authors.initials: K
authors.lastname: Ikeuchi
mesh_terms: D000368:Aged; D002137:Calculi / Q000737:chemistry / Q000601:surgery*; D005260:Female; D006801:Humans; D017616:Magnesium Compounds / Q000032:analysis; D010710:Phosphates / Q000032:analysis; D000069877:Struvite; D001744:Urinary Bladder Calculi / Q000737:chemistry / Q000601:surgery*; D014623:Vaginal Diseases / Q000378:metabolism / Q000601:surgery*
chemical_list: D017616:Magnesium Compounds; D010710:Phosphates; D000069877:Struvite