title: Vaginal calculus secondary to vaginal outlet obstruction.
abstract: Primary vaginal stones are extremely rare and are often mistaken for bladder calculi on plain radiography. However, intravenous pyelography and sonography can help differentiate between the two. We report a case of a large vaginal stone in a 21-year-old woman referred for apareunia and difficult micturation. The clinical findings of vaginal outlet obstruction and a hard mass anterior to the rectum made us suspect a bladder calculus; however, sonography of the pelvis indicated that the mass was in the vagina. Further examination using a probe to physically define the stone's location confirmed it to be a vaginal calculus. Surgery was performed to repair the outlet obstruction and remove the stone, which permitted the woman to urinate normally and engage in normal sexual relations.
authors.affiliation: Department of Obstetrics and Gynacology, All India Institute of Medical Sciences, New Delhi 110029, India.
authors.forename: Neena
authors.initials: N
authors.lastname: Malhotra
authors.forename: Sunesh
authors.initials: S
authors.lastname: Kumar
authors.forename: Kallol Kumar
authors.initials: KK
authors.lastname: Roy
authors.forename: Rachna
authors.initials: R
authors.lastname: Agarwal
authors.forename: Vineeta
authors.initials: V
authors.lastname: Verma
mesh_terms: D000328:Adult; D002137:Calculi / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D005260:Female; D006175:Gynatresia / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D006801:Humans; D010502:Perineum / Q000293:injuries* / Q000601:surgery; D011859:Radiography; D014463:Ultrasonography