Bilateral ureteral obstruction caused by vaginal foreign body: a case report.
OBJECTIVE
We present a case of a large, vaginal calculus which eroded into the bladder ultimately causing bilateral ureteral obstruction and acute renal failure.


METHODS
A 34-year-old female presented with dysuria and urinary hesitancy. The diagnosis, workup, and treatment are outlined.


RESULTS
Consistent with radiographic findings, the stone was a primary vaginal stone which eroded into the bladder, the nidus of the stone being a vaginal foreign body. This vaginal stone, by eroding into the bladder, caused bilateral ureteral obstruction and renal failure.


CONCLUSIONS
A vaginal foreign body can grow so large that it can erode into the bladder and obstruct both ureters. This stone can be treated purely endoscopically, but a later fistula repair was required in this case. Recognizing this entity and instituting the appropriate treatment may enable this to be promptly managed with minimal patient morbidity.
Heintz
Jay
J
Division of Urology, Department of Surgery, The University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.
Chason
Judd
J
Kramer
Andrew
A
D000328:Adult; D003558:Cystoscopy; D003937:Diagnosis, Differential; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D053685:Laser Therapy / Q000379:methods; D008096:Lithotripsy / Q000379:methods; D008279:Magnetic Resonance Imaging; D014057:Tomography, X-Ray Computed; D014517:Ureteral Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D014621:Vagina