title: Primary vaginal calculus in a middle-aged woman with mental and physical disabilities.
abstract: Vaginal calculi are rarely encountered and are often misdiagnosed as bladder calculi because of the difficulty in achieving an appropriate diagnosis. Most vaginal calculi result from the presence of a urethrovaginal fistula; those occurring in the absence of such fistulas are extremely rare. We present a case of a 42-year-old bedridden woman with mental and physical disabilities who had been misdiagnosed for a decade as having a bladder calculus. We removed the calculus nonsurgically and the analyzed the components. Results demonstrated the presence of a primary vaginal calculus. Vaginal calculi may occasionally occur in disabled women, but further investigation of the etiology of such calculi is required.
authors.affiliation: Department of Obstetrics and Gynecology, Toma Hospital, 2-137 Hirosue, Kumagaya, Saitama 360-0031, Japan. yujida-tky@umin.ac.jp
authors.forename: Yuji
authors.initials: Y
authors.lastname: Ikeda
authors.forename: Katsutoshi
authors.initials: K
authors.lastname: Oda
authors.forename: Naoki
authors.initials: N
authors.lastname: Matsuzawa
authors.forename: Ken
authors.initials: K
authors.lastname: Shimizu
mesh_terms: D000328:Adult; D002137:Calculi / Q000150:complications / Q000175:diagnosis*; D002547:Cerebral Palsy / Q000150:complications; D005260:Female; D006801:Humans; D012600:Scoliosis / Q000150:complications / Q000151:congenital; D014623:Vaginal Diseases / Q000150:complications / Q000175:diagnosis*