Giant Vesicovaginal Calculi Secondary to a Forgotten Vaginal Tampon Complicated With Vesicovaginal Fistula: A Rare Case Report

TL;DR

A rare case of a large bladder-vagina stone caused by a forgotten tampon is treated successfully with surgery.

Contribution

Reports a unique case of vesicovaginal calculi due to a calcified tampon complicated by a fistula.

Findings

A 67-year-old woman had a giant vesicovaginal stone from a forgotten tampon.

The stone was removed and the fistula repaired in one surgical procedure.

Successful outcome highlights the feasibility of combined treatment in limited settings.

Abstract

Vesicovaginal fistulas in developing countries are mostly of obstetric origin. The etiology involving calcified vaginal foreign bodies is rare. We report an exceptional case of a giant vesicovaginal stone in a 67-year-old woman, secondary to a forgotten and calcified vaginal tampon, complicated by a vesicovaginal fistula. Treatment consisted of stone removal and fistula repair during the same surgical procedure as part of a health campaign for the treatment of urogenital fistulas. The postoperative course was uneventful; the patient was dry upon catheter removal.

This observation shows the importance of clinical diagnosis in situations of insufficient technical facilities and the feasibility of treatment in a single surgical procedure.

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