# 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.

## Key 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.