Giant stone adhered in the vaginal cavity in a female patient with type 2 diabetes mellitus: a case report

BACKGROUND

Bladder lithiasis comprises 5% of urological lithiasis. Large bladder stones associated with vesicovaginal fistulas are rare, and the risk factors are not an isolated process. There are metabolic comorbidities associated with this pathology, including diabetes mellitus.

CASE PRESENTATION

A 70-year-old Mestizo patient is presented, reporting dysuria, pollakiuria, and abdominal pain of 4 months of evolution, located in the hypogastric region, also with a sensation of a foreign body in the vaginal introitus. In her pathological history, she presented type 2 diabetes mellitus. A computed tomography scan of the abdomen and pelvis was performed, reporting a tumor lesion in the abdominal wall. Therefore, surgical intervention was performed by cystolithotomy, obtaining a giant stone adhered to the vaginal wall with a size of 10 cm × 12 cm.

CONCLUSION

Early detection of this pathology should be exhaustive in patients with characteristics and comorbidities associated with stone development to avoid possible complications, such as vesicovaginal fistulas.

Treatment of giant prostatic urethral stone with prostatolithotomy case report

INTRODUCTION

The patient with prostatic urethral stones of the size mentioned in the case report is very rare, and there is no standard surgical procedure for patients with giant stones in the prostatic urethra.

PRESENTATION OF CASE

A 62-year-old male patient presented to the emergency department with complaints of dysuria and hematuria. Computed tomography showed a prostatic urethral stone measuring 78x48x56 mm. Open prostatolithotomy was performed by extending the bladder incision towards the prostate capsule and the stone was removed.

DISCUSSION

Prostate stones can be classified into two types: true prostate stones, which form within the prostate's tissues, and urethral stones, which develop in the prostatic urethra. Urethral stones can be primary (forming in the urethra) or secondary (migrating from the upper urinary tract).

CONCLUSION

Treatment options vary based on stone size and patient history, with endoscopy recommended as the primary approach. However, in cases with large stone burdens, open surgical methods may be preferred.

GIANT BLADDER STONE IN A PATIENT WITH TUMOR OF THE BLADDER: A RARE CO-MORBIDITY

Bladder stones are considered carcinogenic factor for bladder cancer. Concomitant association between giant bladder stone and bladder cancer is rare. We report a case of giant bladder stone complicated by bladder cancer. Bladder cancer was discovered fortuitously. This association of bladder growth necessitated biopsy of the bladder for histopathological study during cystolithotomy.