Multiple urinary bladder calculi: a rare cause of irreducible uterovaginal prolapse

Authors

  • Manjit Kaur Mohi Department of Obstetrics and Gynecology, GMC, Patiala, Punjab, India
  • Manjeet Kaur Department of Obstetrics and Gynecology, GMC, Patiala, Punjab, India
  • Balwinder Kaur Department of Obstetrics and Gynecology, GMC, Patiala, Punjab, India
  • Satinder Pal Kaur Department of Obstetrics and Gynecology, GMC, Patiala, Punjab, India
  • Sangeeta Aggarwal Department of Obstetrics and Gynecology, GMC, Patiala, Punjab, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20214670

Keywords:

Procidentia, Vesical calculi, Irreducible

Abstract

A case of irreducible prolapse with multiple bladder calculi in a 65-years-old multiparous, postmenopausal woman is reported. Inability to walk, constipation and urinary incontinence were her primary complaints. Routine ultrasound of the abdomen and pelvis failed to reveal multiple vesical calculi as the prolapse was lying outside the pelvis. However, targeted plain X-ray of the prolapsed mass showed multiple vesical calculi. The patient was managed with single-stage vaginal hysterectomy and laparotomy. First vaginal hysterectomy was done then prolapsed cystocele was reduced and extraperitoneal vesicolithotomy done. Currently, the patient is relieved of all symptoms. Management of an irreducible procidentia and a hard mass in the anterior compartment, as in this case, can be challenging and requires a diligent effort to confirm the diagnosis and to execute the appropriate surgical protocol to achieve optimal outcome with minimal intra- and post-operative complications.

Author Biography

Manjit Kaur Mohi, Department of Obstetrics and Gynecology, GMC, Patiala, Punjab, India

Associate Professor, Department of Obs & Gynae

References

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Rajamaheswari N, Agarwal S, Krishnan S. Irreducible procidentia due to multiple bladder calculi mimicking impacted faecal mass. Int Urogynecol J. 2012;23(10):1475-7.

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Published

2021-11-25

Issue

Section

Case Reports