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A primary vaginal stone in a disabled child
S Cetinkurşun1, I Surer, S Demirbag
1Department of Pediatric Surgery, Gülhane Military Medical Academy, Ankara, Turkey.
Insights
Primary vaginal stones are rare conditions in children that can be misdiagnosed as bladder stones. This case highlights the importance of considering vaginal stones in pediatric patients with abdominal pain.
Area of Science:
- Pediatric Urology
- Diagnostic Imaging
- Gynecologic Pathology
Background:
- Primary vaginal stones are exceptionally rare in pediatric populations.
- They can be misidentified as bladder calculi on plain film radiography.
- Early and accurate diagnosis is crucial for appropriate management.
Observation:
- A 13-year-old female presented with abdominal pain.
- Radiological examinations revealed a hard mass anterior to the rectum.
- Vaginoscopy confirmed a stone located in the posterior vaginal fornix.
Findings:
- The case details the diagnostic process for a primary vaginal stone.
- Successful identification of the stone via vaginoscopy.
- The stone was located in the posterior vaginal fornix.
Implications:
- Vaginal stones should be included in the differential diagnosis for pediatric abdominal masses.
- Increased clinical suspicion is warranted in disabled children who may have difficulty communicating symptoms.
- This case underscores the need for thorough gynecological examination in pediatric patients with unexplained pelvic masses.
Background:
Primary vaginal stones in children are extremely rare but important because they are often mistaken for bladder calculi on plain film.
Case:
A 13-year-old girl was admitted to the hospital with abdominal pain. Physical and serial radiologic examinations found a hard mass anterior to the rectum. By vaginoscopy, the stone was found at the posterior fornix of the vagina.
Conclusion:
Primary vaginal stones should be suspected, especially in disabled children.