A giant bladder calculus with a synchronous giant secondary vaginal stone: a case report

Giant bladder calculi are rare and giant vaginal stones are an exceptional finding. We report the case of a 76-year-old female who presented with bilateral hydronephrosis and was discovered to have giant bladder calculus with a synchronous giant vaginal stone. The vaginal stone was broken into fragments and removed with the discovery of a copper intrauterine contraceptive device at the core whilst the bladder calculus required a planned open cystolithotomy. Subsequently two cystograms were conducted with the initial one not showing any vesico-vaginal communication how-ever the second cystogram showed the contrary and subsequently the patient underwent further surgery to correct this fistula.