Huge Vesicovaginorectal Stone Caused by a Retained Double-J Stent Following Radical Hysterectomy and Radiotherapy for Cervical Cancer

Abstract

Objective: Ureteral stents are frequently used in gynecologic oncology. We report a cervical cancer patient who had the complication of a vesicovaginorectal stone caused by a retained double-J stent. Case Report: A 67-year-old woman was admitted to the hospital because of urinary leakage from the vagina and anus. She had undergone a radical hysterectomy and radiotherapy for cervical cancer 10 years previously. At colostomy, a right double-J stent was inserted due to intestinal obstruction and right hydronephrosis 1 year after radiotherapy. At admission, physical examination revealed a huge stone in the vagina and anus. Plain abdominal film showed a double-J stent and a stone in the bladder. Computerized tomography showed a communicating stone in the bladder, vagina, and anus. Cystoscopy confirmed the diagnosis of a vesicovaginorectal stone and a retained double-J stent. The stone and double-J stent were removed by endoscopic cystolithotripsy, and the patient was discharged after an uneventful recovery. Conclusion: The present case showed that a retained double-J stent following gynecologic surgery can lead to significant morbidity. We suggest close follow-up of the inserted double-J stent in order to prevent complications caused by its retention.

Keywords

• vesicovaginorectal stone
• double-J stent
• cervical cancer