case_images: PMC6180853_01
case_images: Sagittal sonogram of the pelvis showing a large calculus (arrow) in the lumen of the urinary bladder. Another echogenic shadow (double arrow) is seen posterior to the urinary bladder, suggestive of a vaginal foreign body.
case_images: bjrcr.20150474.g001.jpg
case_images: PMC6180853_01_bjrcr.20150474.g001.jpg
case_images: fig1
case_images: A curved echogenic focus with posterior acoustic shadow was seen within the lumen of the partially distended urinary bladder measuring approximately 25 mm in size, suggestive of a vesical calculus (single arrow in Figure 1). Another echogenic shadow was seen between the urinary bladder and the rectum, raising suspicion of a vaginal foreign body (double arrow in Figure 1).
case_images: Sagittal reformatted non-contrast CT scan of the pelvis showing a big vaginolith (vertical arrow) surrounding the foreign body (arrowheads). Vesical calculus (horizontal arrow) is also seen in the lumen of the urinary bladder.
case_images: bjrcr.20150474.g002.jpg
case_images: PMC6180853_01_bjrcr.20150474.g002.jpg
case_images: fig2
case_images: Amsterdam, Netherlands), which revealed a calculus of size 28 x 25 x 18 mm in the lumen of the urinary bladder (horizontal arrows in Figures 2 and 3). A big rectangular calcified mass was seen in the vagina measuring 53 x 29 x 33 mm in size (vertical arrows in Figures 2 and 3). A well-defined rectangular hypodense rim was noted inside the calcified mass measuring 36 x 18 mm in size (arrowheads in Figures 2 and 3), containing an air dense area in the centre.
case_images: Axial non-contrast CT scan of the pelvis showing a vesical calculus (horizontal arrow) and a vaginolith (vertical arrow) surrounding the vaginal foreign body (arrowheads).
case_images: bjrcr.20150474.g003.jpg
case_images: PMC6180853_01_bjrcr.20150474.g003.jpg
case_images: fig3
case_images: Amsterdam, Netherlands), which revealed a calculus of size 28 x 25 x 18 mm in the lumen of the urinary bladder (horizontal arrows in Figures 2 and 3). A big rectangular calcified mass was seen in the vagina measuring 53 x 29 x 33 mm in size (vertical arrows in Figures 2 and 3). A well-defined rectangular hypodense rim was noted inside the calcified mass measuring 36 x 18 mm in size (arrowheads in Figures 2 and 3), containing an air dense area in the centre.
case_images: Axial T
  2 weighted fast spin-echo MRI showing a defect (large arrow) in the posterior wall of the urinary bladder. A hypointense vaginolith (multiple small arrows) is seen around intermediate signal intensity vaginal foreign body (double arrow).
case_images: bjrcr.20150474.g004.jpg
case_images: PMC6180853_01_bjrcr.20150474.g004.jpg
case_images: fig4
case_images: A big vaginolith measuring 52 x 28 x 35 mm in size was seen in the vagina, which was hypointense on all pulse sequences (multiple small arrows in Figures 4 and 5). A well-defined rectangular rim of intermediate signal intensity was seen inside the hypointense mass, suggesting the presence of a foreign body (double arrows in Figures 4 and 5). A defect measuring approximately 6 x 5 mm in size was observed in the posterior wall of the urinary bladder, with free passage of urine into the vagina (single arrows in Figures 4 and 5).
case_images: Fat-saturated T
  2 weighted fast spin-echo sagittal MRI showing a large defect in the posterior wall of the urinary bladder (large arrow). An intermediate signal intensity foreign body (double arrow) surrounded by hypointense vaginolith (multiple small arrows) is also seen.
case_images: bjrcr.20150474.g005.jpg
case_images: PMC6180853_01_bjrcr.20150474.g005.jpg
case_images: fig5
case_images: A big vaginolith measuring 52 x 28 x 35 mm in size was seen in the vagina, which was hypointense on all pulse sequences (multiple small arrows in Figures 4 and 5). A well-defined rectangular rim of intermediate signal intensity was seen inside the hypointense mass, suggesting the presence of a foreign body (double arrows in Figures 4 and 5). A defect measuring approximately 6 x 5 mm in size was observed in the posterior wall of the urinary bladder, with free passage of urine into the vagina (single arrows in Figures 4 and 5).