Case reports

Labour dystocia: Vesical calculus can be the cause

M Naik, K Yadav


Obstructed labour is a well-known clinical entity in maternity units, cephalopelvic disproportion being the most common cause. Here, we report a rare case of obstructed labour resulting from a large vesical calculus. The patient was a referred case from a district hospital for delayed progress of labour. The diagnosis of large vesical calculus causing labour obstruction was made by doing a vaginal examination. On vaginal examination, a large calculus of apparent size ~7 cm . 6 cm was palpated behind the anterior vaginal wall, which was preventing the descent of the head of the fetus. An emergency caesarean section was performed with simultaneous removal of vesical calculus by cystotomy. The postoperative period was uneventful.

Authors' affiliations

M Naik, Department of Obstetrics and Gynaecology, Bangalore Medical College and Research Institute, Bangalore, India

K Yadav, Department of Obstetrics and Gynaecology, Shyam Shah Medical College, Rewa, India

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Cesarean section, Cystolithotomy, Labor dystocia, Large vesical calculus

Cite this article

South African Journal of Obstetrics and Gynaecology 2018;24(2):43. DOI:10.7196/sajog.1310

Article History

Date submitted: 2018-01-19
Date published: 2018-12-03

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