Urinary stones of up to 5 mm of diameter are known to pass spontaneously through the urinary tract; whereas those exceeding 7 mm of diameter almost always require surgical intervention. To the best of our knowledge, the option of expectant management for large stones is rarely considered. We report an unusual case of a woman who spontaneously passed out two large bladder stones measuring 70 and 60 mm without having significant pain or bleeding. We find this case striking for the fact that giant bladder stones can expel spontaneously without any surgical manipulations.
Spontaneous bleeding from uterine leiomyoma is an unusual cause of hemoperitoneum. Fewer than 100 cases have been reported in the literature so far. We report a 30-year-old woman who needed surgical exploration for an acute abdomen. There was massive hemoperitoneum due to bleeding from a subserosal myoma. This case was important because physician should be aware of this rare complication in patient with uterine myoma to avoid any morbidity and mortality.
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