Primary vaginal squamous cell carcinoma with bladder involvement in uterine prolapsed patient

RATIONALE Primary vaginal squamous cell carcinoma (SCC) is a rare disease. Primary SCC in prolapsed vagina is extremely rare. In the presented case additional bladder involvement was found. PATIENTS CONCERNS Primary vaginal SCC may be misinterpreted as decubitus in prolapsed vagina and it may delay proper diagnosis and treatment. DIAGNOSES Diagnosis was confirmed by the vaginal ulceration biopsy and cystoscopic biopsy of the involved bladder. INTERVENTIONS In the case presented percutaneous nephrostomy was the only possible treatment of hydronephrosis. OUTCOMES In advanced primary SCC (Figo IVA) with nodal involvement palliative treatment is only option. LESSONS Primary SCC mimicking decubitus which appeared in prolapsed vagina, may be accompanied by bladder involvement.