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This is the first reported case of vesicouterine fistula presenting with a fully formed dead fetus in the urinary bladder.

Giant vesical calculus is a rare clinical entity in the recent urological practice. Males are affected more than the females. We report a case of 55years old male patient non diabetic or hypertensive who presented with urinary symptoms . His biochemical parameters were within normal limits. Urine analysis and culture sensitivity showed infection. His ultrasonography revealed a giant vesical calculus with intra prostatic extension and bilateral hydroureteronephrosis and small prostate. After controlling the urinary infection with course of antibiotics, he underwent an open cystolithotomy and post-operative recovery was uneventful.

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