A Rare Giant Urinary Bladder Stone: A Case Report

Singal, Rikki; Goyal, Sunder; Sekhon, Manmit S; Pandit, Sanjay; Sharma, Renuka

doi:10.3834/uij.1944-5784.2010.06.15

Cited by 7 publications

(5 citation statements)

References 8 publications

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“…Most cases of bladder calculi are composed of triple phosphate, calcium carbonate, and calcium oxalate [13]. The index patient had triple phosphate crystals from urinalysis.…”

Section: Discussionmentioning

confidence: 99%

Giant bladder calculus in a male patient with chronic alcoholic liver disease

Okeke¹,

Okwudili²

2019

Int J Case Rep Images

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Introduction: Giant bladder calculus in recent urologic practice is uncommon. Bladder calculi have been known to grow to significant sizes in delayed presentations. They may be associated with chronic liver disease. Literature search revealed few studies suggesting a link between chronic liver disease and urolithiasis. Case Report: A 23-year-old man presented to us with 17 year history of frequency, urgency, weak stream, feeling of incomplete emptying of the bladder, strangury, total painless hematuria and yellowness of the eyes of same duration. He also had a history of ingestion of alcohol for the past 10 years. On examination, he was pale and icteric. Abdominal examination revealed hepatomegaly and a hard non-tender suprapubic mass. Other systems were essentially normal. Urinalysis revealed triple phosphate crystals but his urine culture was negative. He had deranged renal and liver function tests. Serum calcium was low, 4.8 mg/dL, phosphorus was 13.93 mg/dL. He was nonreactive to Hepatitis B and C. Ultrasonography revealed an enlarged liver measuring 18 cm, echogenic foci with posterior acoustic shadowing in both kidneys, dilatation of both pelvicalyceal systems with a solid echogenic mass occupying the whole of the bladder lumen. Plain abdominal X-ray revealed a huge radio opaque mass measuring 10 cmx6 cm,

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“…Most cases of bladder calculi are composed of triple phosphate, calcium carbonate, and calcium oxalate [13]. The index patient had triple phosphate crystals from urinalysis.…”

Section: Discussionmentioning

confidence: 99%

Giant bladder calculus in a male patient with chronic alcoholic liver disease

Okeke¹,

Okwudili²

2019

Int J Case Rep Images

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“…There might be symptoms which are believed to be because of uterocervicovaginal prolapse. Though cystocoele is a common disorder, association with bladder calculi is uncommon [1]. Long-standing uterovaginal prolapse with bladder outlet obstruction, chronic infection can lead to stone formation.…”

Section: Discussionmentioning

confidence: 99%

“…Siriwardana [1] and Dahiya [3] reported that in case of occurrence of acute irreducible pelvic organ prolapse or incarceration of procidentia, the possibility of bladder stones must be kept and confirmed by X-ray.…”

Section: Discussionmentioning

confidence: 99%

Vesical Calculi with Utero Cervico Vaginal Prolapse

Chhabra¹

2014

Glob J Medical Clin Case Rep

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Vesical calculi are not commonly seen with utero vaginal prolapse. Calculi may be missed unless ultrasonography or X-ray is done. If not diagnosed problems can occur during surgery and post operatively. If vesical calculi are removed vaginally during anterior colporrhaphy, it may lead to fistula formation. Suprapubic cystotomy and removal of calculi done during vaginal surgery for genital prolapse seems better option. We present 3 cases which were managed within a span of 6 months with satisfactory results.and ulceration on left lateral wall of vagina. Edge of the ulcer bled on touch. Uterus was of small size with cervix cicatrized. Vaginal malignancy was suspected. Routine investigations of all the cases were within normal limits. Abdomiopelvic ultrasonography (USG) revealed bilateral hydronephrosis in first two cases following which intravenous pyelography was done and vesical calculi were detected (Figures 1 and 2). In the third case multiple vaginal biopsies from ulceration and growth revealed well differentiated squamous cell carcinoma. Cystoscopy revealed cystitis with vesical calculus confirmed on intravenous pyelography (Figure 3). In first two cases surgery included vaginal hysterectomy with anterior and posterior colpo perineorrhaphy. Third case underwent vaginal hysterectomy with vaginectomy with anterior and posterior colpoperineorrhaphy with pelvic lymphadenectomy. In all the three vesical calculi were

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“…disposing factors for development of bladder calculi [5,6]. In our case, the cystourethrocele and the vault prolapse may have caused incomplete emptying of urinary bladder leading to urinary stasis, recurrent urinary tract infections and providing the environment required for stone development.…”

Section: Case Reportmentioning

confidence: 99%

Spontaneous Expulsion of Giant Bladder Stone: Case Report

et al. 2018

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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.

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A Rare Giant Urinary Bladder Stone: A Case Report

Cited by 7 publications

References 8 publications

Giant bladder calculus in a male patient with chronic alcoholic liver disease

Giant bladder calculus in a male patient with chronic alcoholic liver disease

Vesical Calculi with Utero Cervico Vaginal Prolapse

Spontaneous Expulsion of Giant Bladder Stone: Case Report

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