A successful delivery of giant bladder stone by obstetric forceps: a case report

Abstract

Giant bladder stone is a rare phenomenon. Surgical treatment which involves open vesicolithotomy and delivery of the bladder stone is usually straightforward. Herein, we report a 69-year-old gentleman with a neglected giant bladder stone complicated by obstructive uropathy and acute renal failure. After medical condition was stabilized, he underwent open vesicolithotomy. At surgery, delivery of the giant bladder stone was difficult both manually and with stone forceps. The stone was later delivered successfully by Wrigley’s obstetrics forceps. We report this case to highlight the rare cause of acute renal failure and the use of obstetrics forceps in the management of giant bladder stones.

Coincidental finding of a giant bladder calculus and squamous cell carcinoma of bladder: A case report

“…14 If bladder stone forceps fail, or if the manual removal has risk of injury to the surrounding structures, it is safer to use obstetrical forceps. 14,15 In our case, considering the giant calculus, open cystolithotomy was opted. The giant solitary bladder calculus was removed by using Wrigley's forceps safely following the steps described by Albert M. Crance.…”

“…As in our case, urinary bladder calculi are diagnosed using X-ray KUB 4 , 9 , 14 , 19 and CT-KUB. 15 , 19 Ultrasound scan is useful to look for bladder stones and hydroureteronephrosis. 19 …”

“…8,14 As in our case, urinary bladder calculi are diagnosed using X-ray KUB 4,9,14,19 and CT-KUB. 15,19 Ultrasound scan is useful to look for bladder stones and hydroureteronephrosis. 19 Similar to our case, Wrigley's obstetrical forceps is used for safe removal of surrounding structures.…”

“… 2 , 6 , 9 , 11 – 13 The choice of surgery would depend on the availability of equipment, surgeons’ expertise, and patients’ factors including general fitness and size of calculus. There are reports of using obstetrical forceps to extract giant bladder calculus, 4 , 14 , 15 and reports of urinary bladder calculus with squamous cell carcinoma of bladder (SCCB). 13 , 16 – 19 Chronic irritation of the bladder by calculus is considered carcinogenic.…”