Neurogenic Bladder Complicated with Giant Urethral Stone in a Male

Abstract

We report an educational case of complicated urinary tract infection. A 72-year-old man was brought to our Emergency Department (ED) due to abdominal pain and general weakness for 2 days. He was febrile with a body temperature of 39.2°C. Physical examination showed lower abdominal tenderness. Serum laboratory examination revealed severe leukocytosis and high procalcitonin levels. Urinalysis revealed hematuria and pyuria. KUB showed multiple small calcified lesions and one huge calcified mass projecting in the lower pelvis. CT of abdomen displayed multiple calcifications of the prostate and a large calculus (4.2 x 2.7 cm) in the posterior urethra. The diagnosis of giant urethral stone complicated with urinary tract infection was made finally. Early recognition and appropriate treatment of urolithiasis associated complications is imperative.