Rare Case of Giant Vesical Calculus

Abstract

Giant vesical calculus is a rare entity. Vesical calculi can be primary (stones form de novo in bladder) or secondary to the migrated renal calculi, chronic UTI, bladder outlet obstruction, bladder diverticulum or carcinoma, foreign body and neurogenic bladder. We report a case of an 85year old male patient who presented with history of recurrent episodes of burning micturition, pain abdomen, straining at micturition and diminished stream. Ultrasonography and X ray KUB showed a large vesical calculus. Patient underwent an Open Cystolithomy and a large calculus of size 9x13cm weighing 310gms was removed. Bladder wall hypertrophy was seen with signs of inflammation. Bladder mucosal biopsy was taken which was normal on histopathological examination. Post-operative recovery was uneventful.

Modele prawny i pozaprawny uprawnień w stanach nadzwyczajnych

“…Jest także "strażnikiem rządów prawa" 31 . Victor Ramraj model ten nazywa prawno-sądowym (Legal-judicial Model), gdyż promuje on sądy i kontrolę sądową, jako instytucje chroniące porządek prawny i kontrolujące władzę wykonawczą w stanach wyjątkowych 32 .…”