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[Giant urinary bladder stone].

C Beisland1, M Andersen

  • 1Kirurgisk avdeling Lillehammer fylkessykehus.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|June 2, 2000
PubMed
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A giant 660-gram bladder stone was removed from a 69-year-old male. This rare case highlights historical urinary tract disease prevalence and surgical interventions for bladder stones.

Area of Science:

  • Urology
  • Nephrology
  • Surgical History

Background:

  • Bladder stones (urolithiasis) were historically common but are now rare in modern urologic practice.
  • Giant bladder stones are exceptionally uncommon, posing unique diagnostic and surgical challenges.

Observation:

  • A 660-gram bladder stone was identified in an otherwise healthy 69-year-old male.
  • Despite its size, the stone caused only minor subjective symptoms.
  • Urograms revealed significant bilateral ureteral dilatation secondary to the large stone.

Findings:

  • The giant bladder stone was successfully removed via open cystolithotomy.
  • The patient was otherwise healthy, making the stone's size and impact unusual.

Implications:

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  • This case underscores the rarity of massive bladder stones in contemporary urology.
  • It prompts a review of historical surgical techniques for bladder stone removal (lithotomy).
  • Understanding historical urologic conditions can inform management of rare modern presentations.