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[Bladder megalithiasis].

J C Ortega Garrido1, J M Ayllón Cañones

  • 1Centro de Especialidades San José Obrero, Hospital Clínico Universitario Virgen de la Victoria, Málaga, España. jcarlos_ortega@fremap.es

Archivos Espanoles De Urologia
|April 12, 2001
PubMed
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This case report details a giant bladder calculus, weighing approximately 1 kg, found in a 72-year-old male. Despite advancements, such large bladder stones remain a diagnostic possibility.

Area of Science:

  • Urology
  • Nephrology
  • Pathology

Background:

  • Giant bladder calculi, though less common due to improved healthcare, can still occur.
  • Long-term neglect of urological symptoms can lead to severe complications.

Observation:

  • A 72-year-old male presented with a massive bladder calculus after nearly two decades without urological care.
  • The patient experienced symptoms suggestive of prostatic disease.

Findings:

  • Surgical exploration revealed a giant bladder calculus measuring 12 x 9 cm and weighing approximately 1 kg.
  • The calculus was found adhered to the bladder mucosa.

Implications:

  • This case underscores that giant bladder calculi are not entirely eradicated by modern medical advancements.

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  • It highlights the importance of regular urological follow-up for conditions like prostatic disease to prevent such extreme presentations.