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Related Experiment Videos

Giant stone in enterocystoplasty.

M Gacci1, T Cai, F Travaglini

  • 1Department of Urology, University of Florence, Italy. maurogacci@yahoo.it

Urologia Internationalis
|August 27, 2005
PubMed
Summary

Giant bladder stones in enterocystoplasty are extremely rare. This case report details a 10-cm stone in a myelomeningocele patient, highlighting management strategies for this uncommon urological complication.

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Area of Science:

  • Urology
  • Surgical Innovation
  • Medical Case Reports

Background:

  • Enterocystoplasty, a surgical procedure to augment the bladder, can rarely lead to giant stone formation.
  • Congenital myelomeningocele is a common indication for enterocystoplasty, predisposing patients to urinary complications.
  • Giant bladder stones are defined as stones exceeding 4 cm in diameter.

Observation:

  • A 50-year-old female with a history of enterocystoplasty for myelomeningocele presented with an incidentally detected 10-cm asymptomatic bladder stone.
  • The stone was discovered during imaging for an unrelated condition (uterine fibroma).
  • The patient had no symptoms related to the large bladder stone.

Findings:

  • The case involved a rare giant bladder stone (10 cm) within an enterocystoplasty.

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  • Surgical intervention included laparoscopic hysterectomy with bilateral annexectomy, neocystotomy, and stone removal under general anesthesia.
  • A comprehensive literature review on the incidence, risk factors, pathophysiology, and treatment of enterocystoplasty stones was conducted.

    • Implications:

    • This case underscores the importance of vigilance for rare complications like giant stone formation in patients with enterocystoplasty.
    • The successful management highlights the feasibility of surgical stone removal in complex cases.
    • Further research into risk factors and preventative strategies for enterocystoplasty stones is warranted.