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A giant vesical calculus.

M Rahman1, A Uddin, G C Das

  • 1General Hospital, Jamalpur, Bangladesh.

Mymensingh Medical Journal : MMJ
|November 22, 2007
PubMed
Summary
This summary is machine-generated.

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Giant bladder stones are rare, often affecting males due to bladder outlet obstruction. This case highlights a young male with a massive vesical calculus presenting with urinary and defecatory issues, successfully treated with surgery.

Area of Science:

  • Urology
  • Nephrology

Background:

  • Massive or giant vesical calculus is a rare clinical finding in urological practice.
  • Vesical calculi are often secondary to bladder outlet obstruction, leading to symptoms like recurrent urinary tract infections, hematuria, or urine retention.

Observation:

  • A young male patient presented with both urinary symptoms and defecatory problems.
  • Physical examination revealed a palpable stone. Investigations showed urinary tract infection, hypertension, bilateral hydronephrosis, and multiple kidney stones alongside a giant bladder calculus.

Findings:

  • The patient underwent open cystolithotomy after managing his infection and hypertension.
  • Surgical removal of the giant bladder calculus required digital rectal assistance due to adherence to the bladder mucosa.

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Implications:

  • This case underscores the importance of thorough physical examination and imaging in diagnosing rare urological conditions.
  • Successful surgical intervention for giant bladder calculus can resolve complex urinary and associated defecatory symptoms, leading to an uneventful recovery.