Large anterior urethral calculus masquerading as periurethral abscess
Ajay Aggarwal1, Vishwajeet Singh1, Rahul Janak Sinha1
1Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.
BMJ Case Reports
|November 11, 2018
Summary
Urethral calculus can cause diverse urinary symptoms, complicating diagnosis. This case highlights a urethral stone initially misdiagnosed as a periurethral abscess, emphasizing the need for thorough investigation.
Area of Science:
- Urology
- Diagnostic Imaging
Background:
- Urethral calculus presents with varied symptoms, including dysuria and urinary retention.
- Diagnosis can be challenging due to the diverse clinical presentations.
- Plain X-rays of the pelvis can assist in identifying urethral calculi.
Observation:
- A case study of an adult male with symptoms initially suggestive of a periurethral abscess secondary to urethral stricture.
- Investigations revealed a urethral calculus as the underlying cause of the patient's symptoms.
Findings:
- Urethral calculus can mimic other conditions, delaying accurate diagnosis.
- The varied presentation of urethral stones necessitates a high index of suspicion.
Implications:
- Highlights the importance of considering urethral calculus in the differential diagnosis of lower urinary tract symptoms.
- Emphasizes the role of imaging in diagnosing challenging cases of urethral stones.
- Underscores the need for comprehensive evaluation to avoid misdiagnosis and ensure appropriate management of urethral calculus.
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