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Giant Bladder Calculus in an Adult- A Persistent Problem in the Developing World: A Case Report
Ajit Kumar Vidhyarthy1, Tariq Hameed2, Rohit Lal1
1Darbhanga Medical College and Hospital, Department of Surgery, Darbhanga, India.
Clinical Practice and Cases in Emergency Medicine
|November 20, 2020
Summary
Giant bladder calculi are rare but require investigation for urinary obstruction. This case highlights successful surgical removal and symptom resolution in a young adult without predisposing factors.
Area of Science:
- Urology
- Nephrology
- Surgical Case Reports
Background:
- Giant urinary bladder calculi (vesical calculus) are uncommon in adults.
- Improved healthcare access and diagnostics have reduced incidence.
- Predisposing factors like infections or obstruction are often associated.
Purpose of the Study:
- To report a case of giant vesical calculus in a young adult.
- To emphasize the importance of ruling out urinary outflow obstruction.
- To discuss management strategies for bladder calculi.
Main Methods:
- A young adult presented with hematuria, abdominal pain, and dysuria.
- Investigations confirmed a large vesical calculus.
- Suprapubic cystolithotomy was performed for stone removal.
Main Results:
- A giant calculus measuring 6.5×6×5.5 cm and weighing 125g was successfully removed.
- The patient experienced symptom resolution post-surgery.
- Follow-up cystoscopy revealed normal findings.
Conclusions:
- Urinary outflow obstruction should be excluded in all giant bladder calculus cases.
- Patients without predisposing conditions require specific evaluation.
- Treatment for bladder calculi is individualized based on stone characteristics and comorbidities.
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