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Giant Vesicle Calculus Presenting With Azotemia and Hydroureteronephrosis: A Case Report
Anjali Joshi1, Parikshit Prasai1, Mandish Prasad Phuyal1
1Kathmandu Medical College and Teaching Hospital Kathmandu Nepal.
Clinical Case Reports
|March 26, 2025
Summary
Giant bladder stones, defined as urinary bladder stones over 4cm, are rare. This case highlights a 63-year-old male with a large bladder calculus presenting with kidney dysfunction.
Area of Science:
- Urology
- Nephrology
- Radiology
Background:
- Giant vesical calculus, defined as a urinary bladder stone exceeding 4 cm in diameter, is a rare clinical finding.
- Such large stones can lead to significant urinary tract complications.
Purpose of the Study:
- To report a rare case of giant vesical calculus in a 63-year-old male.
- To describe the diagnostic imaging and surgical management of this condition.
Main Methods:
- Abdominal Ultrasonography was used for initial diagnosis.
- Computed Tomography of the Kidneys, Ureters, and Bladder (CT KUB) provided detailed calculus characterization.
- Surgical intervention via cystolithotomy was performed.
Main Results:
- A giant vesical calculus measuring 6 x 3 cm was identified.
- The patient presented with azotemia and bilateral hydroureteronephrosis.
- CT KUB revealed a lamellated hyperdense calculus measuring 5.92 x 5.5 x 4.37 cm³.
- Cystolithotomy successfully removed the solitary calculus.
Conclusions:
- Giant vesical calculus is an uncommon urological condition that can cause significant renal impairment.
- Prompt diagnosis and surgical intervention are crucial for managing such cases.
- This case underscores the importance of imaging in identifying large bladder stones and associated complications.
