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[Giant bladder calculus. Report of a clinical case]
1Divisione di Chirurgia Generale, Ospedale S. Massimo, Penne, Pescara.
Minerva Chirurgica
|January 1, 1995
Summary
This case study details a giant bladder stone (vesical calculus) weighing 380 grams in an elderly patient. Surgical removal led to a full recovery, highlighting a rare but treatable urological condition.
Area of Science:
- Urology
- Nephrology
- Surgical Pathology
Background:
- Giant vesical calculus is a rare urological condition.
- Diagnosis often relies on patient-reported symptoms and imaging.
- Literature review reveals diverse etiologies and compositions of bladder stones.
Observation:
- An 89-year-old male presented with lower abdominal pain.
- Diagnostic workup revealed a massive vesical calculus.
- The calculus was surgically removed via epicystotomy.
Findings:
- The giant vesical calculus weighed approximately 380 grams and had a mixed composition.
- The patient recovered fully within two weeks post-surgery.
- Etiology of such large stones remains multifactorial and often unclear.
Implications:
- Giant bladder stones necessitate surgical intervention, typically epicystotomy.
- Current literature lacks reports on extracorporeal lithotripsy for giant vesical calculi.
- Further research is needed to elucidate the primary formation site and common etiologies.