Abstract
We report an interesting case of complicated urinary tract infection. 72-year-old man was brought to our Emergency Department (ED) due to abdominal pain and general weakness for 2 days. He was febrile with a body temperature of 39.2°C. Physical examination showed lower abdominal tenderness. Serum laboratory examination revealed severe leukocytosis and high procalcitonin level. Urinalysis revealed hematuria and pyuria. KUB showed multiple small calcified lesions and one huge calcified mass projecting in the lower pelvis. CT of abdomen displayed multiple calcifications of prostate and a large calculus (4.2 x 2.7 cm) in the poster urethrae. The diagnosis of huge urethral stone complicated with urinary tract infection was made finally. Early recognition and appropriate treatment of urolithiasis associated complications are imperative.
Highlights
Urinary tract stones are a common disease; urethral calculi are scarce in recent literature
Giant urethral calculus is uncommon and can cause acute renal failure associated with urological tract outflow obstruction combined with urinary tract infection and sepsis [1,2,3]
This is an educational case because giant urethral calculi lead to complicated urinary tract infection with sepsis and acute renal failure
Summary
Urinary tract stones are a common disease; urethral calculi are scarce in recent literature. Urethral calculi most usually originate from the upper urinary tract or from the bladder, and it can form in situ. When stones occlude the urethra, it can cause acute urinary retention, urethral injury and obstructive renal failure [1,2,3]. Giant urethral stones can lead to long-term urethral damage, incontinence and renal insufficiency [1,2,3]. Giant urethral calculus is uncommon and can cause acute renal failure associated with urological tract outflow obstruction combined with urinary tract infection and sepsis [1,2,3]. Have significant symptoms attributable to a giant urethral calculus should undergo surgical intervention as soon as possible to minimize associated complications
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