Giant Bladder Stone Research Articles

Multiple giant bladder stones in spinal cord injury patient from rural Indonesia: a rare case report

Multiple giant bladder stones in spinal cord injury patient from rural Indonesia: a rare case report

Giant Urinary Bladder Stone in Association with Acute Kidney Injury: A Rare Urological Emergency

Giant Urinary Bladder Stone in Association with Acute Kidney Injury: A Rare Urological Emergency

GIANTS BLADDER STONES WITH ACUTE RENAL FAILURE IN PATIENT WITH A UNDIAGNOSED NEUROLOGICAL BLADDER DUE TO A SPINAL CORD INJURY : UNCOMMON CASE

Urinary tract stones are common in spinal cord injury patients, affecting both the upper and lower urinary tracts. However giant bladder stones are rare, defined as those weighing more than 100 grams, although rare, pose significant clinical challenges and often result from underlying factors such as neurogenic bladder dysfunction. We present the case of a 35-year-old tetraplegic who was admitted with deteriorating general health and subsequently diagnosed with a massive bladder stone leading to acute renal failure. This case highlights the importance of early urological assessment in patients with neurological bladder problems. It also highlights the social taboo surrounding urogenital problems, which can delay necessary medical intervention.

Giant urinary bladder stone: an uncommon cause of anuria

Giant urinary bladder stone: an uncommon cause of anuria

Giant bladder calculus in a patient with recurrent urinary tract infections

A giant bladder stone is rare and is usually defined as “giant” if its weight is over 100g. We describe a 43-year-old man who presented with urinary sepsis, hypotension, abdominal pain, and a vesicocutaneous urinary fistula. Laboratory tests showed hemoglobin 6.6 g/dL, leukocytes 22,700/mm³, creatinine 7.29mg/dL (eGFR 8.8mL/min/1.73m2), urea 181 mg/dL, serum pH 6.99 and bicarbonate 6 meq/L. Abdominal tomography showed bilaterally reduced cortical thickness of the kidneys and a bladder stone of 6x6x11 cm. He was treated with antibiotic therapy, dialysis, and open cystolithotomy. Clinical improvement was observed, despite kidney disease persistence, with chronic dialysis therapy.

Giant Bladder Stone in a Young Male: When Surgery Complements Medicine for Better Outcomes

Giant Bladder Stone in a Young Male: When Surgery Complements Medicine for Better Outcomes

Vesicolithotomy in 64 Year-Old Male with Giant Bladder Stone at Leona Hospital, Kupang, East Nusa Tenggara, Indonesia

Giant bladder stone is a rare case of urinary tract stones. These cases are strongly related to social economy status. The patient was a 64 year old male with bladder stone with the size of 10,5 cm x 7,5 cm. The patient presented to emergency department with pain on lower abdomen due to severe lower urinary tract symptoms. A hard mass was palpable in suprapubic area. Cystoscopy was performed, followed by vesicolithotomy. Conclusion : Giant bladder stone can be treated by vesicolithotomy preferably following cystoscopy procedure to eliminate the possibility of bladder mass.

Giant urinary bladder stones, disease of underserved area - The largest case series

Giant urinary bladder stone is defined as a stone weight of more than 100 grams, and more than four centimeters in its longest diameter. It is a rare finding in the current urology practice. To our knowledge, this is the first giant bladder stone series reported in adult Sudanese patients. And it is the longest series worldwide. Here, we report four males with bladder stones (BS) seen in one year. The youngest one was 35 years, and the oldest one was 73 years. Clinical presentation was lower urinary tract symptoms (LUTS) in all cases. One of them was schizophrenic and presented with storage symptoms. Ultrasonography (USS) was done in all cases, and plain x-ray KUB was done in one case. Cystoscopy is done in one case. One of them has obstructing prostate lobes and strawberry stone, he had vesicolithotomy (VL) and transvesical prostatectomy (TVP) simultaneously. All patients underwent open VL. In one of them operation was done under general anesthesia, and three were done under spinal anesthesia. Two of them had vesicocutaeous fistula (VCF), one healed in three months and the other in three weeks. The rest two had an uneventful postoperative course. One of them had a renal impairment that normalized following surgery.

A GIANT BLADDER STONE IN A YOUNG FISHERMAN FROM MOLUCCAS: A CASE REPORT

Objective: To present a rare case of a giant bladder stone. Case(s) Presentation: We report a 20-year-old fisherman, with excessive exposure to sunlight, poor fluid intake, and unhealthy lifestyle, who came to the hospital clinic with a 2-year-history of progressing dysuria, frequency, and hematuria. Investigations revealed a giant bladder stone without bladder outlet obstruction. Open cystolithotomy was performed and a giant stone with 13.2x8x8.3 cm in size was extracted without adhesion to the bladder wall. Discussion: A Giant bladder stone is a rare disease and fewer than 100 cases have been reported globally. Patients commonly are accompanied by multifactorial conditions and have a wide range of presentations. Conclusion: This case presents a giant bladder stone without bladder outlet obstruction in a young adult, it is considered that the stone rose due to other significant factors that followed the patient.

A Rare Case Report of Giant Urinary Bladder Stone Causing Recurrent Dysuria in a Woman

Background Large urinary bladder stones are not common and even less common in females. We report a case of large bladder stone presented with acute retention of urine in a female patient. Case Report. A 62-year-old female presented in emergency department with retention of urine for 12 hours with history of recurrent UTIs for last 1 year. She was also complaining of mild dull lower abdominal pain for last 6 months. She had no history of incontinence of urine and fever. On physical examination, hard mass was palpable on suprapubic region on palpation of abdomen. Urine culture shows Escherichia coli for which antibiotics was given. An X-ray kidney ureter bladder showed a radio-opacity in the pelvic region measuring 9 × 8 cm in size. Ultrasonography revealed bilateral mild hydronephrosis with a large bladder stone. Open cystolithotomy was performed, and the stone was taken out. Stone biochemical analysis showed predominantly urate crystals. Patient had uneventful postoperative course, and she was discharged on 4th postoperative day and was followed up for 1 months after operation. Conclusions Large urinary bladder stones are not common and even less common in females. Clinician should have think regarding large bladder stone as a cause of recurrent lower urinary tract symptoms like dysuria and should assess renal function for proper treatment. Open cystolithotomy is choice of operation in large bladder stone.

Giant bladder stone: A case report

Giant bladder stones are rare in younger patients. Herein, we report a case of acute renal failure in a 31-year-old male with a giant bladder stone. The patient presented with lower urinary tract symptoms and urinary retention with milky-white urine. An emergency suprapubic cystotomy was performed and an 11-cm oval, solid stone was removed. Post-operative creatinine levels progressively decreased to normal and the patient exhibited smooth urination and good recovery at follow-up. A comprehensive physical examination and thorough investigation of the patient's medical history are required during clinical evaluation, diagnosis and treatment, thus preventing misdiagnoses and ensuring prompt treatment.

A successful extraction of difficult giant bladder stone: A case report

Lately, the incidence of giant bladder stones has significantly declined. Severe acute kidney injury caused by bladder stones is rare. Open cystolithotomy would usually be the mode of treatment for such cases. However, few data reported on the technique used to deliver complicated giant bladder stones. We report such presentation and the exceptional technique of delivering a giant bladder stone weighing 1 kg in a 30-year-old man in Hospital Sultan Abdul Halim, Sungai Petani, Kedah. This technique involves using a chisel and a hammer.

Giant bladder lithiasis: A case in Togo

BackgroundGiant bladder stones are mostly found in developing countries. They are associated with a delay in diagnosis in these settings. We report a case discovered in a regional hospital in Togo.Case presentationHe was a 64 years old farmer. He arrived at the hospital with acute urine retention. Cystotomy of evacuation allowed the discovery of a giant bladder stone of 230 g. He had his lithiasis removed.ConclusionThe diagnosis and management of these giant lithiases remains a major challenge in Africa where poverty is a major obstacle.

Litiasis vesical gigante recurrente en el adulto. Reporte de un caso

The occurrence of cases of giant urinary stones considered has diminished significantly in its frequency since the advent of antibiotics and the appropriate control of urinary tract infections. The diagnosis of them is based on symptomatology and imaging studies. We present a case of a 59-year-old man with recurrent giant bladder stones. The patient was diagnosed with two vesical stones after performing a computerized axial tomography of the urinary system and later a cystolithotomy was performed to remove stones of up to 1,435 g. The morphoconstitutional analysis of the calculus revealed brushite, carbapatite and struvite as main components. The metabolic evaluation indicated the presence of hypocitraturia and hyperoxaluria.  This is the first report in the country of a giant lithiasis  in which the composition of the stones indicate infectious processes as the possible causes of formation. Key words:  Urinary Bladder Calculi, Urinary Tract Infections

Giant bladder stone resulting in renal failure and concurrent bladder cancer: A case report.

Introduction and importanceGiant bladder stone is a rare entity in the modern urological practice. There have been limited reports on giant bladder stone with concomitant renal failure and bladder cancer available in the literature.Case presentationA 43-year-old male patient presented to the ER with chronic gross hematuria, dysuria, intermittent urination, and bilateral flank pain. Laboratory investigations showed markedly elevated blood urea and serum creatinine levels at admission. Urinalysis revealed pyuria and hematuria with positive nitrite. The kidney-ureter-bladder (KUB) film showed a large single urinary bladder stone measuring 10 × 9 cm. Ultrasound examination revealed bilateral hydronephrosis. Suprapubic cystolithotomy was performed, and the stone was extracted from the bladder. A suspicious bladder mass was found incidentally. Biopsy of the mass showed a low-grade urothelial carcinoma with glandular differentiation and invasion of lamina propria, staged pT1NxMx. The kidney function test marked unimprovement of serum urea and creatinine after the surgery.Clinical discussionOpen cystolithotomy was performed to release the obstruction and preserve renal function. Chronic obstruction, long-standing chronic inflammation, and urinary tract infection might play a vital role in the progression of kidney injury and the development of bladder cancer.ConclusionComplications that follow giant bladder stone could be long-lasting and taxing for the sufferer. The risk of renal failure and bladder cancer precipitated by chronic obstruction and mucosal injury should be considered when encountering such case.

Giant bladder stone in children

Bladder stones account for approximately 5% of all urinary system stones and are prevalent among children living in poor or rural regions due to low socioeconomic status, a diet with low protein, animal milk (goat milk), and dehydration. Herein, we report a 4 years old child with a large bladder stone of 34 × 29 × 23 mm in dimension and 62 gm in weight successfully managed with open cystolithotomy. Early diagnosis and management of bladder stones in the pediatric age group are crucial to prevent subsequent complications including recurrent urinary tract infections, excessive antimicrobial use and dissemination of antimicrobial resistance, and consequent renal insufficiency.

PERCUTANEOUS CYSTOLITHOLAPAXY AS AN ALTERNATIVE APPROACH FOR GIANT BLADDER STONES: A CASE SERIES OF PATIENTS WITH SIGNIFICANT COMORBIDITIES

Objective: We reported two giant bladder stones cases, with significant comorbidities and mentally impaired patients, treated with PCCL. Case(s) Presentation: We report two cases of giant cystolithiasis (sized 8.8 cm x 7.2 cm and 7.0 cm x 5.8 cm) in male patients with impaired renal functions and mental illness. We performed PCCL on both patients with cystoscopy-guided bladder puncture and dilation, under spinal anesthesia. Stone fragmentation through transurethral (pneumatic) and percutaneous (suprapubic amplatz ultrasound) lithotriptors was performed simultaneously. Discussion: Stone fragments were evacuated through the nephroscope. These fluoroscopy-free procedures were performed under one hour. The patients were discharged on day three post-operatively without indwelling catheter. Conclusion: We performed PCCL with simultaneous transurethral fragmentation in giant bladder stone cases presenting with impaired renal functions and mental illness. We faced no significant post-operative issue. This technique, or its modified approach, is safe and applicable

Giant Urinary Bladder Stone in a Middle-Aged Male

Urolithiasis is a disorder that affects 10–15% of people at least once in their lives. Among the calculi affecting the urinary tract are the bladder stones. Giant urinary bladder stones are rare and can potentially lead to the onset of intense symptoms as well as life threatening repercussions. This disorder demands an accurate diagnosis with the use of imaging tools and laboratory tests, as well as an agile and appropriate therapeutic approach in order to prevent unfavourable outcomes. This paper reports on a bladder stone that was 18.5 cm in diameter and weighed 1.328 kg, which was extracted from a middle-aged male.

Serial Cases Report : 3 Cases Of Giant Bladder Stone In Dilumilpublic Health Center, East Nusa Tenggara, Indonesia

Giant bladder stone is a rare case of urinary tract stones. This case usually occurs because of delayed diagnosis due to limited medical facility. Cases Three cases of giant bladder stone were reported in Dilumil Public Health Center, East Nusa Tenggara. All patients are male. The first patient is 40 years old with a 9 x 8.7 x 6 cm bladder stone and that weighed 425 g. The second patient is 19 years old with a 6 x 5.5 x 5.5cm bladder stone and that weighed 116.5g. The third patient is 18 years old with 4.8 x 3.8 x 3.7cm stone and that weighed 105g. Two of three patient’s main complaint was urinary retention, while other patient complained of dysuria. All cases were treated with open vesicolithotomy. Conclusion Giant bladder stone weighing > 100g is uncommon. Initial careful diagnosis is needed to prevent delays in handling bladder stones in primary health facilities. These patients live in the same area and share the drinking water source. The bladder stone was removed by open vesicolithotomy without any complications.

Pediatric's giant bladder stone: A proposed new terminology

IntroductionBladder stones constitute approximately 5% of all urinary tract stones. In recent years, improved access to health care and improved nutritional status in children has led to a reduction of stone cases in many Asian countries. In the case of bladder stone in children, the term giant bladder stone which is based only on the stone burden cannot be applied, considering the capacity of a child's bladder that continues to increase with age. ObjectiveThis current study aims to propose a new term related to giant bladder stones in pediatric patient populations concerning the stone burden, bladder capacity, and renal impairment related to the bladder stone. MethodsThirty-four children with bladder stones in our center between January 2014 to August 2019 were admitted to the study. Data regarding patient's age, clinical symptoms, dietary history, socioeconomic status, laboratory investigations include complete blood examination, urinalysis and urine culture, presence of hydronephrosis, stone size, nutritional status, and type of procedure were collected. Estimated stone volume (ESV) was measured using Ackermann's formula, while estimated bladder capacity (EBC) was calculated using Koff formulas. Receiver operating characteristic (ROC) curve was constructed to determine the best cut-off value for determining what ESV to EBC ratio value at which a bladder stone cause hydronephrosis. ResultHydronephrosis was noted in 12 patients. A significant difference in the mean ESV and ESV to EBC ratio was found between those two groups (p < 0.001 and 0.006 respectively). ROC curve was used to assess the accuracy of the ESV to EBC ratio as a predictor of hydronephrosis incidence with the area under the curve 0.768 (95% CI 0.624 to 0.949). Cut-off value of this ESV to EBC ratio is 0.0286 with a sensitivity 94.40%, specificity 62.50%, positive predictive value 73.91%, and negative predictive value 90.90%. ConclusionWe propose to use the term giant in pediatric cases using the EBV to EBC ratio above 0.028.