Giant Bladder Stone Research Articles

Pelvic organ prolapse related giant urinary bladder stone – Case report

Pelvic organ prolapse related giant urinary bladder stone – Case report

Giant Bladder Stone in a Young Woman

Bladder stones heavier than 100 g are defined as giant bladder stones. Bladder stones occur rarely in women compared to men. Bladder stones in women generally occur secondary to passage of suture material through the bladder following pelvic or gynecologic surgery. The disease is frequently manifested clinically with hematuria, recurrent urinary tract infection or urine retention. In this article, a 31-year-old woman who presented with nonspecific urinary tract symptoms and was found to have a giant bladder stone with a weight of 280 g as a result of the studies performed is presented. (JAREM 2014; 4: 132-4)

Giant bladder calculus with no retention of urine

Benign prostatic hyperplasia often produces chronic and progressive lower urinary tract symptoms or complications such as bladder stone, leading to retention of urine and to seek medical attention. Becharetal1 stated giant urinary bladder stone weighing 100 grams or more are uncommon. In our case 162 grams of bladder stone with few another stones about 10-15 grams in the left lower end of ureter were removed. Available treatment options for vesical calculus include open surgical removal, extracorporeal fragmentation and endoscopic crushing. Recently endo-surgical mechanical cystolithotripsy followed by percutaneous extraction has been in clinical practice for small and moderate sized calculus. DOI: http://dx.doi.org/10.3329/bjms.v14i1.21573 Bangladesh Journal of Medical Science Vol.14(1) 2015 p.98-99

Giant bladder stone: A case report and review of the literature.

Bladder stones comprise 5% of urinary tract stones. Generally, they occur in the presence of bladder neck obstruction, urinary tract infections associated with neurogenic bladder and foreign objects. They are more common among men than women. Infection stones comprise approximately 15% of urinary tract stones. A giant bladder stone is a rare finding in contemporary urological practice. The general clinical setting is recurrent urinary tract infections, hematuria and urinary retention. We performed an open cystolithotomy on a mentally impaired patient who had a giant bladder stone. The stone removed weighed 465 grams. There was no evidence of any infravesical obstruction on the cystoscopy performed before the operation or during the operation. The stone consisted of 75% carbonate apatite and 25% struvite. Given that such a stone was found in a mentally impaired patient indicates that infection stones can form without infravesical obstruction.

Diagnosis and treatment of gallstone ileus

Gallstone ileus is a rare mechanical ileus,which was caused by discharge of giant gall bladder stone to the intestine.Understanding the causes of ileus is the key factor for treatment,and surgical treatment is the treatment of choice.An old patient with gallstone ileus was admitted to the Second Affiliated Hospital of Soochow University in April 2013.Preoperative X ray detection and computed tomography showed gallbladder wall thickening,formation of a sinus tract between the gall bladder and the duodenum,and intestinal ileus in the left iliac region (the diameter of the stone was about 4 cm).The patient received medical treatment for 3 days and then exploratory laparotomy + lithotomy.Gall bladder stones were not detected during the operation,so the gall bladder was preserved.The patient was followed up till December 2013,the sinus tract was disappeared under B sonography,and the cholecystitis was cured. Key words: Gallstone ileus; Internal biliary fistula; Cholelithiasis

Acute Renal Failure and Urosepsis Secondary to Giant Bladder Stone in Patient with Spinal Injury

Bladder stones account for 5% of all urinary system stones. They are frequently observed in old males and occur secondary to prostatic hyperplasia, neurogenic bladder, or other infravesical obstructions. Generally, bladder stones can be discharged spontaneously, while larger stones may block urination, resulting in full obstruction causing acute urinary retention. Furthermore, large bladder stones can cause unilateral or bilateral ureterohydronephrosis, while they can rarely cause renal failure. In this manuscript, we present a case of an acute renal deficiency and urosepsis that developed due to a large bladder stone in a young male patient who used a permanent catheter after a spinal cord injury. After the cystolithotomy, the removed stone weight was 280 g with a size of 5.5x4.2x3.6 cm. It should always be considered that very large bladder stones may render fatal clinical outcomes, though rarely. We aimed to emphasize the importance of periodic urinary system follow-up of patients with spinal cord injury.

Giant Urinary Bladder Stone

A 27-year-old woman presented with a history of recurrent urinary tract infections in infancy and urinary incontinence secondary to lipomyelomeningocele. At the age of 7, she underwent bladder augmentation enterocystoplasty, requiring intermittent catheterization without urinary tract infections until present. A Tc-DTPA renography was performed to evaluate renal function, in which an abnormal tracer distribution was seen in urinary bladder, and furthermore, a retrograde cystography shows a giant bladder stone.

A Giant Vesical Stone Causing Impending Rupture of Bladder During Labor.

Giant vesical calculus (more than 100 g) is a very rare clinical entity [1]. During pregnancy, it may be associated with infections, abortions, premature delivery, urinary fistula, and rarely dystocia of labor [2]. When bladder stone (BS) remains asymptomatic and thereby gains large size of several centimetres, it may be diagnosed first time during labor when timely interventions must be taken to prevent vesico-vaginal (VVF) or vesico-cutaneous fistula [2]. Here, we described a case of giant bladder stone diagnosed during labor which was associated with impending rupture of bladder, anuria, and hemorrhagic cystitis.

Cannon-ball bladder stones: a complication of prolonged recumbence and benign prostate enlargement

Chronically bedridden patients are predisposed to various urological complications such as urinary infections, incomplete urinary bladder emptying after voiding and stone formation in the urinary tract, more so in the absence of good nursing care. Multiple giant bladder stones giving rise to ‘cannon ball’ appearance have rarely been reported. We present the case of an 85-year-old frail gentleman who was bedridden for the last 25 years and presented with haematuria. On evaluation he was found to have multiple large bladder stones and bladder diverticuli with enlarged prostate gland. This case highlights a relatively rare urological complication of prolonged recumbency, and emphasizes the importance of proper nursing care, early detection, management and prevention of such complications.

An unusual consequence of urinary catheter neglect: A giant bladder stone

Introduction: Indwelling urinary catheters cause a variety of complications including infections, pain and bleeding. Sometimes, the catheter becomes encrusted and blocked. Case Report: A 66-year-old male was presented with increasing suprapubic pain for about two months because of a poorly draining Foley catheter. Two years earlier, the patient had undergone a transurethral resection of the prostate (TURP) gland. He was given a Foley catheter and asked to follow-up in a week. He did not follow-up or change the catheter for two years. The catheter could not be removed. A computed tomography scan of the abdomen showed a large encrustation of 5.0x5.2x5.5 cm surrounding the Foley. The patient underwent open suprapubic cystostomy with intact retrieval of stone along with the catheter. Conclusion: Indwelling Foley catheters frequently become encrusted and may become difficulty to remove. The developments of giant encrustations are unusual. Such giant encrustations usually need surgery for removal.

Infravesical obstruction results as giant bladder calculi

A 48-year-old man was hospitalized with the chief complaints oflower abdominal pain, pain during micturation and pollakuria.Plain radiography showed 2 giant bladder stone shadows: one as6.0 × 5.0 cm and the other one 5.0 × 5.0 cm in size. Cystolithotomywas performed. The first stone weighed 400 g and measured6.0 × 5.0 × 6.0 cm in size, and the other stone was fragmented tosmaller particles with pneumatic lithotriptor. Although a bladderstone is not rare, this case is interesting for 2 huge bladder calculithat were completely obstructing the bladder outlet and observedseveral years following pelvic trauma. To the best of our knowledge,our patient represents one of the largest bladder stone casesreported to date.

Zorunlu Pozisyon Değişikliği ile Miksiyon: Dev Mesane Taşı

Voiding by Mandatory Position Changing: Giant Bladder Stone Bladder Stones frequently develops on the base of neurogenic micturation disorders, infection, bladder outlet disorders, spinal cord injury and foreign bodies. BPH for men and previous incontinans surgery in women are risk factors for bladder Stone development according to gender. In this case report a 49 years old man, who can void by mandatory position changing owing to a giant bladder stone is presented .

Acute renal failure and urosepsis secondary to giant bladder stone in patient with spinal injury

Acute renal failure and urosepsis secondary to giant bladder stone in patient with spinal injury

Giant bladder stone and a rare complication

British Journal of Hospital MedicineVol. 73, No. 12 Images in MedicineGiant bladder stone and a rare complicationMohamed I Abdulmajed, Iqbal S ShergillMohamed I AbdulmajedSearch for more papers by this author, Iqbal S ShergillSearch for more papers by this authorMohamed I Abdulmajed; Iqbal S ShergillPublished Online:16 Aug 2013https://doi.org/10.12968/hmed.2012.73.12.713AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article FiguresReferencesRelatedDetailsCited byMassive Vesical Calculi Formation as a Complication of Augmentation Cystoplasty15 November 2014 | Nephro-Urology Monthly, Vol. 7, No. 1 1 December 2012Volume 73Issue 12ISSN (print): 1750-8460ISSN (online): 1759-7390 Metrics History Published online 16 August 2013 Published in print 1 December 2012 Information© MA Healthcare LimitedPDF download

Infravesical obstruction results as giant bladder calculi

A 48-year-old man was hospitalized with the chief complaints of lower abdominal pain, pain during micturation and pollakuria. Plain radiography showed 2 giant bladder stone shadows: one as 6.0 × 5.0 cm and the other one 5.0 × 5.0 cm in size. Cystolithotomy was performed. The first stone weighed 400 g and measured 6.0 × 5.0 × 6.0 cm in size, and the other stone was fragmented to smaller particles with pneumatic lithotriptor. Although a bladder stone is not rare, this case is interesting for 2 huge bladder calculi that were completely obstructing the bladder outlet and observed several years following pelvic trauma. To the best of our knowledge, our patient represents one of the largest bladder stone cases reported to date.

A Giant Bladder Stone With Bilateral Hydronephrosis in a Young Male

We report a 35-year-old man with bilateral hydronephrosis found during a routine health examination. Kidney-ureter-bladder scout film showed a huge, oviform pelvic calculus (6.2 × 5.1 cm), and the calculus was treated endoscopically by electrohydraulic lithotripsy with excellent results. Bladder stones are a common problem, but it is rare for a calculus to be large enough to cause bilateral hydronephrosis in a young male. Surgical intervention by either cystolithotomy or endoscopic cystolithotripsy can achieve satisfactory results. Close follow-up is mandatory, because the recurrence of urolithiasis is high in those patients with voiding problems and there is also recurrent urinary infection. This case report illustrates the importance of sonographic evaluation of patients with bilateral hydronephrosis for the diagnosis of bladder calculi.

Giant Bladder Stone in a Natural Mummy of the Early 19th Century

We present a case of a giant bladder stone, 7.5 cm in diameter, found in the pelvis of a 19th-century natural mummy from Borgo Cerreto (central Italy). We used microchemical energy-dispersive x-ray spectroscopy analysis and x-ray diffraction to define the mineral composition of the stone and obtain information about its internal structure. Chemical analysis showed a mixed composition. The internal layers contained mostly ammonium acid urate, whereas the external layers were composed of magnesium ammonium phosphate (struvite). Our research suggests a metabolic origin for the calculosis, with superimposed infection.

Uretrolitotricia y cistolitotricia de litos uretrales gigantes con abordaje transperineal

To show that a one-stage transperineal procedure may be effective in the treatment of urethral stones secondary to urethral strictures. We present the case of a 36 y/o paraplegic male with neurogenic bladder, history of intermittent catheterization, and urethral strictures treated with internal urethrotomies several times. Imaging tests showed the presence of giant urethral and bladder stones with a concomitant bulbar urethra stricture. A one-stage transperineal approach was indicated. Postoperative follow up was satisfactory. The patient was discharged from the hospital one day after the surgery. At 12 months there were no signs of urethral obstruction and he continued with intermittent catheterizations uneventfully. One stage procedure was indicated because previous endourological treatments were unsuccessful. To our knowledge there is no published case of urethral stones the size we report to or its treatment with lithotripsy and litholapaxy in a one-stage transperineal approach.

Giant Bladder Stone Transurethrally Removed in One Piece Without Urethral Injury

We operated on an 87-year-old female suffering from a giant bladder stone. Her chief complaint was fever and lower abdominal pain, which was caused by lodgement in the urethra. The stone was easily removed in one piece without breakage or injury to the urethral orifice and urethra using forceps normally used for grasping bones in orthopedics. The stone measured 75×50×45 mm and was composed of magnesium ammonium phosphate. To our knowledge, this is the largest bladder and/or urethral stone that was transurethrally removed without being broken. Thus, forceps that are normally used for grasping bones in orthopedics can be used to remove giant bladder stones without leaving stone fragments.

Vesicolithotomy for Acute Intestinal Obstruction

A 57-year-old man was referred with lower urinary tract symptoms, suprapubic discomfort and recent alteration in bowel habits. He had been involved in a motor vehicle accident 20 years previously, sustaining a fracture of the right femur, which was internally fixed. He did not sustain any lower urinary or spinal injuries. Clinical examination revealed an otherwise healthy individual with normal abdominal and focused neurological findings. He was not uremic. Further investigation confirmed a giant bladder stone measuring 14 12.5 cm with bilateral mild hydronephrosis on ultrasonography. Cystoscopy confirmed absence of bladder outflow obstruction. Vesicolithotomy was elected. However, acute large bowel obstruction developed, characterized by progressive abdominal distention and absolute constipation with hyperactive bowel sounds. On digital rectal examination the large stone was found to be compressing the rectal lumen with no evidence of impacted feces. Erect and supine abdominal x-rays confirmed acute large bowel obstruction (fig. 1). “Drip and suction” with antibiotics administered for 24 hours were futile as the abdominal distention worsened and nasogastric aspiration increased. Emergency extraperitoneal vesicolithotomy was performed through a lower midline incision. Wrigley’s forceps (used for forceps delivery) were used to extract the stone (fig. 2). This maneuver relieved the bowel obstruction and subsequent recovery was uneventful. Postoperative colonoscopy excluded any organic lesion in the colon. Urodynamics confirmed an atonic bladder.