Description

ABSTRACT

Urinary lithiasis is a very common urological disease but bladder lithiasis is very uncommon and account for about 5% of urolithiasis and most frequent urolithiasis in pediatric age. Giant calculi can present with few symptoms, it is very important to exclude lower urinary tract obstruction as the cause, but significant cases may come without obstruction. The male sex is more affected than the female sex.

This is a case of a 34 year old non diabetic and non-hypertensive male patient with complaint of suprapubic pain, dysuria and increased frequency of micturition for more than two years prior to presentation.

The patient had plain abdominal radiograph showing the region of the kidneys, ureters and urinary bladder (KUB) with an abdominopelvic ultrasonography. These demonstrated a calculus in the urinary bladder measuring about 10.5cm x 5.5cm in mediolateral and craniocaudal dimensions. The patient had extraperitoneal cystolithotomy with extraction of the entire calculus.

We present a case of a giant calculus in this patient due to its rare nature and peculiar presentation.

Key words:Urolithiasis, Urinary Bladder, Tract, Hematuri