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Giant Bladder Calculus in an Adult- A Persistent Problem in the Developing World: A Case Report
INTRODUCTION: Giant urinary bladder calculus in an adult is an uncommon entity. The number of patients with giant bladder calculi has decreased over recent years owing to wider availability of healthcare and better diagnostic modalities. CASE REPORT: We present a case of a young adult without any hi...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676780/ https://www.ncbi.nlm.nih.gov/pubmed/33217268 http://dx.doi.org/10.5811/cpcem.2020.7.47653 |
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author | Vidhyarthy, Ajit Kumar Hameed, Tariq Lal, Rohit Kumar, Awadh Sahni, Shivanand Mendoza, Nanse |
author_facet | Vidhyarthy, Ajit Kumar Hameed, Tariq Lal, Rohit Kumar, Awadh Sahni, Shivanand Mendoza, Nanse |
author_sort | Vidhyarthy, Ajit Kumar |
collection | PubMed |
description | INTRODUCTION: Giant urinary bladder calculus in an adult is an uncommon entity. The number of patients with giant bladder calculi has decreased over recent years owing to wider availability of healthcare and better diagnostic modalities. CASE REPORT: We present a case of a young adult without any history of recurrent urinary tract infections or bladder outlet obstruction with giant vesical calculus who presented to the emergency department with gross hematuria, abdominal pain, and dysuria. Investigations revealed a large calculus in the urinary bladder, and suprapubic cystolithotomy was performed. A large stone of 6.5×6×5.5 centimeters, weighing 125 grams, was removed. On follow-up, the patient was free of any symptoms and cystoscopy was normal. CONCLUSION: Urinary outflow obstruction must be ruled out in all patients with giant vesical calculus. Patients without any predisposing condition should be treated as a separate entity and evaluated accordingly. Multiple surgical treatment modalities are available for bladder calculus patients. Treatment is personalised as per size of stone, number of stones, and associated comorbidities. |
format | Online Article Text |
id | pubmed-7676780 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-76767802020-11-24 Giant Bladder Calculus in an Adult- A Persistent Problem in the Developing World: A Case Report Vidhyarthy, Ajit Kumar Hameed, Tariq Lal, Rohit Kumar, Awadh Sahni, Shivanand Mendoza, Nanse Clin Pract Cases Emerg Med Case Report INTRODUCTION: Giant urinary bladder calculus in an adult is an uncommon entity. The number of patients with giant bladder calculi has decreased over recent years owing to wider availability of healthcare and better diagnostic modalities. CASE REPORT: We present a case of a young adult without any history of recurrent urinary tract infections or bladder outlet obstruction with giant vesical calculus who presented to the emergency department with gross hematuria, abdominal pain, and dysuria. Investigations revealed a large calculus in the urinary bladder, and suprapubic cystolithotomy was performed. A large stone of 6.5×6×5.5 centimeters, weighing 125 grams, was removed. On follow-up, the patient was free of any symptoms and cystoscopy was normal. CONCLUSION: Urinary outflow obstruction must be ruled out in all patients with giant vesical calculus. Patients without any predisposing condition should be treated as a separate entity and evaluated accordingly. Multiple surgical treatment modalities are available for bladder calculus patients. Treatment is personalised as per size of stone, number of stones, and associated comorbidities. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020-09-23 /pmc/articles/PMC7676780/ /pubmed/33217268 http://dx.doi.org/10.5811/cpcem.2020.7.47653 Text en Copyright: © 2020 Vidhyarthy et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ |
spellingShingle | Case Report Vidhyarthy, Ajit Kumar Hameed, Tariq Lal, Rohit Kumar, Awadh Sahni, Shivanand Mendoza, Nanse Giant Bladder Calculus in an Adult- A Persistent Problem in the Developing World: A Case Report |
title | Giant Bladder Calculus in an Adult- A Persistent Problem in the Developing World: A Case Report |
title_full | Giant Bladder Calculus in an Adult- A Persistent Problem in the Developing World: A Case Report |
title_fullStr | Giant Bladder Calculus in an Adult- A Persistent Problem in the Developing World: A Case Report |
title_full_unstemmed | Giant Bladder Calculus in an Adult- A Persistent Problem in the Developing World: A Case Report |
title_short | Giant Bladder Calculus in an Adult- A Persistent Problem in the Developing World: A Case Report |
title_sort | giant bladder calculus in an adult- a persistent problem in the developing world: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676780/ https://www.ncbi.nlm.nih.gov/pubmed/33217268 http://dx.doi.org/10.5811/cpcem.2020.7.47653 |
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