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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...

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Autores principales: Vidhyarthy, Ajit Kumar, Hameed, Tariq, Lal, Rohit, Kumar, Awadh, Sahni, Shivanand, Mendoza, Nanse
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020
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.
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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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