![]() Urine culture was not performed due to the temporarily unavailable facility in our public service. Hemoglobin level increased for 9.5 after transfusion. He was submitted to blood transfusion and dialysis due to uremic state. The abdomen was plan, with painful hardened hypogastric protrusion, well delimited in a circumferential form, without any sings of peritoneal irritation ( Figure 1).Īdmission laboratory tests showed leukocytosis with white blood cells of 16.160 [reference value (RV): 5.2–12.4), severe anemia with hemoglobin value of 6.6 (RV: 12–18), urea of 313 (RV: 10–40), creatinine of 8.43 (RV: 0.5–1.3) and glucose level of 124 mg/dL. He currently weighed 50 kg and there were no respiratory or cardiac abnormal findings in physical examination. The patient reported palpable mass growth in low abdomen for the last 10 years with intense weight loss of almost 20 kg.Īt first examination, the patient was stable, afebrile, acyanotic, anicteric, dehydrated, and vital signs in normal values. He had no significant past surgical history, comorbidities, or drug allergy. He also reported asthenia, hiccups, and vomiting for the last couple of weeks before admission. We report a case of giant vesical calculus measuring 17 × 13 × 16 cm and weighing 2730 g, associated with staghorn calculus in right kidney.Ī 56-year-old Brazilian man was admitted in our urgent urology service with chief complaint of dysuria and progressive decrease in urinary volume associated with painful mass in low abdomen. The largest vesical calculus reported in literature weighed 6294 g. Severe symptoms as urinary retention or hydronephrosis can also be present. Patients with clinical manifestations may present urinary tract infection symptoms such as dysuria, pollakiuria and hematuria. īladder stones may evolve asymptomatic or symptomatic. The primary stones are common in children with low protein diet, while secondary stones are associated with urinary obstruction, neurogenic bladder, or bladder diverticulum. Urinary bladder stones can be classified as primary or secondary. Bladder stones usually occur due to urinary tract infection (UTI) or obstruction or enlargement of the prostate gland in men and are responsible for 5% of all urolithiasis, ,. It is defined as urinary bladder stone weighing more than 100 g. Giant vesical calculus is uncommon in modern urology practice. ![]()
0 Comments
Leave a Reply. |