Samison L H, Razafimahandry H J C, Rakotosamimanana J, Andrianabelina R, Ranaivozanany A
Service de chirurgie viscérale B, HJRA, CHU, Antananarivo 101, Madagascar.
Bull Soc Pathol Exot. 2002 Nov;95(4):241-3.
We report two cases of giant calculus in two male farmers in 1999. They were operated on in the urologic ward by lithocystotomy. Infrared spectrophotometric analysis, carried out in Bordeaux, gave us the main components of the stones. These stones weighed respectively 350 g and 450 g. Research of common aetiology such as vesical neck stricture, prostatic hypertrophy, urethral stricture and urinary bladder diverticula was unsuccessful in case of the first patient; in the opposite, the second one had vesical diverticula discovered operatively. But two phenomena came out from this aetiologic investigation: particular regimen of these farmers (much starchy food) and geographical situation of their health centre (far from their home). We must make general practitioners sensitive to this early signs of the disease in order to provide their patients a precocious and better care.
1999年，我们报告了两名男性农民患巨大结石的病例。他们在泌尿外科病房接受了膀胱切开取石术。在波尔多进行的红外分光光度分析为我们提供了结石的主要成分。这些结石分别重350克和450克。对第一位患者进行的诸如膀胱颈狭窄、前列腺肥大、尿道狭窄和膀胱憩室等常见病因的研究未获成功；相反，第二位患者术中发现有膀胱憩室。但这项病因学调查出现了两个现象：这些农民的特殊饮食习惯（大量淀粉类食物）以及他们健康中心的地理位置（离他们家很远）。我们必须让全科医生对这种疾病的早期症状保持敏感，以便为他们的患者提供早熟且更好的护理。
