Ofluoglu Yilmaz, Aydin Hasan Riza, Kocaaslan Ramazan, Adanur Senol, Ziypak Tevfik
Department of Urology, Ardahan State Hospital, Ardahan, Turkey.
Department of Urology, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
Eurasian J Med. 2013 Oct;45(3):211-3. doi: 10.5152/eajm.2013.41.
Bladder stones are frequently seen in elderly men and account for 5% of all urinary stones. They develop secondary to infravesical obstructions, such as prostatic hyperplasia and neurogenic bladder. A 56-year-old patient with frequent and painful urination, dysuria, and minor complaints of suprapubic pain was referred to our clinic. He was diagnosed with bladder stones by non-contrast abdominopelvic computerized tomography, kidney-ureter-bladder radiography, and urinary system ultrasonography. Cystolithotomy was applied on a giant stone measuring 11×6.5×10 cm that filled the intravesical cavity nearly completely. Here, we present this case of a giant bladder stone causing renal dysfunction within the context of findings in the literature.
膀胱结石在老年男性中较为常见,占所有尿路结石的5%。它们继发于膀胱下梗阻,如前列腺增生和神经源性膀胱。一名56岁的患者因尿频、尿痛以及耻骨上区轻微疼痛前来我院就诊。通过非增强腹部盆腔计算机断层扫描、静脉肾盂造影和泌尿系统超声检查,他被诊断为膀胱结石。对一块大小为11×6.5×10 cm、几乎完全充满膀胱腔的巨大结石进行了膀胱切开取石术。在此,我们结合文献中的研究结果,报告这例导致肾功能障碍的巨大膀胱结石病例。