Nugroho Eriawan Agung, Junita Dila, Wijaya Yanuar Hendra
Staff of Department of Urology, Faculty of Medicine Diponegoro University, dr. Kariadi General Hospital, Semarang, Indonesia.
General Surgery Resident, Faculty of Medicine Diponegoro University, dr. Kariadi General Hospital, Semarang, Indonesia.
Urol Case Rep. 2019 Jun 12;26:100945. doi: 10.1016/j.eucr.2019.100945. eCollection 2019 Sep.
Giant bladder stone more than 100 g is a rare finding and commonly associated with urinary tract infection. 32-year-old male came with history of lower abdominal pain, dysuria for 2 years. Patient had history of recurrence urinary tract infections for past 1 year and also complaint pollakiuria, incomplete emptying and hematuria. Abdominal radiograph and ultrasound revealed round calcified pelvic calculi. Patient received antibiotic and underwent open cystolithotomy. Extirpated calculi measured 12.6x9.8 × 7.5cm, 832 g. Postoperative follow-up showed no signs of complications. Complete stone removal and eradication associated urinary tract infections are the main objective of the treatment.
重达100克以上的巨大膀胱结石是一种罕见的发现，通常与尿路感染有关。一名32岁男性因下腹痛、排尿困难2年前来就诊。患者在过去1年中有复发性尿路感染病史，还主诉尿频、排尿不尽和血尿。腹部X线片和超声检查显示盆腔有圆形钙化结石。患者接受了抗生素治疗并接受了开放性膀胱切开取石术。取出的结石尺寸为12.6×9.8×7.5厘米，重832克。术后随访未发现并发症迹象。彻底清除结石并根除相关尿路感染是治疗的主要目标。
