Radiology department of Centro Hospitalar Universitário do Algarve, Portimão, Portugal; ABC - Algarve Biomedical Center, Faro, Portugal.
ABC - Algarve Biomedical Center, Faro, Portugal; Surgery department of Centro Hospitalar Universitário do Algarve, Portimão, Portugal.
Urology. 2020 Mar;137:e6-e7. doi: 10.1016/j.urology.2019.12.021. Epub 2019 Dec 28.
Jackstone calculus is a rare bladder stone with a unique appearance, presenting a stippled and spiculated contour. Correct diagnosis is important because it may have therapeutic implications, as this distinctive shape correlates with a specific mineral composition of calcium oxalate dihydrate, which tend to be easily fragmented by lithotripsy, allowing to attempt an endoscopic treatment instead of surgery in larger stones. We present the case of a 77-year-old male where a 2 cm bladder calculus was incidentally found on CT, with features that allowed to make straightforward the diagnosis of a jackstone calculus.
杰克氏结石是一种罕见的膀胱结石，具有独特的外观，呈点状和刺状轮廓。正确的诊断很重要，因为这可能具有治疗意义，因为这种独特的形状与二水草酸钙的特定矿物成分相关，二水草酸钙倾向于容易被碎石术破碎，从而可以尝试在内镜下治疗较大的结石，而不是手术。我们报告了 1 例 77 岁男性的病例，在 CT 上偶然发现了一个 2 厘米的膀胱结石，其特征可明确诊断为杰克氏结石。
