Symeonidis Evangelos N, Memmos Dimitrios, Anastasiadis Anastasios, Mykoniatis Ioannis, Savvides Eliophotos, Langas Georgios, Baniotis Panagiotis, Bouchalakis Athanasios, Tsiakaras Stavros, Stefanidis Panagiotis, Stratis Michail, Mutomba Wilbert F, Vakalopoulos Ioannis, Dimitriadis Georgios
1st Department of Urology, Aristotle University of Thessaloniki, School of Medicine, "G. Gennimatas" General Hospital, Thessaloniki, Greece.
Acta Med Litu. 2022;29(1):149-156. doi: 10.15388/Amed.2021.29.1.6. Epub 2022 Jan 26.
An uncommon type of urinary calculus, Jackstone was named after its distinct resemblance to the children's game "Jacks." It typically involves the bladder and, to a lesser extent, the upper urinary tract.
Herein, we report a case of Jackstone vesical calculus in a 75-year-old male undergoing elective open prostate surgery for benign prostate hyperplasia refractory to medical treatment. Preoperative clinical examination revealed intermittent gross hematuria and symptoms suggestive of bladder outlet obstruction, while radiological investigation confirmed the presence of a solitary star-shaped spike-like bladder stone along with an overly enlarged prostate. Following open simple prostatectomy and concomitant intact stone removal, our patient made an uneventful postoperative recovery.
This case highlights an infrequent subtype of bladder lithiasis and further expands upon the importance of promptly treating the underlying cause once this rare entity is detected. A comprehensive review of the literature on Jackstone calculi is further presented.
膀胱结石是一种不常见的尿路结石，因其与儿童游戏“抛接子”极为相似而得名。它通常累及膀胱，较少累及上尿路。
在此，我们报告一例75岁男性膀胱结石病例，该患者因药物治疗无效的良性前列腺增生接受择期开放性前列腺手术。术前临床检查发现间歇性肉眼血尿及膀胱出口梗阻症状，而影像学检查证实存在一枚孤立的星形尖刺状膀胱结石以及前列腺过度增大。在进行开放性单纯前列腺切除并完整取出结石后，患者术后恢复顺利。
本病例突出了膀胱结石一种罕见的亚型，并进一步强调了一旦发现这种罕见病症应及时治疗潜在病因的重要性。此外还对膀胱结石的文献进行了全面综述。
