Hidayatullah Furqan, Renaldo Johan, Kloping Yudhistira Pradnyan, Rahman Zakaria Aulia, Salsabila Sirin, Hakim Lukman
Department of Urology, Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, Indonesia.
Dr. Soetomo General-Academic Hospital, Surabaya, East Java, Indonesia.
Radiol Case Rep. 2023 Aug 30;18(11):3949-3953. doi: 10.1016/j.radcr.2023.08.022. eCollection 2023 Nov.
Giant bladder calculi are rare and long-term usage of cystostomy could cause stone formation. Due to the lack of evidence on giant bladder calculi and the long-term usage of cystostomy can cause bladder calculi formation, we provide a case study of a man with a neglected cystostomy with giant bladder calculi for 4 years. A fixed mass was discovered in the suprapubic region. Ultrasound examination revealed 4.1 × 5.5 cm bladder calculi and contracted left kidney. Bipolar voiding cystourethrography portrayed stricture in pars pendular and membranacea, uneven bladder wall, and 4.5 × 4.5 cm bladder calculi. The stone was extracted, and the bladder filling test revealed a small bladder capacity. Since the patient refused urethral reconstruction and bladder augmentation, he was discharged with another cystostomy catheter. Six-month follow-up revealed no forming stones. Neglected cystostomy catheter can cause giant bladder calculi. Prompt diagnosis and treatment should be made to manage this condition to reduce the likelihood of bladder cancer.
巨大膀胱结石较为罕见，长期使用膀胱造瘘术可能导致结石形成。鉴于缺乏关于巨大膀胱结石的证据，且长期使用膀胱造瘘术会导致膀胱结石形成，我们提供了一个病例研究，该患者因膀胱造瘘术被忽视，患有巨大膀胱结石达4年之久。在耻骨上区域发现一个固定肿块。超声检查显示有4.1×5.5厘米的膀胱结石以及左肾萎缩。双极排尿膀胱尿道造影显示尿道悬垂部和膜部狭窄、膀胱壁不平整以及4.5×4.5厘米的膀胱结石。结石被取出，膀胱充盈试验显示膀胱容量较小。由于患者拒绝尿道重建和膀胱扩大术，他带着另一根膀胱造瘘导管出院。六个月的随访显示无结石形成。被忽视的膀胱造瘘导管可导致巨大膀胱结石。应及时进行诊断和治疗以处理这种情况，从而降低患膀胱癌的可能性。
