Department of Surgery, Faculty of Medicine Hasanuddin University, Makassar, South Sulawesi, Indonesia.
General Practicioner, Siloam Hospital, Makassar, South Sulawesi, Indonesia.
Pan Afr Med J. 2023 Aug 25;45:181. doi: 10.11604/pamj.2023.45.181.38723. eCollection 2023.
The stone formation could occur due to urine stasis in the bladder diverticulum. However, the stones are usually smaller in size and can pass spontaneously. However, a giant stone inside vesical diverticulum is considered a rare entity. We report a 69-year-old male, with a two-year history of lower urinary tract symptoms along with a recurrence of urinary tract infection. An abdominal computed tomography scan revealed the presence of a giant bladder diverticulum and a large bladder stone. The patient underwent a transurethral bladder neck incision followed by diverticulectomy with stone extraction. The diverticulum size measures 6x4x3.8 cm and diverticulum stone size of 4x3x3 cm. Fortunately, the patient recovered well after the operation. In conclusion, giant stones inside large vesical diverticulum are a rare occurrence and should be considered in patients with lower urinary tract symptoms. Early diagnosis and optimal management of the obstruction are the principles to prevent long-term complications.
结石形成可能是由于膀胱憩室中的尿液淤滞。然而，这些结石通常较小，可以自行排出。然而，膀胱憩室内的巨大结石则较为罕见。我们报告了 1 例 69 岁男性，有 2 年的下尿路症状病史，且反复发作尿路感染。腹部 CT 扫描显示存在巨大膀胱憩室和大膀胱结石。患者接受了经尿道膀胱颈切开术，随后进行憩室切除术和结石取出术。憩室大小为 6x4x3.8cm，憩室结石大小为 4x3x3cm。幸运的是，患者术后恢复良好。总之，大膀胱憩室内的巨大结石较为罕见，对于有下尿路症状的患者应考虑到这种情况。早期诊断和梗阻的最佳处理是预防长期并发症的原则。
