Asutay Mehmet K, Kilinc Celal, Bozkurt Osman, Coktu Kutsan, Celik Serdar
Urology, Mersin Tarsus State Hospital, Mersin, TUR.
Cureus. 2025 Mar 29;17(3):e81430. doi: 10.7759/cureus.81430. eCollection 2025 Mar.
Bladder stones are a common finding in urology practice although they are less common when compared to kidney and ureteral stones. This case report involves a male patient in his 40s with multiple giant bladder stones. The patient had neurogenic bladder disease due to spina bifida and had a history of bladder augmentation with continent urinary diversion when he was a child. He presented with difficulty in emptying bladder with clean intermittent catheterization. Open cystolithotomy was performed and six giant stones, five pyramid-shaped stones and a cube-shaped stone with a maximum diameter of 7 cm, were removed from the bladder. In our opinion, the rare occurrence of a high stone burden, stone weight and size, and geometric shapes of stones makes this case interesting. The patient was discharged from the hospital on the 10th day after the surgery and there were no postoperative complications.
膀胱结石在泌尿外科临床实践中较为常见，尽管与肾结石和输尿管结石相比相对少见。本病例报告涉及一名40多岁的男性患者，患有多发巨大膀胱结石。该患者因脊柱裂患有神经源性膀胱疾病，儿童时期有膀胱扩大术及可控性尿流改道术史。他表现为通过清洁间歇性导尿排空膀胱困难。实施了开放性膀胱切开取石术，从膀胱中取出了6块巨大结石，其中5块为金字塔形结石，1块为最大直径达7厘米的立方体结石。我们认为，如此高的结石负荷、结石重量和大小以及罕见的结石几何形状，使得该病例颇具趣味性。患者术后第10天出院，无术后并发症。
