Giant bladder calculus in a patient with recurrent urinary tract infections

• Autor(a) principal: Silva Holanda, Gabriela
• Data de Publicação: 2023
• Outros Autores: Morais Teles, Felipe, Lima, Rafael Siqueira, Bezerra Silva Junior, Geraldo
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Journal of Health & Biological Sciences
• Texto Completo: https://periodicos.unichristus.edu.br/jhbs/article/view/4975
• topic: cálculo gigante; infecção urinária; bexiga; doença renal; giant calculus; urinary tract infection; bladder; kidney disease

A giant bladder stone is rare and is usually defined as “giant” if its weight is over 100g. We describe a 43-year-old man who presented with urinary sepsis, hypotension, abdominal pain, and a vesicocutaneous urinary fistula. Laboratory tests showed hemoglobin 6.6 g/dL, leukocytes 22,700/mm³, creatinine 7.29mg/dL (eGFR 8.8mL/min/1.73m2), urea 181 mg/dL, serum pH 6.99 and bicarbonate 6 meq/L. Abdominal tomography showed bilaterally reduced cortical thickness of the kidneys and a bladder stone of 6x6x11 cm. He was treated with antibiotic therapy, dialysis, and open cystolithotomy. Clinical improvement was observed, despite kidney disease persistence, with chronic dialysis therapy.