Giant Urinary Bladder Stone in Association with Acute Kidney Injury: A Rare Urological Emergency

Abstract

Urinary stone remains a common urological disorder. Urinary bladder stone accounts for 5% of the urinary tract calculi. They are usually small and rarely present with complications; they may progressively increase in size, occupying the urinary bladder and resulting in the development of symptoms and complications. Our aim was to report the first case of a giant urinary bladder stone in association with severe kidney dysfunction in our Community. We report the case of a 65-year-old man with a 1-week history of decrease in urinary output and uremia following a referral from the general hospital. Remarkable findings on clinical examination were an elderly man that was confused, pale, and dehydrated. He had a suprapubic bladder Foley catheter which was inserted at the source of referral. Laboratory and imaging investigation revealed raised creatinine levels, bilateral hydronephrosis, and giant urinary bladder stone. These were suggestive of obstructive uropathy likely from the stone in association with severe kidney dysfunction. He had emergency open cystolithtomy and a 400g stone was removed. There was an immediate improvement in the urinary output and renal function. We have reported our experience on the successful management of giant urinary bladder stone in association with acute kidney injury. The patient recovered satisfactorily from acute kidney injury following emergency open cystolithotomy.

Keywords

• giant urinary bladder stone
• cystolithotomy
• obstructive uropathy