Introduction:

Giant bladder lithiasis is rare. It is diagnosed when the calculus exceeds 100g in weight.

Objective:

to comment to the medical community a new case of giant bladder lithiasis diagnosed in an elderly man.

Case report:

a 72-year-old male patient with a history of repeated urinary tract infections consulted for lower abdominal pain and irritative urinary symptoms. With the use of imaging studies a large bladder stone was discovered. Spinal regional anesthesia was applied, adenomectomy and conventional cystolithotomy were performed, and a giant stone weighing 460g was removed.

Conclusions:

giant bladder lithiasis is a rare entity. At present it does not represent a health problem in the territory. Conventional cystolithotomy is the technique of choice to remove giant stones.

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