Resumo

RODRIGUEZ COLLAR, Tomás Lázaro; RAMIREZ, Andrés Félix Camilo; BUENO SANCHEZ, Evelio  e  HORROUTINEL SCULL, Roxana Soranyer. Giant bladder calculus. Rev Cub Med Mil [online]. 2013, vol.42, n.3, pp. 411-416. ISSN 0138-6557.

Giant bladder calculi are uncommon. Their clinical manifestations are recurrent urinary sepsis, polachiuria and strangury. A new case is presented of giant bladder calculus, as well as aspects of its diagnosis and treatment. A 64-year-old female patient attended consultation and stated that she suffered from recurrent urinary infection, urinary urgency incontinence and hypogastric and urethral post-miction pain. Seven months before she had undergone surgery for total uterine prolapse via the vagina. Escherichia coli was isolated from the urine culture, and abdominal ultrasonography revealed a large bladder calculus, which was confirmed by simple pelvic radiography. Retropubic cystolithotomy resulted in the removal of a 9 x 6 x 5 cm, 186 g calculus. The patient evolved favorably with total disappearance of all symptoms. Giant bladder calculus is a rare condition which should be suspected in patients with persistent irritative symptoms of lower urinary sepsis. Urinary-tract ultrasonography and simple pelvic radiography are sufficient to establish the certainty diagnosis. Cystolithotomy continues to be the treatment of choice for this condition.

Palavras-chave : chronic urinary infection; giant bladder calculus; diagnostic ultrasound; cystolithotomy.

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