scholarly journals Giant Bladder Calculus in an Adult- A Persistent Problem in the Developing World: A Case Report

2020 ◽  
Vol 4 (4) ◽  
pp. 544-547
Author(s):  
Ajit Kumar Vidhyarthy ◽  
Tariq Hameed ◽  
Rohit Lal ◽  
Awadh Kumar ◽  
Shivanand Sahni ◽  
...  
Keyword(s):  
Case Report ◽  
Urinary Bladder ◽  
Outlet Obstruction ◽  
Treatment Modalities ◽  
Vesical Calculus ◽  
Persistent Problem ◽  
Bladder Calculus ◽  
Number Of Patients ◽  
Giant Vesical Calculus ◽  
Tract Infections

Introduction: Giant urinary bladder calculus in an adult is an uncommon entity. The number of patients with giant bladder calculi has decreased over recent years owing to wider availability of healthcare and better diagnostic modalities. Case Report: We present a case of a young adult without any history of recurrent urinary tract infections or bladder outlet obstruction with giant vesical calculus who presented to the emergency department with gross hematuria, abdominal pain, and dysuria. Investigations revealed a large calculus in the urinary bladder, and suprapubic cystolithotomy was performed. A large stone of 6.5×6×5.5 centimeters, weighing 125 grams, was removed. On follow-up, the patient was free of any symptoms and cystoscopy was normal. Conclusion: Urinary outflow obstruction must be ruled out in all patients with giant vesical calculus. Patients without any predisposing condition should be treated as a separate entity and evaluated accordingly. Multiple surgical treatment modalities are available for bladder calculus patients. Treatment is personalised as per size of stone, number of stones, and associated comorbidities.

Obstructive uropathy from a giant urinary bladder stone: a rare urological emergency

2021 ◽  
Vol 14 (1) ◽  
pp. e234339
Author(s):  
Subhabrata Mukherjee ◽  
Rajan Kumar Sinha ◽  
Mussab Hamdoon ◽  
Jai Abbaraju
Keyword(s):  
Urinary Tract ◽  
Urinary Bladder ◽  
Obstructive Uropathy ◽  
Outlet Obstruction ◽  
Emergency Admission ◽  
Urethral Catheter ◽  
Bladder Stone ◽  
Urinary Flow ◽  
Ultrasound Scan ◽  
Tract Infections

A 53-year-old man presented with lower urinary tract symptoms and recurrent urinary tract infections since last 3 years without being investigated or treated properly. Examination revealed a hard mobile lump in the pelvis, and blood investigations showed raised serum creatinine of 2.9 mg/dL. Subsequent urgent ultrasound scan showed a large urinary bladder stone with bilateral hydroureteronephrosis, and X-ray kidney, ureter and bladder demonstrated a 9 cm×6 cm elliptical radio-opaque shadow in the pelvis. He underwent emergency admission followed by open cystolithotomy on the next day. He was discharged after 48 hours with a urethral catheter. After 2 weeks, his renal function recovered completely; repeat ultrasound scan revealed complete resolution of hydronephrosis. Urethral catheter was removed following a normal cystogram. Uroflowmetry after 6 weeks revealed underlying bladder outlet obstruction, and he was started on alpha blocker which improved his urinary flow.

scholarly journals Leiomyoma of the seminal vesicle: a rare case

2013 ◽  
Vol 3 (2) ◽  
pp. 32 ◽  
Author(s):  
Aftab S. Shaikh ◽  
Girish D. Bakhshi ◽  
Arshad S. Khan ◽  
Nilofar M. Jamadar ◽  
Aravind Kotresh Nirmala ◽  
...  
Keyword(s):  
Smooth Muscle ◽  
Case Report ◽  
Urinary Bladder ◽  
Seminal Vesicle ◽  
Bladder Outlet Obstruction ◽  
Rare Case ◽  
Outlet Obstruction ◽  
Benign Tumors ◽  
Review Of Literature ◽  
Elderly Male

Leiomyomas though common benign tumors of smooth muscle cells are extremely rare in the male genitourinary tract. We present a case of an elderly male who presented with complaints suggestive of urinary bladder outlet obstruction since 1 year. His evaluation showed it due to a tumour arising from the left seminal vesicle. Excision of the tumor was done which was diagnosed on histopathology as leiomyoma. A brief case report and review of literature is being presented.

scholarly journals GIANT VESICAL CALCULUS – A CASE REPORT

2014 ◽  
Vol 3 (22) ◽  
pp. 6270-6272
Author(s):  
Hanumanthaiah K S ◽  
Yasaswini H
Keyword(s):  
Case Report ◽  
Vesical Calculus ◽  
Giant Vesical Calculus

scholarly journals Vasovagal reaction secondary to bladder overdistension in a dog undergoing a unique timeline of medical and surgical treatment for Corynebacterium urealyticum encrusting cystitis: a case report

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Ryan F. Peiffer ◽  
Carly Iulo ◽  
Tessa LeCuyer ◽  
Timothy Bolton
Keyword(s):  
Urinary Tract ◽  
Urinary Bladder ◽  
Lower Urinary Tract ◽  
Bladder Wall ◽  
Surgical Debridement ◽  
Treatment Modalities ◽  
Vasovagal Reaction ◽  
Tract Infections ◽  
Corynebacterium Urealyticum ◽  
Lower Urinary

Abstract Background Corynebacterium urealyticum urinary tract infections can result in a rarely reported condition called encrusting cystitis whereby plaque lesions form on and within the urinary bladder mucosa. Chronic lower urinary tract signs manifest subsequent to the infection-induced cystitis and plaque-induced decreased bladder wall distensibility. Because of the organism’s multidrug resistance and plaque forming capability, infection eradication can be difficult. While systemic antimicrobial therapy is the mainstay of treatment, adjunctive surgical debridement of plaques has been used with relative paucity in such cases, thereby limiting our understanding of this modality’s indications and success rate. Consequently, this report describes the successful eradication of Corynebacterium urealyticum encrusting cystitis utilizing a unique timeline of medical and surgical treatments. Additionally, this represents the first reported veterinary case of a vasovagal reaction due to bladder overdistension. Case presentation A 6-year-old female spayed Miniature Schnauzer was evaluated for lower urinary tract clinical signs and diagnosed with Corynebacterium urealyticum encrusting cystitis. The infection was persistent despite prolonged courses of numerous oral antimicrobials and urinary acidification. A unique treatment timeline of intravenous vancomycin, intravesical gentamicin, and mid-course surgical debridement ultimately resulted in infection resolution. During surgery, while the urinary bladder was copiously flushed and distended with saline, the dog experienced an acute vasovagal reaction from which it fully recovered. Conclusions Surgical debridement of bladder wall plaques should be considered a viable adjunctive therapy for Corynebacterium urealyticum encrusting cystitis cases failing to respond to systemic antibiotic therapy. The timing in which surgery was employed in this case, relative to concurrent treatment modalities, may be applicable in future cases of this disease as dictated on a case-by-case basis. If surgery is ultimately pursued, overdistension of the urinary bladder should be avoided, or at least minimized as much as possible, so as to prevent the possibility of a vasovagal reaction.

scholarly journals Malakoplakia mimics urinary bladder cancer: A case report

2013 ◽  
Vol 70 (6) ◽  
pp. 606-608 ◽  
Author(s):  
Ana Ristic-Petrovic ◽  
Slavica Stojnev ◽  
Ljubinka Jankovic-Velickovic ◽  
Goran Marjanovic
Keyword(s):  
Case Report ◽  
Urinary Bladder ◽  
Urinary Bladder Cancer ◽  
Final Diagnosis ◽  
Chronic Inflammatory Disease ◽  
Surgical Interventions ◽  
Aged Woman ◽  
Neoplastic Process ◽  
Middle Aged Woman ◽  
Tract Infections

Introduction. Malakoplakia is an unusual and very rare chronic inflammatory disease. In bladder especially it can mimic malignancy and lead to serious misdiagnosis. Case report. We presented a case of a middle-aged woman with persistent macrohematuria and cystoscopically polypoid bladder mass that resembled a neoplastic process. The final diagnosis was based on cystoscopic biopsy and microscopic findings of acidophilic, foamy histiocytes with the presence of Michaelis-Gutmann inclusions which are characteristic for diagnosis of malakoplakia. Immunohistochemistry confirmed diagnosis by demonstrating CD68-positive macrophages. Conclusion. Urinary bladder malakoplakia should be considered in patients with persistent urinary tract infections and tumor mass at cystoscopy. Early identification with prompt antibiotic treatment can be helpful in avoiding unnecessary surgical interventions and in preventing development of possible complications.

scholarly journals Giant Vesical Calculus in a Girl Child: Rare Case Report

2018 ◽  
Vol 4 (1) ◽  
pp. 54
Author(s):  
Praveen Jhanwar ◽  
Vivek Parasher ◽  
Rahul Khatri ◽  
Vikas Gupta
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Girl Child ◽  
Vesical Calculus ◽  
Rare Case Report ◽  
Giant Vesical Calculus

scholarly journals Dermoid cyst of the urinary bladder as a differential diagnosis of bladder calculus: a case report

2007 ◽  
Vol 1 (1) ◽  
Author(s):  
Linus I Okeke ◽  
Gabriel O Ogun ◽  
Blessing R Etukakpan ◽  
Anselmn Iyama ◽  
Adewunmi O Adeoye ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Urinary Bladder ◽  
Dermoid Cyst ◽  
Bladder Calculus

scholarly journals Etiology and pathogenesis in the causation of vesical calculus: a prospective study

2018 ◽  
Vol 5 (3) ◽  
pp. 1004
Author(s):  
Ramachandra M. L. ◽  
Pradeep Kumar H. D.
Keyword(s):  
Prospective Study ◽  
Bladder Outlet Obstruction ◽  
Stone Formation ◽  
Pediatric Population ◽  
Outlet Obstruction ◽  
Urinary Stone ◽  
Age Group ◽  
Vesical Calculus ◽  
Number Of Patients ◽  
A Prospective Study

Background: Vesical calculus are the most common manifestation of lower urinary tract stones accounting for approximately 5% of all urinary stone diseases. In pediatric population bladder stones are most commonly due to malnutrition and poor socioeconomic factors. In adults they are most commonly associated with bladder outlet obstruction. In this context we study the different etiological factors and pathogenesis in the causation of vesical calculus.Methods: This is a prospective study that included 40 patients admitted with clinical diagnosis of vesical calculus at KR Hospital, Mysore from June 2016 to May 2017.Results: Maximum patients belong to age group of 51-60 years (30%) and minimum numbers belongs to age group of 1-10, 11-20 and 81-90 years age group. Male to female ration in present study is 5:1. In present study patients with bore well as source of water were highest in number i.e., 22 patients. Maximum number of patients i.e., 22 patients (55%) presented with history of pain abdomen and 15 patients (37.5%) with dysuria. Twenty-four patients (60%) had alkaline urine. Urine albumin was positive in 10 patients (25%), urine sugar was present in 8 patients (20%), pus cells were found in urine of 28 patients (70%) and RBCs were present in 24 patients (60). Klebsiella was the commonest organism isolated from the urine of 22 patients (55%) and E. coli was isolated in 8 patients (20%). Ultrasonography of abdomen and pelvis detected associated other conditions such as hydroureteronephrosis in 8 patients (20%), cystitis in 10 patients (25%) and benign prostatic hyperplasia in 20 patients (50%).Conclusions: Bladder calculi are most common in people of old age group indicating obstruction could be the cause for stone formation. They are rarely formed spontaneously. There must be an inciting event namely bladder outlet obstruction or infection to promote the stone formation.

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