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Obstructive uropathy from a giant urinary bladder stone: a rare urological emergency
  1. Subhabrata Mukherjee1,
  2. Rajan Kumar Sinha2,
  3. Mussab Hamdoon3 and
  4. Jai Abbaraju4
  1. 1Department of Urology, West Middlesex University Hospital, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
  2. 2Urology, Kidney Stone and Urology Clinic, Bhagalpur, Bihar, India
  3. 3Department of Urology, Glan Clwyd Hospital, Conwy & Denbighshire NHS Trust, Rhyl, UK
  4. 4Urology, Darent Valley Hospital, Dartford, Kent, UK
  1. Correspondence to Dr Rajan Kumar Sinha; rajan_rims{at}yahoo.co.in

Abstract

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.

  • catheterisation / catheter care
  • urinary tract infections
  • urological surgery

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Footnotes

  • Contributors SM: planning, conduct, reporting, conception and design, acquisition of data or analysis and interpretation of data. RKS: planning, conduct, reporting, conception and design, acquisition of data or analysis and interpretation of data. MH: planning, reporting, conception and design, acquisition of data or analysis and interpretation of data. JA: conception and design, acquisition of data or analysis and interpretation of data.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.