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Giant vesicle calculi leading to spontaneous bladder rupture and acute renal failure: an unusual presentation
  1. Deepanshu Sharma,
  2. Gaurav Garg,
  3. Siddharth Pandey,
  4. Apul Goel
  1. Department of Urology, King George’s Medical University, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Gaurav Garg, gougarg{at}


Spontaneous rupture of the urinary bladder is extremely rare. We report a case of a 70-year-old man with spontaneous bladder rupture secondary to neglected giant vesicle calculi who presented as acute renal failure. The patient was stabilised with per-urethral catheterisation and extravesical drain placement. About 700 mL pus mixed with urine was drained through the per-urethral catheter and approximately 2000 mL of pus was drained through the extravesical drain. Cystolithotomy showed two large calculi which were removed.

  • urological surgery
  • long term care
  • healthcare improvement and patient safety

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  • Contributors GG, AG and SP contributed to the concept and design. DS contributed to the processing. All authors contributed to the supervision, writing manuscript and critical analysis

  • 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 Obtained.

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