Giant Bladder Stone and Renal Failure: A Case Report, Literature Review and Future Perspectives

Abstract

We present a male patient, 52 years old, with acute renal failure due to giant bladder stone. In first presentation with acute renal failure, tomography has shown a bladder stone with 10 cm in its largest diameter associated with bilateral ureterohydronephrosis. It was initially treated by bladder catheterization and indicated emergency dialysis and subsequently submitted to surgical treatment through open cistolitotomy. During the procedure it was possible to observe the giant calculus, adhered to the trigone of the bladder, occluding his neck. After the vesical catheter was deployed, the patient had clinical and laboratory improvement during hospitalization. The association between giant bladder stones and urologic kidney failure is a rare condition and once removed the causative factor, we expect the return to normal limits. Studies with higher levels of evidence are needed to increase knowledge about the subject.

A successful delivery of giant bladder stone by obstetric forceps: a case report

“…11 Diniz et al who performed the literature review on giant bladder stone and renal failure a few years later, concluded that bladder stone greater than 400 grams may be associated with renal failure. 12 On the other hand, a handful of other reported cases with heavier (>1000 gm) and bigger bladder stones (>10 cm) have normal collecting systems and normal renal function. [13][14][15][16] The giant bladder stone in our case weighed 810 grams and measured 12×10 cm.…”

Giant Vesical Calculus With Its Complications: The First Case to Be Reported in an Adolescent Female

“…Diniz et al [5] reported two cases of women with giant vesical calculus causing renal failure. This review study also concluded that boys are 8 times more affected than girls, and the most commonly presented at the age of 2-5 years, while renal insufficiency due to giant vesical calculus reported in three male children.…”