Polycyanoacrylate (super glue) as bladder concretion in a patient after bilateral inguinal hernioplasty

Abstract

A rare case of cyanoacrylate urine bladder urolithiasis in a 60-year-old male is presented. The application of surgical glue (Glubran) as treatment of seroma one month after laparoscopic inguinal hernioplasty led to the instillation of the n-butyl cyanoacrylate into the bladder resulting in the formation of a concretion. Infrared spectroscopy of the urine stone removed by cystoscopic laser lithotripsy four months after the surgery allowed the identification of the nature of the stone and revealed cyanoacrylate as the major component and co-monomer methacryloxy sulfolane as the minor component. Polypropylene from the mesh was not detected.

Urolithiasis: Don’t forget the rarities

“…In summary, accurate and timely laboratory diagnosis of urinary tract calculi is important for prompt clinical management as is the awareness of rare calculi as reported by Kotaska et al. 1…”

“…Urolithiasis: Don't forget the rarities EJ Kim 1 and MA Crook 2 The article published earlier in this journal by Kotaska et al 1 described a very rare presentation of a renal tract calculus. They described urolithiasis derived from 'super' glue (polycyanoacrylate) used by surgeons during a bilateral inguinal hernia mesh repair.…”

“…14,17 Such techniques can help identify rare renal calculi, such as xanthine, dihydroxyadenine, matrix, fake or 'Munchausen' calculi, drug-containing calculi or atypical ones such as polycyanoacrylate. [14][15][16] In summary, accurate and timely laboratory diagnosis of urinary tract calculi is important for prompt clinical management as is the awareness of rare calculi as reported by Kotaska et al 1…”