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Giant bladder calculi due to four years neglected cystostomy

Giant bladder calculi are rare and long-term usage of cystostomy could cause stone formation. Due to the lack of evidence on giant bladder calculi and the long-term usage of cystostomy can cause bladder calculi formation, we provide a case study of a man with a neglected cystostomy with giant bladde...

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Bibliographic Details
Published in:Radiology case reports 2023-11, Vol.18 (11), p.3949-3953
Main Authors: Hidayatullah, Furqan, Renaldo, Johan, Kloping, Yudhistira Pradnyan, Rahman, Zakaria Aulia, Salsabila, Sirin, Hakim, Lukman
Format: Article
Language:English
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Summary:Giant bladder calculi are rare and long-term usage of cystostomy could cause stone formation. Due to the lack of evidence on giant bladder calculi and the long-term usage of cystostomy can cause bladder calculi formation, we provide a case study of a man with a neglected cystostomy with giant bladder calculi for 4 years. A fixed mass was discovered in the suprapubic region. Ultrasound examination revealed 4.1 × 5.5 cm bladder calculi and contracted left kidney. Bipolar voiding cystourethrography portrayed stricture in pars pendular and membranacea, uneven bladder wall, and 4.5 × 4.5 cm bladder calculi. The stone was extracted, and the bladder filling test revealed a small bladder capacity. Since the patient refused urethral reconstruction and bladder augmentation, he was discharged with another cystostomy catheter. Six-month follow-up revealed no forming stones. Neglected cystostomy catheter can cause giant bladder calculi. Prompt diagnosis and treatment should be made to manage this condition to reduce the likelihood of bladder cancer.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2023.08.022