Padrón AG

Language: Spanish
References: 11
Page: 156-158
PDF size: 53.92 Kb.

ABSTRACT

Introduction:Urolithiasis is a multifactorial disease and current prevalence worldwide is between 4 to 17 cases/1000 inhabitants. In México, some studies have informed a prevalence of up to 13% of all hospitalization at the Mexican Institute for Social Security, as well as a prevalence of 2.4 cases/10000 inhabitants. In the state of Quintana Roo, incidence is high; however, no studies have been performed to find the true incidence of this disease.
Objective:The purpose of this work is to describe a case of a giant bladder stone.
Setting:Second level health care hospital.
Case report:This is a 24 year-old female patient who was born in Cozumel, Quintana Roo, and whose ailment began after an euthocic delivery on January 1, 2004 with pain in the lower abdomen, and irradiation to the back and the thighs, along with chills, dysuria, polachyuria, dripping urine and a feeling of heaviness in the pelvic region. After physical examination, a simple radiograph of the abdomen was ordered, which revealed an occupying mass in the bladder. Then pelvic ultrasound was planned, which uncovered the following findings: a bladder stone of 76 X 57 X 63 mm, with an echogenic brim, and posterior acoustic shadow, bilateral renal ectasia (prevailing the right side), right obstructive uropathy, and a non-visible right urether. Blood tests were normal and urinalysis was pathologic. The patient was scheduled for surgery and a giant stone was obtained through a cystolithotomy.
Discussion:Giant stones of the urinary bladder are infrequent. Diagnosis is usually accidental, and etiology is not easy to determine. It is common in old patients, and difficult to define whether their source is either primary or secondary.

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