Recurrent giant bladder stones in the adult. Case report

Recurrent giant bladder stones in the adult. Case report

Authors

  • Patricia Funes Universidad Nacional de Asunción, Instituto de Investigaciones en Ciencias de la Salud (I.I.C.S), Departamento de Bioquímica Clínica. San Lorenzo, Paraguay https://orcid.org/0000-0001-6894-2422
  • Ricardo Gonzalez Universidad Nacional de Asunción, Instituto de Investigaciones en Ciencias de la Salud (I.I.C.S), Departamento de Bioquímica Clínica. San Lorenzo, Paraguay https://orcid.org/0000-0002-5638-3173
  • Dominich Granado Universidad Nacional de Asunción, Instituto de Investigaciones en Ciencias de la Salud (I.I.C.S), Departamento de Bioquímica Clínica. San Lorenzo, Paraguay https://orcid.org/0000-0002-9115-9679
  • Lourdes Rivas Centro de trabajo: 1 Universidad Nacional de Asunción, Instituto de Investigaciones en Ciencias de la Salud (I.I.C.S), Departamento de Bioquímica Clínica. San Lorenzo, Paraguay https://orcid.org/0000-0001-7507-1442
  • Gloria Echague Universidad Nacional de Asunción, Instituto de Investigaciones en Ciencias de la Salud (I.I.C.S), Departamento de Bioquímica Clínica. San Lorenzo, Paraguay https://orcid.org/0000-0003-2536-8672
  • Rosa Guillén Universidad Nacional de Asunción, Instituto de Investigaciones en Ciencias de la Salud (I.I.C.S), Departamento de Bioquímica Clínica. San Lorenzo, Paraguay https://orcid.org/0000-0002-4778-4960

DOI:

https://doi.org/10.53732/rccsalud/04.01.2022.125

Keywords:

Urinary Bladder Calculi, Urinary Tract Infections

Abstract

The occurrence of cases of giant urinary stones considered has diminished significantly in its frequency since the advent of antibiotics and the appropriate control of urinary tract infections. The diagnosis of them is based on symptomatology and imaging studies.

We present a case of a 59-year-old man with recurrent giant bladder stones. The patient was diagnosed with two vesical stones after performing a computerized axial tomography of the urinary system and later a cystolithotomy was performed to remove stones of up to 1,435 g. The morphoconstitutional analysis of the calculus revealed brushite, carbapatite and struvite as main components. The metabolic evaluation indicated the presence of hypocitraturia and hyperoxaluria. 

This is the first report in the country of a giant lithiasis  in which the composition of the stones indicate infectious processes as the possible causes of formation.

Key words:  Urinary Bladder Calculi, Urinary Tract Infections

References

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Published

2022-05-17

How to Cite

1.
Funes P, Gonzalez R, Granado D, Rivas L, Echague G, Guillén R. Recurrent giant bladder stones in the adult. Case report: Recurrent giant bladder stones in the adult. Case report. Rev. cient. cienc. salud [Internet]. 2022 May 17 [cited 2025 Feb. 28];4(1):125-9. Available from: http://upacifico.edu.py:8040/index.php/PublicacionesUP_Salud/article/view/232

Issue

Vol. 4 No. 1 (2022): Revista científica ciencias de la salud - ISSN: 2664-2891

Section

Reporte de Casos