|IMAGES IN CLINICAL PRACTICE
|Year : 2018 | Volume
| Issue : 1 | Page : 54
Giant Vesical Calculus in a Girl Child: Rare Case Report
Praveen Jhanwar1, Vivek Parasher2, Rahul Khatri2, Vikas Gupta1
1 Department of General Surgery, Pacific Institute of Medical Science, Udaipur, Rajasthan, India
2 Department of Pediatric, Pacific Institute of Medical Science, Udaipur, Rajasthan, India
|Date of Web Publication||27-Mar-2018|
House No. 1043, Ghyan Nagar, Sector 4, Hiran Magari, Udaipur - 313 003, Rajasthan
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Jhanwar P, Parasher V, Khatri R, Gupta V. Giant Vesical Calculus in a Girl Child: Rare Case Report. MAMC J Med Sci 2018;4:54
|How to cite this URL:|
Jhanwar P, Parasher V, Khatri R, Gupta V. Giant Vesical Calculus in a Girl Child: Rare Case Report. MAMC J Med Sci [serial online] 2018 [cited 2020 Jan 24];4:54. Available from: http://www.mamcjms.in/text.asp?2018/4/1/54/228651
An 11-year-old girl presented to our emergency department with retention of urine for one day. She had complained of lower abdominal pain with burning micturition since the last 6 months. On examination, there was fullness over suprapubic area. Kidney functions were normal. Kidney–ureter–bladder (KUB) X-ray showed a large radio-opaque shadow within the bladder region [Figure 1]. Ultrasound showed dilated pelvicalyceal system with thickening of the bladder wall.
Suprapubic cystolithotomy was performed and an oval-shaped stone weighing 180 g and measuring 8.2 cm × 5.1 cm × 4.3 cm [Figure 2] was removed.
|Figure 2: Vesical calculus 8.2 cm × 5.1 cm × 4.3 cm in size and 180 g in weight|
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Giant bladder calculi are less common in female; this is probably because outlet obstruction is much less commonly encountered in females. Surgery is the treatment of choice in the management of a giant bladder calculus, preferably an open suprapubic cystolithotomy.
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| References|| |
Fortia ME, Bendaoud M, Sethi S. Giant vesical calculus. Int J Radiol 2009;10:1-3.
Chen S, Kao Y, Tse S. A giant bladder stone. J Tua 2003;14:201-3.
[Figure 1], [Figure 2]