Giant Vesical Calculus Presented with Anuria in a Young Male Patient: A Case Report

• Muftah H. Elkhafifi

  Division of Urology, Surgical Specialties Teaching Center, Benghazi, Libya

  Author

• Abdulsalam A. Nabous

  Department of Urology, Surgical Specialties Center, Benghazi, Libya

  Author

• Ali T. Muftah

  Department of Urology, Surgical Specialties Center, Benghazi, Libya

  Author

A giant Vesical calculus (GVC) is a calculus that weighs more   than 100 grams (g) or measures more than 4 centimeters (cm) in its widest diameter. It is a rare clinical condition in adults.  Over the past few years, the number of patients with GVCs has decreased due to the wider availability of healthcare and improved diagnostic modalities.  In the literature, there are very few reports of GVCs leading to bilateral obstructive uropathy and anuria. Here, we present a case of azotemia and anuria in 39-year-old male Libyan man. His workup revealed a giant vesical calculus (10×9×6) centimeters, and an open Cystolithotomy was performed. A giant brown hard vesical solitary calculus weighing 435 grams was removed. He passed an uneventful post-operative course, apart from a short period of post-obstructive diuresis, and discharged home on the eighth postoperative day with almost normalized renal function.

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