PDF(Pubmed)
Abstract：
UNASSIGNED: Giant bladder stones, exceeding 100 g, are rare and typically affect males. This report describes an atypical case of a 35-year-old female with a 560-g bladder stone causing acute kidney injury without evidence of upper urinary tract stones.
METHODS: A 35-year-old female presented with pelvic pain and urinary retention. Comprehensive imaging, including a KUB x-ray and subsequent ultrasound, revealed a giant bladder stone obstructing the ureters and causing bilateral hydronephrosis. Urinalysis showed a severe urinary tract infection. Given the stone\'s significant size and its firm attachment to the bladder wall, open cystolithotomy was performed. The patient recovered well and was subsequently discharged without postoperative complications.
UNASSIGNED: Giant bladder stones are rare in young females. This case highlights the uncommon presentation of a 560-g stone in a female, causing acute kidney injury while there were no upper tract stones detected. The role of urinary tract infection as a contributing factor is explored, although other etiological factors are also considered.
CONCLUSIONS: Open cystolithotomy proved to be an effective treatment. Postoperative recommendations included dietary modifications to minimize the risk of recurrence. This case expands our knowledge of giant bladder stones in this population.
METHODS: A 35-year-old female presented with pelvic pain and urinary retention. Comprehensive imaging, including a KUB x-ray and subsequent ultrasound, revealed a giant bladder stone obstructing the ureters and causing bilateral hydronephrosis. Urinalysis showed a severe urinary tract infection. Given the stone\'s significant size and its firm attachment to the bladder wall, open cystolithotomy was performed. The patient recovered well and was subsequently discharged without postoperative complications.
UNASSIGNED: Giant bladder stones are rare in young females. This case highlights the uncommon presentation of a 560-g stone in a female, causing acute kidney injury while there were no upper tract stones detected. The role of urinary tract infection as a contributing factor is explored, although other etiological factors are also considered.
CONCLUSIONS: Open cystolithotomy proved to be an effective treatment. Postoperative recommendations included dietary modifications to minimize the risk of recurrence. This case expands our knowledge of giant bladder stones in this population.
摘要：
■巨大膀胱结石，超过100克，很少见，通常会影响男性。本报告描述了一名35岁女性的非典型病例，患有560克膀胱结石，导致急性肾损伤，没有上尿路结石的证据。
方法：一名35岁女性，表现为盆腔疼痛和尿潴留。综合成像,包括KUBX射线和随后的超声波，发现巨大的膀胱结石阻塞输尿管并导致双侧肾积水。尿液分析显示严重的尿路感染。考虑到结石的巨大尺寸和它与膀胱壁的牢固连接，进行了膀胱切开切开取石术.患者恢复良好，随后出院，无术后并发症。
■巨大的膀胱结石在年轻女性中很少见。这个案例突出了女性身上560克石头的罕见表现，导致急性肾损伤，而没有检测到上尿路结石。探讨了尿路感染作为一个促成因素的作用，尽管还考虑了其他病因。
结论：膀胱切开取石术被证明是一种有效的治疗方法。术后建议包括饮食调整，以尽量减少复发的风险。此病例扩展了我们对该人群中巨大膀胱结石的认识。
方法：一名35岁女性，表现为盆腔疼痛和尿潴留。综合成像,包括KUBX射线和随后的超声波，发现巨大的膀胱结石阻塞输尿管并导致双侧肾积水。尿液分析显示严重的尿路感染。考虑到结石的巨大尺寸和它与膀胱壁的牢固连接，进行了膀胱切开切开取石术.患者恢复良好，随后出院，无术后并发症。
■巨大的膀胱结石在年轻女性中很少见。这个案例突出了女性身上560克石头的罕见表现，导致急性肾损伤，而没有检测到上尿路结石。探讨了尿路感染作为一个促成因素的作用，尽管还考虑了其他病因。
结论：膀胱切开取石术被证明是一种有效的治疗方法。术后建议包括饮食调整，以尽量减少复发的风险。此病例扩展了我们对该人群中巨大膀胱结石的认识。
