%0 Case Reports
%T Vesicocutaneous fistula at site of closed suprapubic tube tract as the first presenting sign of giant bladder stone.
%A Thomas B
%A Sholklapper T
%A Nourian A
%A Ginzburg S
%J BMJ Case Rep
%V 17
%N 4
%D 2024 Apr 30
%M 38688572
暂无%R 10.1136/bcr-2023-256204
%X Bladder stones represent approximately 5% of all cases of urolithiasis and are typically identified and managed long before causing irreversible renal injury. We present a case of a man in his 40s with a prior history of a gunshot wound to the abdomen who presented with leakage from a previously healed suprapubic tube tract and was found to have a giant bladder stone with a resulting renal injury. He subsequently underwent a combined open cystolithotomy and vesicocutaneous fistulotomy during his hospitalisation, which helped to improve his renal function. In addition to there being few reported cases of bladder stones >10 cm, this represents the first report in the literature of an associated decompressive 'pop-off' mechanism through a fistulised tract.