{Reference Type}: Case Reports
{Title}: Vesicocutaneous fistula at site of closed suprapubic tube tract as the first presenting sign of giant bladder stone.
{Author}: Thomas B;Sholklapper T;Nourian A;Ginzburg S;
{Journal}: BMJ Case Rep
{Volume}: 17
{Issue}: 4
{Year}: 2024 Apr 30
暂无{DOI}: 10.1136/bcr-2023-256204
{Abstract}: 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.