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Case Report
1 Urology service at Getúlio Vargas University Hospital (HUGV), 4 Apurinã Avenue, Praça 14 de Janeiro, Manaus, Amazonas, Brazil
2 Faculty of Medicine of the Federal University of Amazonas (UFAM), 1053 Afonso Pena St, Praça 14 de Janeiro, Manaus, Amazonas, Brazil
3 Urology service at Ribeirão Preto’s Santa Casa de Misericórdia Hospital, São Paulo, 456 Saudade Av, Campos Elíseos, Ribeirão Preto, Brazil
Address correspondence to:
Igor Ferreira de Souza
9999 Buriti Av, Eliza Miranda Condo, Block B, Apt 103, Manaus, AM 69075-000,
Brazil
Message to Corresponding Author
Article ID: 101387Z01IS2023
Introduction: Large vesical calculi are rare conditions in urology due to the advancement of image exams in the last decade. Urinary bladder stones represent 5% of all urinary tract calculi and large calculi are defined as weighing more than 100 grams.
Case Report: We report the case of a 56-year-old man with large vesical calculus measuring 17 × 13 × 16 cm (weight of 2730 g) in association with renal exclusion due to staghorn calculus in the right kidney and bilateral uretero-hydronephrosis due to bladder obstruction.
Conclusion: Computed tomography stands as the exam of choice to diagnose and delimit any urinary calculi. Open surgery is preferred for large vesical stones and bladder outlet obstruction must be investigated, especially in men to exclude prostate increase.
Keywords: Calculus, Cystolithotomy, Staghorn calculus, Urinary bladder, Vesical stone
Igor Ferreira de Souza - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Gustavo Lopes de Castro - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Francisco Marcos da Silva Barroso - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Victor Alfonso Vela Vasquez - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Paloma Menezes de Souza - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Algenor Maria da Costa Teixeira Neto - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Igor Ferreira de Souza et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.