Obstructive uropathy from a giant urinary bladder stone: a rare urological emergency

被引：2

作者：

Mukherjee, Subhabrata ^{[1
]}

Sinha, Rajan Kumar ^{[2
]}

Hamdoon, Mussab ^{[3
]}

Abbaraju, Jai ^{[4
]}

机构：

[1] West Middlesex Univ Hosp, Chelsea & Westminster Hosp NHS Fdn Trust, Dept Urol, London, England

[2] Kidney Stone & Urol Clin, Urol, Bhagalpur, India

[3] Glan Clwyd Gen Hosp, Conwy & Denbighshire NHS Trust, Dept Urol, Rhyl, Wales

[4] Darent Valley Hosp, Urol, Dartford, Kent, England

来源：

BMJ CASE REPORTS | 2021年 / 14卷 / 01期

关键词：

catheterisation; catheter care; urinary tract infections; urological surgery; CALCULI;

D O I：

10.1136/bcr-2020-234339

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 53-year-old man presented with lower urinary tract symptoms and recurrent urinary tract infections since last 3years without being investigated or treated properly. Examination revealed a hard mobile lump in the pelvis, and blood investigations showed raised serum creatinine of 2.9mg/dL. Subsequent urgent ultrasound scan showed a large urinary bladder stone with bilateral hydroureteronephrosis, and X-ray kidney, ureter and bladder demonstrated a 9 cmx6 cm elliptical radio-opaque shadow in the pelvis. He underwent emergency admission followed by open cystolithotomy on the next day. He was discharged after 48 hours with a urethral catheter. After 2weeks, his renal function recovered completely; repeat ultrasound scan revealed complete resolution of hydronephrosis. Urethral catheter was removed following a normal cystogram. Uroflowmetry after 6weeks revealed underlying bladder outlet obstruction, and he was started on alpha blocker which improved his urinary flow.

引用

页数：4