Giant vesicle calculi leading to spontaneous bladder rupture and acute renal failure: an unusual presentation. (25th October 2018)

• Record Type: Journal Article
• Authors: Sharma, Deepanshu; Garg, Gaurav; Pandey, Siddharth; Goel, Apul
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-10-25
• Subjects: urological surgery -- long term care -- healthcare improvement and patient safety; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2018-225888
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Spontaneous rupture of the urinary bladder is extremely rare. We report a case of a 70-year-old man with spontaneous bladder rupture secondary to neglected giant vesicle calculi who presented as acute renal failure. The patient was stabilised with per-urethral catheterisation and extravesical drain placement. About 700 mL pus mixed with urine was drained through the per-urethral catheter and approximately 2000 mL of pus was drained through the extravesical drain. Cystolithotomy showed two large calculi which were removed.