Uterovaginal Prolapse with Giant Vesical Calculus: A Rare Case Report.
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Date
2013-05
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Abstract
Massive or giant vesical calculus is a rare entity in urological practice. Females are less affected than males. Vesical calculi
are usually due to long-standing uterovaginal prolapse and bladder outlet obstruction coupled with chronic infection. These
patients present with recurrent urinary tract infection (UTI), hematuria or with retention of urine. We report a case of 50-yearold
female, who presented with history of mass per vagina and recurrent UTI. Her renal function tests were normal and urine
examination showed infection. Plain X-ray showed a large radio-opaque calculus in pelvic region. Ultrasound pelvis reported
a large freely mobile vesical calculus 9 x 11 cm with bilateral hydroureteronephrosis, which was more pronounced on left side
than right. After controlling UTI, she underwent an open suprapubic cystolithotomy and total abdominal hysterectomy and
bilateral salpingo-oophorectomy. Postoperative stay was uneventful and she was discharged on 10th postoperative day. Patient
is still on follow-up with good urinary function and no recurrent UTI.
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Keywords
Giant vesical calculus, uterovaginal prolapse
Citation
Shashidhar B, Shetty Krishna. Uterovaginal Prolapse with Giant Vesical Calculus: A Rare Case Report. Indian Journal of Clinical Practice. 2013 May; 23(12): 837-739.