{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T12:28:37Z","timestamp":1784032117797,"version":"3.55.0"},"reference-count":14,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,12,23]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>A 53-year-old man presented with lower urinary tract symptoms and recurrent urinary tract infections since last 3\u2009years without being investigated or treated properly. Examination revealed a hard mobile lump in the pelvis, and blood investigations showed raised serum creatinine of 2.9\u2009mg\/dL. Subsequent urgent ultrasound scan showed a large urinary bladder stone with bilateral hydroureteronephrosis, and X-ray kidney, ureter and bladder demonstrated a 9 cm\u00d76 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 2\u2009weeks, his renal function recovered completely; repeat ultrasound scan revealed complete resolution of hydronephrosis. Urethral catheter was removed following a normal cystogram. Uroflowmetry after 6\u2009weeks revealed underlying bladder outlet obstruction, and he was started on alpha blocker which improved his urinary flow.<\/jats:p>","DOI":"10.1136\/bcr-2020-234339","type":"journal-article","created":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T17:06:11Z","timestamp":1611075971000},"page":"e234339","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Obstructive uropathy from a giant urinary bladder stone: a rare urological emergency"],"prefix":"10.1136","volume":"14","author":[{"given":"Subhabrata","family":"Mukherjee","sequence":"first","affiliation":[{"name":"Department of Urology, West Middlesex University Hospital, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajan Kumar","family":"Sinha","sequence":"additional","affiliation":[{"name":"Urology, Kidney Stone and Urology Clinic, Bhagalpur, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mussab","family":"Hamdoon","sequence":"additional","affiliation":[{"name":"Department of Urology, Glan Clwyd Hospital, Conwy & Denbighshire NHS Trust, Rhyl, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jai","family":"Abbaraju","sequence":"additional","affiliation":[{"name":"Urology, Darent Valley Hospital, Dartford, Kent, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,1,19]]},"reference":[{"key":"2025082711481208000_14.1.e234339.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-0143(05)70262-7"},{"key":"2025082711481208000_14.1.e234339.2","first-page":"85","article-title":"Vesical stone: the clinical features of 652 cases","volume":"68","author":"Smith","year":"1975","journal-title":"Ir Med J"},{"key":"2025082711481208000_14.1.e234339.3","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(91)80293-G"},{"key":"2025082711481208000_14.1.e234339.4","unstructured":"Teotia M . 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