{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T18:37:28Z","timestamp":1788633448656,"version":"build-2803163510"},"reference-count":18,"publisher":"California Digital Library (CDL)","issue":"4","license":[{"start":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T00:00:00Z","timestamp":1600819200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Giant urinary bladder calculus in an adult is an uncommon entity. The number of patients with giant bladder calculi has decreased over recent years owing to wider availability of healthcare and better diagnostic modalities. Case Report: We present a case of a young adult without any history of recurrent urinary tract infections or bladder outlet obstruction with giant vesical calculus who presented to the emergency department with gross hematuria, abdominal pain, and dysuria. Investigations revealed a large calculus in the urinary bladder, and suprapubic cystolithotomy was performed. A large stone of 6.5\u00d76\u00d75.5 centimeters, weighing 125 grams, was removed. On follow-up, the patient was free of any symptoms and cystoscopy was normal. Conclusion: Urinary outflow obstruction must be ruled out in all patients with giant vesical calculus. Patients without any predisposing condition should be treated as a separate entity and evaluated accordingly. Multiple surgical treatment modalities are available for bladder calculus patients. Treatment is personalised as per size of stone, number of stones, and associated comorbidities.<\/jats:p>","DOI":"10.5811\/cpcem.2020.7.47653","type":"journal-article","created":{"date-parts":[[2020,11,17]],"date-time":"2020-11-17T13:30:39Z","timestamp":1605619839000},"page":"544-547","source":"Crossref","is-referenced-by-count":8,"title":["Giant Bladder Calculus in an Adult- A Persistent Problem in the Developing World: A Case Report"],"prefix":"10.5811","volume":"4","author":[{"given":"Ajit","family":"Kumar Vidhyarthy","sequence":"first","affiliation":[{"name":"Darbhanga Medical College and Hospital, Department of Surgery, Darbhanga, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tariq","family":"Hameed","sequence":"additional","affiliation":[{"name":"Hamdard Institute of Medical Sciences and Research, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Lal","sequence":"additional","affiliation":[{"name":"Darbhanga Medical College and Hospital, Department of Surgery, Darbhanga, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Awadh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Darbhanga Medical College and Hospital, Department of Surgery, Darbhanga, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivanand","family":"Sahni","sequence":"additional","affiliation":[{"name":"Darbhanga Medical College and Hospital, Department of Surgery, Darbhanga, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nanse","family":"Mendoza","sequence":"additional","affiliation":[{"name":"Kern Medical Center, Department of Emergency Medicine, Bakersfield, California, United States of America"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"29705","published-online":{"date-parts":[[2020,9,23]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Schwartz BF and Stoller ML. The vesical calculus. Urol Clin North Am. 2000;27(2):333-46.","DOI":"10.1016\/S0094-0143(05)70262-7"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Becher RM, Tolia BM, Newman HR. Giant vesical calculus.\u00a0JAMA. 1978;239(21):2272-3.","DOI":"10.1001\/jama.1978.03280480064024"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Tahtal\u0131 \u0130N and Karata\u015f T. Giant bladder stone: a case report and review of the literature.\u00a0Turk J Urol. 2014;40(3):189-91.","DOI":"10.5152\/tud.2014.02603"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Hammad FT, Kaya M, Kazim E. Bladder calculi: Did the clinical picture change? Urology. 2006;67(6):1154-8.","DOI":"10.1016\/j.urology.2005.12.038"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Tefekli A and Cezayirli F. The history of urinary stones: in parallel with civilization. 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Mymensingh Med J.\u00a02007;16(2 Suppl):S57-9."},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Wei W and\u00a0Wang J. A huge bladder calculus causing acute renal failure. Urol Res.\u00a02010;38(4):231-2.","DOI":"10.1007\/s00240-009-0246-9"},{"key":"ref11","unstructured":"Ho K and Segura J. (2007). Lower urinary tract calculi. Wein A, Kavoussi L, Novick A, Partin A, Peters C (Eds.). Campbell-Walsh Urology (p. 2662-73). Philadelphia, PA: Saunders Elsevier."},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Maranna H, Hameed T, Lal P. A large ureteric calculus: Is there a role for open surgery in the modern era? Int Surg J 2019;6(10):3860-2.","DOI":"10.18203\/2349-2902.isj20194458"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Ozturk H, Dagistan E, Uyeturk U. A child with a large bladder stone: a case report. Ped Urol Case Rep 2014;1(4):22-8.","DOI":"10.14534\/pucr.201446417"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Isen K,\u00a0Em S,\u00a0Kilic V, et al. Management of bladder stones with pneumatic lithotripsy using a ureteroscope in children. J Endourol.\u00a02008;22(5):1037-40.","DOI":"10.1089\/end.2007.0342"},{"key":"ref15","doi-asserted-by":"crossref","unstructured":"Torricelli FC, Mazzucchi E, Danilovic A, et al. Surgical management of bladder stones: literature review.\u00a0Rev Col Bras Cir. 2013;40(3):227-33.","DOI":"10.1590\/S0100-69912013000300011"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"Tugcu V, Polat H, Ozbay B, et al. Percutaneous versus transurethral cystolithotripsy. J Endourol. 2009;23(2):237-41.","DOI":"10.1089\/end.2008.0455"},{"key":"ref17","doi-asserted-by":"publisher","unstructured":"Bhatia R, Hameed T, Lal P, et al. Evaluation of outcome of ureteroscopic pneumatic lithotripsy in single lower ureteric calculus and its association with CT parameters.\u00a0J Urol. 2019;9(10):153-61.","DOI":"10.4236\/oju.2019.910018"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T08:57:17Z","timestamp":1669625837000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/1252w2h6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,23]]},"references-count":18,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,11,10]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.7.47653","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"},{"value":"2474-252X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,9,23]]}}}