Bladder Calculus in a Male Child with Features of Urethral Stricture: Radiologic Findings and a Case Report

Abstract

Urinary lithiasis is a very common urological disease but bladder lithiasis is very uncommon and account for about 5% of urolithiasis and most frequent urolithiasis in pediatric age. Giant calculi can present with few symptoms, it is very important to exclude lower urinary tract obstruction as the cause, but significant cases may come without obstruction. The male sex is more affected than the female sex. This is a case of an 11 year old male child with complaint of suprapubic pain, dysuria, hematuria, decreased urinary stream and increased frequency of micturition for more than three years prior to presentation. The patient had plain abdominal radiograph showing the region of the kidneys, ureters and urinary bladder (KUB) with an abdominopelvic ultrasonography. These demonstrated a calculus in the urinary bladder measuring about 70mm x 50mm in mediolateral and craniocaudal dimensions. The patient is yet to have a surgical extraction (extraperitoneal cystolithotomy) with of the entire calculus. We present a case of a giant calculus in a child due to its rare nature and peculiar presentation.