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Spontaneous bladder rupture caused by a giant vesical calculus

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Abstract

Spontaneous rupture of the urinary bladder is an uncommon occurrence. A 36-year-old man had complaints of pain and progressive distension of abdomen and anuria for 2 days. His abdomen was tense, tender and distended with free fluid. Blood urea was 340 mg% and ascitic fluid urea was 337 mg%. An USG showed massive ascitis, a large vesical calculus and a left renal calculus. The urinary bladder could not be catheterized. Patient underwent hemodialysis and placement of abdominal drains. About 2 l of yellow turbid fluid was drained. Cystolithotomy showed a 6 cm size impacted calculus with a rent in the dome of the bladder, which was repaired. Subsequently patient underwent percutaneous nephrolithotrypsy for left staghorn renal calculus and nephrectomy for right non-functioning kidney.

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Authors and Affiliations

  1. Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, 95, India

    Navneet Kaur, Amit Attam, Ashish Gupta &  Amratash

  2. 407, Gagan Vihar, Delhi, 51, India

    Navneet Kaur

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  1. Navneet Kaur
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  2. Amit Attam
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  3. Ashish Gupta
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  4. Amratash
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Correspondence to Navneet Kaur.

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Kaur, N., Attam, A., Gupta, A. et al. Spontaneous bladder rupture caused by a giant vesical calculus. Int Urol Nephrol 38, 487–489 (2006). https://doi.org/10.1007/s11255-005-8574-3

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  • DOI: https://doi.org/10.1007/s11255-005-8574-3

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