Massive Bladder Stone in a Rural Secondary Health Facility: A Case Report and Literature Review

Ubogun Ogheakpobor Efe *

Delta State University, Abraka, Nigeria.

Afokhume Taiwo

Emure General Hospital Ekiti, Nigeria.

Imade Williams

Federal Medical Center, Ido Ekiti, Nigeria.

Ntugba Chidinma Joy

Delta State University, Abraka, Nigeria.

*Author to whom correspondence should be addressed.


Background: Giant bladder stones, though relatively uncommon, present significant clinical challenges, particularly in rural healthcare settings. This as well accounts for about 8percent of urolithiasis related deaths.

Objective: objective of this case report is to highlight the clinical presentation and management of giant bladder stones and the challenges which maybe encountered.

Case:  In this case report, we describe a 58-year-old man who presented with a 4-year history of lower urinary tract symptoms, including difficulty urinating, urinary frequency, urgency, dysuria, and intermittent hematuria. Despite multiple treatments for urinary tract infection, his symptoms persisted, prompting further investigation. Diagnostic imaging revealed a large bladder stone measuring 4*1.5cm and weighing 102g, underscoring the severity of the condition. The patient underwent successful open cystolithotomy under local anesthesia, highlighting the importance of prompt surgical intervention in managing bladder stones.

Conclusion: This case underscores the significance of early recognition and appropriate management of bladder stones, especially in underserved rural areas where access to healthcare resources may be limited. Collaborative efforts among healthcare providers are crucial to improving diagnostic capabilities and ensuring timely interventions, ultimately mitigating the morbidity associated with bladder stone complications in vulnerable populations.

Keywords: Giant bladder stone, open lithocysthtomy, rural community, urinary tract infection

How to Cite

Efe, Ubogun Ogheakpobor, Afokhume Taiwo, Imade Williams, and Ntugba Chidinma Joy. 2024. “Massive Bladder Stone in a Rural Secondary Health Facility: A Case Report and Literature Review”. Asian Journal of Research and Reports in Urology 7 (1):46-51.


Download data is not yet available.


Hughes T, Ho HC, Pietropaolo A, Somani BK. Guideline of guidelines for kidney and bladder stones. Turk J Urol. 2020;09:10.DOI: 10.5152/tud.2020.20315. [Epub Ahead of Print]

Mukherjee S, Sinha RK, Hamdoon M, Abbaraju J. Obstructive uropathy from a giant urinary bladder stone: A rare urological emergency. BMJ Case Rep. 2021 Jan 19;14(1):e234339.DOI: 10.1136/bcr-2020-234339. PMID: 33468632; PMCID: PMC78178012

Ahmed F, Alyhari Q, Al-Wageeh S, Mohammed F. Giant urinary bladder calculi in a 60-year-old man: A case report. Pan Afr Med J. 2022 Jan 27;41:78.DOI: 10.11604/pamj.2022.41.78.33131. PMID: 35382051; PMCID: PMC8956832

Adhikari R, Baral HP, Bhattarai U, Gautam RK, Kunwar KJ, Shrestha D, Katwal BM. A rare case report of giant urinary bladder stone causing recurrent dysuria in a woman. Case Rep Urol. 2022 Aug 27;2022:4835945.DOI: 10.1155/2022/4835945. PMID: 36065329; PMCID: PMC9440851

Hidayatullah F, Renaldo J, Kloping YP, Rahman ZA, Salsabila S, Hakim L. Giant bladder calculi due to four years neglected cystostomy. Radiology Case Reports. 2023 Nov 1;18(11):3949-53.

Ciftci H, Gumus K, Demir M, Yilmaz MO, Gulum M, Yeni E, Akin Y. Endoscopic cystolithotomy by mini nephroscope: A preliminary study. Minimally Invasive Therapy & Allied Technologies. 2015 Mar 4;24(2):114-8.

Gadelkareem RA, Shalaby MM, Faddan AA. Predictors of clinical and surgical characteristics of giant stones of the urinary bladder: A retrospective study. BMC Urol. 2023 May 4;23(1):83.DOI: 10.1186/s12894-023-01261-2.

PMID: 37143010; PMCID: PMC10157901

Napitupulu T, Susanto M, Duma G, Yudha Rahman E. Giant bladder stone: A case report and literature review. JMA J. 2022 Jul 15;5(3):384-388.DOI: 10.31662/jmaj.2022-0061. Epub 2022 Jun 17. PMID: 35992289;

PMCID: PMC9358262

Asad S, Gul B, Jalal-Ud-Din M, Khan SA, Bashir R, Rafaqat H. Frequency of stone clearance after transurethral fragmentation of large urinary bladder calculi using pneumatic swiss lithoclast. J Ayub Med Coll Abbottabad. 2023 Feb-Mar;35(1):50-53. PMID: 36849376

Möhr S, Fassbind S, Gahl B, Seifert HH, Bausch K. Risk factors of bladder stones in neurogenic lower urinary tract dysfunction: A real-world study. BJUI Compass. 2024 Feb 1;5(3):359-365.DOI: 10.1002/bco2.330. PMID: 38481672; PMCID: PMC10927923

Hidayatulloh A, Firdausy AF, Mahyuddin MH, Atsira OP, Priandhini SA, Ibtisam N, Ibrahim RR. Giant bladder stone and rectal prolapse complication in pediatric patient: Case report and literature review. Int J Surg Case Rep. 2023 Oct;111:108740.DOI: 10.1016/j.ijscr.2023.108740. Epub 2023 Aug 28. PMID: 37751663; PMCID: PMC10539661

Shrestha N, Zhou L, Hu CH. Extraction of giant bladder calcium oxalate stone: A case report. Int J Surg Case Rep. 2020;68:151-153.DOI: 10.1016/j.ijscr.2020.02.055. Epub 2020 Feb 28.

PMID: 32146428;

PMCID: PMC7063165

Liu Y, Chen Y, Liao B, et al. Epidemiology of urolithiasis in Asia. Asian J Urol. 2018;5(4):205-14.

Agrawal R, Taha K, Poudyal A, Vidal P, Bhattacharjee P. Giant bladder stone in association with severe kidney injury. Oxf Med Case Reports. 2019 Jul 17;2019(7):omz063.DOI: 10.1093/omcr/omz063.

PMID: 31333851;

PMCID: PMC6637460

Najeem AI, Abdul-Karim OS, Odeyemi PO, Mumini W, Mumini WR, Ugwuoke CO. Giant urinary bladder stone in association with acute kidney injury: A Rare Urological Emergency. 2023 Oct 26;20(4):224.DOI: 10.4314/aas.v20i4.3

Türk C, Petřík A, Sarica K, Seitz C, Skolarikos A, Straub M, Knoll T. EAU guidelines on diagnosis and conservative management of urolithiasis. Eur Urol. 2016;69:468–474.

Akram M, Jahrreiss V, Skolarikos A, Geraghty R, Tzelves L, Emilliani E, Davis NF, Somani BK. Urological guidelines for kidney stones: Overview and comprehensive update. J Clin Med. 2024 Feb 16;13(4):1114.DOI: 10.3390/jcm13041114. PMID: 38398427; PMCID: PMC10889283