Jackstone bladder calculus

Case contributed by Liz Silverstone
Diagnosis almost certain

Presentation

Hematuria

Patient Data

Age: 70 years
Gender: Male
x-ray

Spiculated pelvic calculus

ct

Spiculated calculus in a bladder diverticulum. This explains the lateral location.

Case Discussion

Named for their resemblance to toy jacks, jackstone calculi usually form in the bladder and are composed of calcium oxalate dihydrate. Their fragility renders them suitable for fragmentation by lithotripsy. 

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