Large bladder calculus

Case contributed by Dr Domenico Nicoletti

Presentation

Dysuria and polyuria in lymphoma.

Patient Data

Age: 60 years
Gender: Female
CT

The bladder is thick-walled with a large calculus within. There is some rim calcification of the internal bladder surface. Small stones and simple cortical cysts are detectable in both kidneys; there are also stones in the gallbladder.

The urographic phase shows compression of the bladder stone on ureteral meatus with hydroureteronephrosis on the right; the walls of the right ureter and the renal pelvis are slightly thickened and demonstrate enhancement.

The residual bladder capacity is modest.

A cystic lesion is present in the right ovary. There are multiple lymph nodes along the aorta and in the pelvis.

Case Discussion

Bladder stones can cause long term urinary difficulties, such as pain or frequent urination. Bladder stones can also lodge in the urethral meatus and block the flow of urine. Repeated bacterial infections in the urinary tract may be caused by bladder stones.

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Case information

rID: 76281
Published: 17th Apr 2020
Last edited: 18th Apr 2020
Inclusion in quiz mode: Included

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