Urinary bladder stones

Case contributed by Mohammad Osama Hussein Yonso

Presentation

Hypertension since 08/2022. No other associated condition. Non-Smoker / non-alcoholic / non-tobacco chewer. Family history: nonsignificant. General systemic examination: normal

Patient Data

Age: 50 years
Gender: Male
x-ray

Two large and oval radio-opaque shadows are noted in the pelvis, the largest measuring about 61 x 51 mm, compatible with urinary bladder stones.

Annotated zooned view

x-ray

Two large and oval radio-opaque urinary bladder stones in the pelvis, the largest measuring about 61 x 51 mm.

Case Discussion

A hypertension patient since 08/2022, came for a check-up, urine analysis showed plenty of pus cells, RBCs 8-10, leukocytes positive ++++, serum creatinine 123.1 mmol/L, urine microalbumin 71 mg/L, albumin creatinine ratio 14.18 mg/mmol.

KUB ultrasound was requested and showed:

  • bilateral moderate-severe hydroureteronephrosis, and bilateral hyperechoic renal cortex

  • urinary bladder showed two large stones measuring 40 mm & 60 mm with debris seen in the urinary bladder and distal third of the dilated ureter bilaterally

  • right side bladder diverticulum measures 2.8 x 2 cm with debris inside

Then KUB X-ray was requested to show the results above.

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