Huge single bladder stone:A case report from Leku general hospital, Sidama, Ethiopia

Abstract

Bladder stones, a subset of urinary tract calculi, are commonly encountered in clinical practice, yet the
occurrence of large bladder stones weighing over 100 grams is exceedingly rare. This case report presents a
unique instance of a massive 800-gram bladder stone discovered in a 22-year-old male patient at Leku General
Hospital, Sidama, Ethiopia. The patient initially presented with acute urinary retention and a history of recurrent
urinary tract infections, which had been managed with oral antibiotics from local health centers. Notably, the
patient did not exhibit any underlying intravesical obstructive causes that typically predispose individuals to
bladder stone formation. The stone was successfully removed via open cystolithotomy and the patient's
postoperative course was uneventful. This case adds to the limited number of documented reports of such large
bladder stones in Ethiopia, highlighting the importance of considering this diagnosis even in younger patients
with recurrent urinary symptoms. Early detection and appropriate management are crucial in preventing
complications associated with such large calculi.