Open AccessGiant vesicle calculi leading to spontaneous bladder rupture and acute renal failure: an unusual presentation
Author(s) -
Deepanshu Sharma,
Gaurav Garg,
Siddharth Pandey,
Apul Goel
Publication year - 2018
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-225888
Subject(s) - medicine , presentation (obstetrics) , surgery , bladder rupture , urology , urinary system , urinary retention , catheter , urinary bladder
Spontaneous rupture of the urinary bladder is extremely rare. We report a case of a 70-year-old man with spontaneous bladder rupture secondary to neglected giant vesicle calculi who presented as acute renal failure. The patient was stabilised with per-urethral catheterisation and extravesical drain placement. About 700 mL pus mixed with urine was drained through the per-urethral catheter and approximately 2000 mL of pus was drained through the extravesical drain. Cystolithotomy showed two large calculi which were removed.