Massive Bladder Stone in a Rural Secondary Health Facility: A Case Report and Literature Review

Abstract

Background: Giant bladder stones, though relatively uncommon, present significant clinical challenges, particularly in rural healthcare settings. This as well accounts for about 8percent of urolithiasis related deaths. Objective: objective of this case report is to highlight the clinical presentation and management of giant bladder stones and the challenges which maybe encountered. Case:  In this case report, we describe a 58-year-old man who presented with a 4-year history of lower urinary tract symptoms, including difficulty urinating, urinary frequency, urgency, dysuria, and intermittent hematuria. Despite multiple treatments for urinary tract infection, his symptoms persisted, prompting further investigation. Diagnostic imaging revealed a large bladder stone measuring 4*1.5cm and weighing 102g, underscoring the severity of the condition. The patient underwent successful open cystolithotomy under local anesthesia, highlighting the importance of prompt surgical intervention in managing bladder stones. Conclusion: This case underscores the significance of early recognition and appropriate management of bladder stones, especially in underserved rural areas where access to healthcare resources may be limited. Collaborative efforts among healthcare providers are crucial to improving diagnostic capabilities and ensuring timely interventions, ultimately mitigating the morbidity associated with bladder stone complications in vulnerable populations.