A huge bladder calculus causing acute renal failure

Urolithiasis. 2013 Feb;41(1):85-7. doi: 10.1007/s00240-012-0517-8. Epub 2012 Dec 21.

Abstract

A 81-year-old male was referred to our emergency outpatient unit due to acute renal failure. The level of serum creatinine was 276 μmol/l. A CT scan showed bilateral hydronephroureter, large bladder stone (7 cm × 6 cm × 6 cm) and bladder wall thickness. He was diagnosed as post renal failure due to bilateral hydronephroureter. Large bladder stone is thought to be the cause of bilateral hydronephroureter and renal failure. To improve renal failure, we performed open cystolithotomy and urethral catheterization. Three days after the surgery, the level of serum creatinine decreased to 224 μmol/l. He was discharged from our hospital with uneventful course. Bladder calculus is thought to be a rare cause of renal failure. We summarize the characteristics of bladder calculus causing renal failure. We should keep that long-term pyuria and urinary symptom, and repeated urinary tract infection can cause huge bladder calculus and renal failure in mind.

Publication types

  • Case Reports
  • Letter
  • Review

MeSH terms

  • Acute Kidney Injury / etiology*
  • Aged
  • Aged, 80 and over
  • Humans
  • Male
  • Radiography
  • Urinary Bladder Calculi / complications*
  • Urinary Bladder Calculi / diagnostic imaging
  • Urinary Bladder Calculi / surgery