We present a male patient,
52 years old, with acute renal failure due to giant bladder stone. In first presentation
with acute renal failure, tomography has shown a bladder stone with 10 cm in its largest diameter
associated with bilateral ureterohydronephrosis. It was initially treated by bladder
catheterization and indicated emergency dialysis and subsequently submitted to surgical
treatment through open cistolitotomy. During the procedure it was possible to observe
the giant calculus, adhered to the trigone of the bladder, occluding his neck. After
the vesical catheter was deployed, the patient had clinical and laboratory improvement
during hospitalization. The association between giant bladder stones and urologic
kidney failure is a rare condition and once removed the causative factor, we expect
the return to normal limits. Studies with higher levels of evidence are needed to
increase knowledge about the subject.
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