title: [Acute abdomen caused by a large vesical cystine calculus].
abstract: A 73-year-old man underwent an emergency laparotomy because of acute abdominal pain and a palpable mass in the lower abdomen. A giant vesical calculus was found which had perforated the bladder, small intestine and sigmoid colon due to pressure necrosis. The stone had a length of 11.5 cm and weighed 1280 g. Further analysis revealed benign prostate hyperplasia, bladder diverticula and cystinuria as underlying causes. Initial therapy consisted of stone removal, partial bladder resection, a Hartmann procedure and partial resection of the small intestine. Secondarily, lifestyle advice was given and transurethral resection of the prostate followed later.
authors.affiliation: boonstra@kg.nl
authors.forename: R H
authors.initials: RH
authors.lastname: Boonstra
authors.forename: A C
authors.initials: AC
authors.lastname: Blok
authors.forename: J H
authors.initials: JH
authors.lastname: Van der Veen
authors.forename: R
authors.initials: R
authors.lastname: Silvis
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D000368:Aged; D012809:Colon, Sigmoid / Q000293:injuries* / Q000601:surgery; D003555:Cystinuria / Q000150:complications; D006801:Humans; D007421:Intestine, Small / Q000293:injuries* / Q000601:surgery; D008019:Life Style; D008297:Male; D011470:Prostatic Hyperplasia / Q000150:complications / Q000601:surgery; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000293:injuries* / Q000601:surgery; D001744:Urinary Bladder Calculi / Q000150:complications* / Q000175:diagnosis / Q000601:surgery