Vesicocutaneous fistula caused by giant bladder calculus.
A rare case of giant bladder calculus presenting with vesicocutaneous fistula is described. A 62-year-old woman presented with dysuria and ulcer of the hypogastric wall. Urine drained through the ulcer. Both X-ray and computed tomography (CT) of the abdomen showed a giant bladder calculus with vesicocutaneous fistula. We performed cystolithotomy followed by closure of the fistula. The calculus measured 95 x 60 x 55 mm and weighed 350 g. Worldwide, it is the second reported case of vesicocutaneous fistula caused by giant bladder calculus.
Kobori
Yoshitomo
Y
Department of Urology, Nagano Red Cross Hospital, Nagano, Japan. bori2555@mail.goo.ne.jp
Shigehara
Kazuyoshi
K
Amano
Toshiyasu
T
Takemae
Katsuro
K
D017577:Cutaneous Fistula / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D053159:Dysuria / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D012883:Skin Ulcer / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D001744:Urinary Bladder Calculi / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D001747:Urinary Bladder Fistula / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology