title: Giant bladder lithiasis: case report and bibliographic review.
abstract: OBJECTIVE
  Urinary lithiasis is a very frequent urological disease but bladder lithiasis is very uncommon.Patients usually refer voiding symptoms and hematuria. The diagnosis is made after imaging tests. We report a clinical case describing a giant bladder stone and perform a bibliographic review.
  
  
  METHODS
  A 43 year old man with the diagnosis of giant bladder stone (more than 10 cm diameter). We searched Medline using the terms: giant bladder stone, giant bladder lithiasis, bladder lithiasis, giant bladder lithiasis.
  
  
  RESULTS
  We made the diagnosis of giant bladder stone after a simple kidney, ureter and bladder (KUB) X Ray. The treatment for this patient was a cystolithotomy. We found more than 230 reports at Medline and chose the most referred ones and the last 10 years reports.
  
  
  CONCLUSIONS
  Giant bladder lithiasis is a very rare pathology. The gold standard for diagnosis is cystoscopy but sometimes with a KUB Xray or an ultrasound is enough. Because of its size, cistolitotomy is the correct treatment for giant bladder stone.
authors: Department of Urology, Hospital General de Castellón, Castellón de la Plana, Spain. dagalvi@hotmail.com
authors: Daniel
authors: D
authors: Gallego Vilar
authors: José
authors: J
authors: Beltran Persiva
authors: Mateo
authors: M
authors: Pérez Mestre
authors: Iván José
authors: IJ
authors: Povo Martin
authors: Jaume
authors: J
authors: Miralles Aguado
authors: Carmen
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authors: Garau Perelló
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authors: De Francia