A 72-year-old woman in China with paraplegia was found to have an enormous bladder stone the size of a baseball. The stone had distinct growth rings, similar to those found in trees, indicating its long-term development.
A remarkable bladder stone , comparable in size to a baseball and exhibiting distinct growth rings like those found in a tree trunk, was discovered within the bladder of a 72-year-old woman in China. The woman, who had been paralyzed from the chest down for 30 years, sought medical attention at a hospital due to the onset of hematuria (blood in urine). Medical professionals initially suspected the presence of a bladder stone .
However, a thorough ultrasound examination revealed an exceptionally large oval-shaped stone, measuring approximately 2.4 inches by 3.1 inches by 3.5 inches. This finding was particularly noteworthy considering the average diameter of a baseball is about 2.9 inches. The patient's medical history revealed several bladder diverticula, which are small pouches or pockets formed in the bladder wall. These diverticula develop when urine becomes concentrated, leading to the crystallization and clumping of minerals such as calcium oxalate and uric acid. The resulting accumulation forms a hard mass within the bladder. Incomplete bladder emptying can contribute to the concentration of urine, further promoting stone formation. Similarly, urine trapped in bladder diverticula can create an ideal environment for stone development. The patient's chronic paraplegia, which resulted in limited bladder control, necessitated the use of a long-term catheter inserted into her urethra to facilitate urination. This catheterization, coupled with her bladder diverticula, served as risk factors for the formation of bladder stones. Furthermore, her urine analysis indicated a high concentration of white blood cells, pus, blood, and nitrites, all suggestive of a urinary tract infection (UTI). The presence of E. coli and Morganella morganii bacteria further confirmed the diagnosis of UTI. A computed tomography scan of the stone revealed its layered structure, with rings reminiscent of the growth rings found in tree trunks. This unique characteristic is attributed to intermittent variations in mineral deposition and urine composition over time. Doctors successfully treated the patient's UTI with antibiotics before employing a laser to break down the bladder stone into smaller fragments. These fragments could then either be naturally expelled through urine or removed using specialized tools during the procedure. A one-month follow-up confirmed the resolution of the patient's symptoms
Bladder Stone Paraplegia Urinary Tract Infection Growth Rings Medical Case
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