Large Bladder Stone in Sasak Young Teen Boy: A Case Report

Abstract

Background: The incidence of bladder stone in children approximately 1-2% of that in adults, and are common in the first 3 years old and more than 60 years old. Children in underdeveloped countries are more likely to have endemic bladder stones. Large bladder stones in children are not very common. The choice of treatment depends on the number, size, location, composition of the stones and the anatomy of the urinary tract. Case Presentation: A Sasak young teen boy, 12 years old, complained pain on micturition in the last 5 years. The pain became worse in the last one week before admission. On abdominal ultrasound and plain abdominal x-ray, we found large bladder stone with diameter 4 cm. Then we performed open cystolithotomy on this patient. One day after surgery, patient discharged from hospital with urethral catheter still inserted. Discussion: The incidence of endemic bladder stones is higher in developing nation mostly in families with low protein and phosphate diets, and recurrent diarrhea. The clinical presentation ranges from asymptomatic to the presence of urgency, frequency, incontinence, fever, hematuria, etc. In pediatric bladder stones, conventional open cystolithotomy has been considered the gold standard surgical procedure. Conclusion : The incidence of bladder stones in children living in endemic areas is mostly caused by nutritional problems. Prevention, early diagnosis and management of bladder stones in the pediatric age group is very important to reduce morbidity and mortality. Keywords: Large bladder stone, endemic bladder stone, young teen boy, open cystolithotomy