Giant Vesical Calculus Complicating Ileocystoplasty in young Libyan Female: Case Report and Brief Review of Literature

Though the number of patients with giant Vesical calculi has decreased over recent years owing to wider availability of health care and better diagnostic modalities. They are still encountered in urologic practice. The so-called Giant Vesical calculus is defined as a calculus heavier than 100 grams (g) or measuring more than 4 centimeters (cm) in its largest diameter. Vesical calculi occur rarely in women compared to men. Vesical calculi in women generally occur secondary to passage of suture material through the bladder following pelvic or gynecological surgeries. Herein, we present this rare interesting case on a 17years old female Libyan patient who presented 10 years after Ileocystoplasty for care of neurogenic bladder secondary to myelomeningocele with lower urinary tract symptoms, Supra-pubic pain and fullness and one episode of gross hematuria. Her workup revealed a giant Vesical calculus (10*9*5.5) centimeters and an open cystolithotomy was performed, and a giant whitish pale hard Vesical solitary calculus weighing 284 grams was removed. She passed an uneventful post- operative course and was scheduled for regular follow–up visits.