A giant bladder stone in combination with a stone necklace of urinary tract in patient with nephrotic proteinuria and concurrent bladder and prostate neoplasia

Authors

  • Marco Gallo S.O. Nefrologia e Dialisi - Istituto Fiorentino di Cura e Assistenza (IFCA), Firenze - Italy https://orcid.org/0000-0002-6791-0872
  • Stefano Aterini S.O. Nefrologia e Dialisi - Istituto Fiorentino di Cura e Assistenza (IFCA), Firenze - Italy https://orcid.org/0000-0003-3394-6567
  • Barbara Vadalà S.O. Nefrologia e Dialisi - Istituto Fiorentino di Cura e Assistenza (IFCA), Firenze - Italy
  • Lorenzo Aterini S.O. Nefrologia e Dialisi - Istituto Fiorentino di Cura e Assistenza (IFCA), Firenze - Italy https://orcid.org/0000-0002-0924-3450
  • Patrizia Beneforti Servizio di Urologia - Istituto Fiorentino di Cura e Assistenza (IFCA), Firenze - Italy https://orcid.org/0000-0003-2081-2121
  • Fiamma Balboni Servizio di Laboratorio Analisi - Istituto Fiorentino di Cura e Assistenza (IFCA), Firenze - Italy https://orcid.org/0000-0001-8158-5976
  • Niceta Stomaci S.O.C. Urologia - USL Toscana Centro, Firenze - Italy https://orcid.org/0000-0003-2081-2121

DOI:

https://doi.org/10.33393/gcnd.2022.2484

Keywords:

Bladder cancer, Case report, Multiple giant bladder stones, Nephrolithiasis, Squamous cell carcinoma

Abstract

 We present a case report of a 66-year-old homeless man who came to our observation for acute kidney failure, urinary tract infection, nephrotic proteinuria and dehydration. The instrumental examinations revealed multiple bladder stones with formations of dimensions rarely observed in literature. Cystotomy allowed to remove not only multiple stones (weighing a total of 550 grams) but also a ureteral stent, positioned many years earlier, which had formed the core around which the lithiasis had formed. Biopsy of the bladder’s left lateral wall revealed squamous cell carcinoma. He underwent radical cystectomy and prostatectomy, bringing to light prostate adenocarcinoma.

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