A Case of Habitual Formation of Stone in the Bladder
نویسنده
چکیده
A. R? aged 22 years, a resident of Jadura, a village in the Bhuj district of Cutch State, was operated on at Rajkot about 2J years ago for a large stone in the bladder; this was his first operation. Suprapubic lithotomy was performed and the stone was about the size of a duck's egg, according to the description of the patient. He was discharged, cured, from the hospitalThere were no complications; the suprapubic wound had completely healed and there was no fistulaWithin three months of his return home, he felt the usual symptoms and experienced the same trouble in passing urine as before the operation. One day he noticed a minute hole in the scar-line of the suprapubic area, through which a few drops of urine trickledThis minute opening went on widening in course oi time until in about a year's time it became very wide and most of the urine sprang out in a stream like a fountain; this happened most markedly when he la}' flat on his back. He then sought admission in the Jubilee Hospital at Bhuj on the 6th of September 1929On sounding per urethram which would admit a no. I* catheter easily, as well as through the suprapubic fistula, the stony contents could be easily and distinctly feltThe patient was prepared for litholapaxy which is operation of choice in such cases. As the patient had been operated on only 12 months previously it presumed that the present calculus must be a new formation. It was hoped, therefore, that it would be of small size and easy to crush. Unfortunately 1 turned out otherwise. Not only was the calculus large, it was too big for any lithotrite that I could pass in llP to no. 14; I had therefore to have recourse to supra" pubic lithotomy. On opening the bladder and delivering the calculus it was found to be a big conglomeration of five component stones all massed together. The patient made an uneventful recovery.
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