Pediatr. praxi 2019; 20(1): 35-38 | DOI: 10.36290/ped.2019.074

A giant bladder cystine stone in a 5-year‑old female patient

prof. MUDr. Vladimír Mihál, CSc.^1,2, MUDr. Hana Flögelová, Ph.D.¹, MUDr. Jan Šarapatka, FEBU³, MUDr. Kamila Michálková⁴

¹ Ústav molekulární a translační medicíny LF UP Olomouc

² Dětská klinika LF UP a FN Olomouc

³ Urologická klinika LF UP a FN Olomouc

⁴ Radiologická klinika LF UP a FN Olomouc

A 5-year-old female patient with several months history of recurrent lower urinary tract infection presented with a complaint of
frequency of micturition and hematuria. On plain abdominal radiography an elliptic opacified mass occupying the cavity of the
small pelvis was detected. Ultrasonic bladder examination has shown a hyperechogenic formation with a massive dorsal acoustic
shadow, which corresponds to the stones. The cystine bladder stone was oval-shaped 4,0 × 3,6 cm in size. Open cystolithotomy
was therefore selected as the best and safest treatment choice.

Keywords: huge stone, bladder, cystine, child of pre‑schoolage

Received: March 7, 2019; Accepted: April 9, 2019; Prepublished online: April 9, 2019; Published: February 22, 2019  Show citation