Case report
https://doi.org/10.21860/medflum2021_365345
Development and treatment of giant lithiasis of ileocecal urinary reservoir in the patient with interstitial cystitis treated by cystectomy: a case report
Matilda Crnić
orcid.org/0000-0002-2597-8641
; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska
Martin Kurosch
; Department and Outpatient Clinic for Urology and Pediatric Urology, University Medical Center of Johannes Gutenberg University Mainz, Mainz
Robert Dotzauer
; Department and Outpatient Clinic for Urology and Pediatric Urology, University Medical Center of Johannes Gutenberg University Mainz, Mainz
Dean Markić
orcid.org/0000-0002-2597-8641
; Klinika za urologiju, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Abstract
Aim: The aim of this study is to present a patient with interstitial cystitis who has had a stone formation in a newly formed urinary reservoir. Case report: A 48-year-old patient was treated for recurrent urinary tract infections. Previously, due to interstitial cystitis, which significantly affected his quality of life, a cystectomy was performed with the formation of a urinary reservoir (Mainz-pouch I). Diagnostic evaluation revealed two large stones in the urinary reservoir whose dimensions were 77 × 74 mm and 76 × 62 mm with bilateral hydronephrosis. To resolve the cause of recurrent urinary infections, extraction of both stones was done by open access. The postoperative course was uneventful and the patient continued with the implementation of intermittent self-catheterization with a significantly improved quality of life. Conclusion: In patients with severe interstitial cystitis, cystectomy with urinary diversion must be considered. The occurrence of calculus in the urine reservoir is not common in such patients and treatment depends on the size of calculi (open or endoscopic approach).
Keywords
interstitial cystitis; surgery; urinary diversion; urolithiasis
Hrčak ID:
251275
URI
Publication date:
1.3.2021.
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