Giant Mixed Vesical Calculus in a Patient in North Central, Nigeria: A Case Report
Saleh A. Longwap *
Department of Chemical Pathology, University of Jos/Jos University Teaching Hospital, Nigeria.
Ahmed M. Rabiu
Department of Human Physiology, Federal University Lafia, Nigeria.
Cecilia N. Edeh
Department of Anatomy, University of Jos, Nigeria.
Daniel O. Aina
Department of Chemical Pathology, University of Jos/Jos University Teaching Hospital, Nigeria.
Ayuba Affi
Department of Chemical Pathology, University of Jos/Jos University Teaching Hospital, Nigeria.
David M. Manshor
Department of Histopathology, Bingham University Teaching Hospital, Nigeria.
Emmanuel Innocent
Department of Histopathology, University of Jos/Jos University Teaching Hospital, Nigeria.
Henry Embu
Department of Anaesthesia, University of Jos/Jos University Teaching Hospital, Nigeria.
Mercy Isichei
Department of General Surgery, University of Jos/Jos University Teaching Hospital, Nigeria.
Ali I. Shugaba
Department of Anatomy, University of Jos, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
A 30-year old male Business man presented at the accident and emergency unit of Abnira Medical Centre in Jos city on account of inability to pass urine for over fifteen hours. There was concomitant excruciating lower abdominal pain and swelling that is tender to touch. A positive history of generalized weakness, fatigue, nausea, heamaturia was given. However, no fever, vomiting, headache nor history of fainting attacks. On examination, he was afebrile, acyanosed with associated tachycardia (pulse rate 121bpm) and tachypnea (respiratory rate of 27c/min).He was oriented in place, person and time with no focal neurological deficit. There were no cardiac and other respiratory signs picked on examination. His abdomen was soft and non-tender, with normal bowel sounds. However, there was renal angle tenderness. Biochemical investigations done on presentation showed normal sodium, potassium, chlorite, and bicarbonate. He has some evidence of dehydration and pre-renal azotemia (increased creatinine, urea and uric acid).His liver function tests, lipase, thyroid function test, phosphate, magnesium and albumin-corrected calcium were all normal.
Keywords: Ammonium phosphate (struvite), carbonate apatite, vesical calculus