A successful delivery of giant bladder stone by obstetric forceps: a case report

Siti Fairus Che Ismail, Jamil Abdullah, Mohd Fadliyazid Ab Rahim, Mohammad Irsyadiee B. Mohd Saiful, Roziana Ramli


Giant bladder stone is a rare phenomenon. Surgical treatment which involves open vesicolithotomy and delivery of the bladder stone is usually straightforward. Herein, we report a 69-year-old gentleman with a neglected giant bladder stone complicated by obstructive uropathy and acute renal failure. After medical condition was stabilized, he underwent open vesicolithotomy. At surgery, delivery of the giant bladder stone was difficult both manually and with stone forceps. The stone was later delivered successfully by Wrigley’s obstetrics forceps. We report this case to highlight the rare cause of acute renal failure and the use of obstetrics forceps in the management of giant bladder stones.


Giant bladder stone, Obstetrics forceps, Vesicolithotomy

Full Text:



Ofluoglu Y, Aydin HR, Kocaaslan R, Adanur S, Ziypak T. A cause of renal dysfunction: a giant bladder stone. Eurasian J Med. 2013;45(3):211-3.

Williams JP, Mayo ME, Harrison NW. Massive bladder stone. Br J Urol. 1977 Feb;49(1):51-6.

Jeffery JT. Successful delivery of huge bladder stone with obstetric forceps. Urology. 1983;21(2):162-3.

Singh M. A Case of Stone in the Bladder Removed by Midwifery Forceps. Ind Med Gaz. 1923;58(4):163-4.

Shah J, Whitfield HN. Urolithiasis through the ages. BJU Int. 2002 May;89(8):801-10.

Rauf A, Ahmed I, Rauf MH, Choudry H, Rauf M. Endoscopic treatment of large vesical calculi. Rawal Med J. 2015;40(4):1-4.

Papatsoris AG, Varkarakis I, Dellis A, Deliveliotis C. Bladder lithiasis: from open surgery to lithotripsy. Urol Res. 2006;34(3):163-7.

Arthure H. A large abdominal calculus. J Obstet Gynaecol Br Emp. 1953;60(3):416.

Komeya M, Sahoda T, Sugiura S, Sawada T, Kitami K. A huge bladder calculus causing acute renal failure. Urolithiasis. 2013;41(1):85-7.

Patodia M, Sharma K, Sankhwar S, Goel A. Bladder calculus leading to acute renal failure in a girl child: a rare cause. BMJ Case Rep. 2017;2017: 2016217250.

Nygaard E, Terjesen T. Giant vesical calculas and anuria. Scand J Urol Nephrol. 1976;10(1):88-90.

Diniz, André, Vieiralves, Rodrigo, Souza, Tomás, et al. Giant Bladder Stone and Renal Failure: A Case Report, Literature Review and Future Perspectives. OALib. 2017;04:1-8.

Lawal AT, Ahmed M, Bello A, Maitama HY, Awaisu M. Atypical presentation of an enormous vesical calculus: A case report. African J Urol. 2016;22(3):207-9.

Kumar S, Jayant K. Massive vesical calculi formation as a complication of augmentation cystoplasty. Nephrourol Mon. 2014;7(1):22297.

Rahman, Ganiyu A, Akande AA, Mamudu NA. Giant vesical calculi: Experience with management of two Nigerians. Nigerian Journal of Surgical Research. 2006;7.

Farshi A, Sari Motlagh R, Jafari Arismani R. Delivery of huge bladder stone in a thirty-five-year-old man. Nephrourol Mon. 2014;6(6):20574.

Albert M.Crance. Removal of a Giant Vesical Calculus with the Aid of Obstetrical Forceps. The J Urol. 1941;45(3):327-30.

Sheikh S, Ganesaratnam I, Jan H. The birth of forceps. JRSM Short Rep. 2013;4(7):1-4.