Intravesical calculus in a child with recurrent dysuria: A case report

Urinary lithiasis is a very frequent urological disease but bladder lithiasis is very uncommon and account for about 5% of urolithiasis and most common urolithiasis in pediatric age. The male sex is more affected than the female sex. This is a 6 year old male child that presented on account of dysuria, supra-pubic pain, increased frequency of micturition and hematuria for about six months duration. The patient had an abdominopelvic radiograph that showed a calculus in the pelvic region. He also had an abdominopelvic ultrasonography which showed a calculus as an echogenicity in the urinary bladder measuring about 20mm x 5.5mm in medio-lateral and cranio-caudal dimensions respectively. The patient had a successful surgical removal (percutaneous cystolithotomy) of the bladder calculus upon which he was discharged home. We report the radiologic findings of this case because of its rare nature and mode of presentation in the pediatric age group.