Bladder Stone

A 72-year-old woman with a 30-year history of high thoracic paraplegia and neurogenic bladder presented with intermittently bloody urine. Imaging revealed a large (6 cm × 8 cm × 9 cm) layered bladder stone and multiple bladder diverticula, likely due to long-term indwelling catheter use and urinary stasis. Urinalysis showed pyuria, hematuria, and positive nitrites, with urine cultures growing Escherichia coli and Morganella morganii. After antibiotic treatment, the patient underwent successful transurethral holmium laser lithotripsy and stone extraction, with symptom resolution at one-month follow-up.

A 72-year-old woman with a 30-year history of high thoracic paraplegia and neurogenic bladder presented with intermittently bloody urine. Imaging revealed a large (6 cm × 8 cm × 9 cm) layered bladder stone and multiple bladder diverticula, likely due to long-term indwelling catheter use and urinary stasis. Urinalysis showed pyuria, hematuria, and positive nitrites, with urine cultures growing Escherichia coli and Morganella morganii. After antibiotic treatment, the patient underwent successful transurethral holmium laser lithotripsy and stone extraction, with symptom resolution at one-month follow-up.