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September 22, 1978

Giant Vesical Calculus

Author Affiliations

Albert Einstein College of Medicine New York

JAMA. 1978;240(13):1338. doi:10.1001/jama.1978.03290130032006

To the Editor.—  Although giant vesical calculus is reported to be uncommon in the Western world (239:2272, 1978), it is not uncommon in Java. During our tour of duty with Care-Medico at the R. S. U. Mangkubumen Hospital in Solo, Central Java, in 1975,1 we had occasion to see several giant bladder calculi. The Javanese surgeons did not find them unusual. One patient, a 43-year-old man, had a calculus of enormous size. Plain abdominal roentgenographic examination demonstrated the large opaque calculus to be filling the pelvis (Figure). Chemical analysis was not available. Further study of the epidemiologic characteristics of genitourinary calculus disease may be fruitful in cluing etiology.