Author(s)

B. M. Abubakar^1*, A. Abdulkadir², A. A. Atterwahmie³, A. A. Atterwahmie³, A. A. Panti⁴, A. I. Maina⁵

¹Department of Surgery, Federal Medical Centre, Nguru, Nigeria.
²Department of Surgery, Bayero University/Aminu Kano Teaching Hospital, Kano, Nigeria.
³Department of Obstetrics and Gynaecology, Federal Medical Centre, Nguru, Nigeria.
⁴Department of Obstetrics and Gynaecology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
⁵Birniwa General Hospital, Birniwa, Nigeria.

Prolonged obstructed labor is a critical intrapartum emergency. This intricacy is, however, unusual as a primary presentation of a giant bladder calculus. We report a case of a 25-year-old Para 6 + 1, who presented with a history of labor pains of 72 hours duration. She had background lower urinary tract symptoms with supra-pubic swelling and hematuria of 2 years duration. She had a single antenatal visit at 32 weeks however; no obstetric ultrasound scan was done before she went into labor. Examination revealed a highly placed fetal head with increase fetal heart rate. There was a hard mass bulging under the anterior vaginal wall. The diagnosis was a prolonged obstructed labor secondary to bladder mass with fetal distress was made. She had a caesarean section (CS) with the delivery of fresh stillborn. The bi-manually palpable bladder mass persisted post-CS. Her abdominopelvic ultrasound scan and abdominal X-ray post-CS revealed giant vesical calculus with obstructive uropathy. Urine microscopy culture and sensitivity yielded E. coli sensitive to Ciprofloxacin; other laboratory investigations were normal. She was treated for UTI and 2 weeks post-CS, she had opened cystolithotomy. The stone weighed 536 g. Her postoperative recovery was uneventful.

Prolonged Obstructed Labor, Giant Calculus, Primary Presentation

Abubakar, B. , Abdulkadir, A. , Atterwahmie, A. , Atterwahmie, A. , Panti, A. and Maina, A. (2019) Prolonged Obstructed Labor Is an Uncommon Presentation of a Giant Bladder Calculus: A Case Report and Literature Review. Open Journal of Urology, 9, 77-83. doi: 10.4236/oju.2019.94009.