膀胱结石常见,多继发于膀胱出口梗阻病例.而原发性单个巨大结石实属罕见、我院曾遇1例,现报告如下:患者男,45岁,农民.平时乘车颠簸时下腹部有隐痛,未见血尿,五年中发作数次,近二个月下腹部不适明显,以腹痛待查入院.查:一般状态尚可,下腹部耻骨上未触及包块,有深压痛,无肌卫现象,双肾区无叩击痛.化验:尿常规WBC(一)、RBC(+),B超双肾输尿管无积液扩张,膀胱内显示15cm×13cm×12cm强回声光团,疑占位性病变;膀胱造影形状不规则,未见明显充盈缺损.拟诊膀胱肿物剖腹探查,切开膀胱可见成人手拳大椭圆形肿物,质如鹅卵石肋、光面光滑、黄褶色,布满纵横交错纹理.取出结石,见膀胱粘膜充血水肿渗血.置放磨蕈头管,术后半月痊愈出 Bladder stones common, mostly in cases of bladder outlet obstruction.However, the primary single huge stones are rare, our hospital had a case, the report is as follows: Male patient, 45 years old, farmers usually ride bumpy under the abdomen Pain, no hematuria, attack in five years, several times in the past two months, lower abdominal discomfort, with abdominal pain pending admission.Check: the general state is acceptable, the lower abdomen not touched the suprapubic mass, deep tenderness, no muscle Wei phenomenon, no perineal area percussion pain.Experiment: urine routine WBC (a), RBC (+), B super renal tubules without effusion expansion, the bladder showed strong echo light group 15cm × 13cm × 12cm, suspected Occupying lesions; irregular bladder imaging, no significant filling defects. Probable bladder tumor laparotomy, open the bladder visible adult hand fist oval mass, quality, such as cobbler ribs, glossy smooth, yellow pleated , Covered with crisscross texture.Removed stones, see congestion and edema in the oozing of the bladder mucosa.Mold mushroom head tube, after a half months cured