Giant bladder stone in children

Bladder stones account for approximately 5% of all urinary system stones and are prevalent among children living in poor or rural regions due to low socioeconomic status, a diet with low protein, animal milk (goat milk), and dehydration. Herein, we report a 4 years old child with a large bladder stone of 34 × 29 × 23 mm in dimension and 62 gm in weight successfully managed with open cystolithotomy. Early diagnosis and management of bladder stones in the pediatric age group are crucial to prevent subsequent complications including recurrent urinary tract infections, excessive antimicrobial use and dissemination of antimicrobial resistance, and consequent renal insufficiency.