Jackstone: A Calculus “Toy” in the Bladder. A Case Report of Rare Entity and Comprehensive Review of the Literature
Case studies
Evangelos N. Symeonidis
1st Department of Urology, Aristotle University of Thessaloniki, School of Medicine, “G. Gennimatas” General Hospital, Thessaloniki, Greece
https://orcid.org/0000-0002-6360-0762
Dimitrios Memmos
1st Department of Urology, Aristotle University of Thessaloniki, School of Medicine, “G. Gennimatas” General Hospital, Thessaloniki, Greece
Anastasios Anastasiadis
1st Department of Urology, Aristotle University of Thessaloniki, School of Medicine, “G. Gennimatas” General Hospital, Thessaloniki, Greece
Ioannis Mykoniatis
1st Department of Urology, Aristotle University of Thessaloniki, School of Medicine, “G. Gennimatas” General Hospital, Thessaloniki, Greece
Eliophotos Savvides
1st Department of Urology, Aristotle University of Thessaloniki, School of Medicine, “G. Gennimatas” General Hospital, Thessaloniki, Greece
Georgios Langas
1st Department of Urology, Aristotle University of Thessaloniki, School of Medicine, “G. Gennimatas” General Hospital, Thessaloniki, Greece
Panagiotis Baniotis
1st Department of Urology, Aristotle University of Thessaloniki, School of Medicine, “G. Gennimatas” General Hospital, Thessaloniki, Greece
Athanasios Bouchalakis
1st Department of Urology, Aristotle University of Thessaloniki, School of Medicine, “G. Gennimatas” General Hospital, Thessaloniki, Greece
Stavros Tsiakaras
1st Department of Urology, Aristotle University of Thessaloniki, School of Medicine, “G. Gennimatas” General Hospital, Thessaloniki, Greece
Panagiotis Stefanidis
1st Department of Urology, Aristotle University of Thessaloniki, School of Medicine, “G. Gennimatas” General Hospital, Thessaloniki, Greece
Michail Stratis
1st Department of Urology, Aristotle University of Thessaloniki, School of Medicine, “G. Gennimatas” General Hospital, Thessaloniki, Greece
Wilbert F. Mutomba
1st Department of Urology, Aristotle University of Thessaloniki, School of Medicine, “G. Gennimatas” General Hospital, Thessaloniki, Greece
Ioannis Vakalopoulos
1st Department of Urology, Aristotle University of Thessaloniki, School of Medicine, “G. Gennimatas” General Hospital, Thessaloniki, Greece
Georgios Dimitriadis
1st Department of Urology, Aristotle University of Thessaloniki, School of Medicine, “G. Gennimatas” General Hospital, Thessaloniki, Greece
Published 2022-01-26
https://doi.org/10.15388/Amed.2021.29.1.6
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Keywords

Jackstone
Vesical Calculus
Bladder Calculus
Bladder stone diseas
Benign Prostate Hyperplasia
Prostatectomy

How to Cite

1.
Symeonidis EN, Memmos D, Anastasiadis A, Mykoniatis I, Savvides E, Langas G, et al. Jackstone: A Calculus “Toy” in the Bladder. A Case Report of Rare Entity and Comprehensive Review of the Literature. AML [Internet]. 2022 Jan. 26 [cited 2024 Mar. 28];29(1):149-56. Available from: https://www.journals.vu.lt/AML/article/view/24866

Abstract

 Background: An uncommon type of urinary calculus, Jackstone was named after its distinct resemblance to the children’s game “Jacks.” It typically involves the bladder and, to a lesser extent, the upper urinary tract.
Case Presentation: Herein, we report a case of Jackstone vesical calculus in a 75-year-old male undergoing elective open prostate surgery for benign prostate hyperplasia refractory to medical treatment. Preoperative clinical examination revealed intermittent gross hematuria and symptoms suggestive of bladder outlet obstruction, while radiological investigation confirmed the presence of a solitary star-shaped spike-like bladder stone along with an overly enlarged prostate. Following open simple prostatectomy and concomitant intact stone removal, our patient made an uneventful postoperative recovery.
Conclusion: This case highlights an infrequent subtype of bladder lithiasis and further expands upon the importance of promptly treating the underlying cause once this rare entity is detected. A comprehensive review of the literature on Jackstone calculi is further presented.

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