Ultrasonography has a vital role to play in the management of children with urinary tract infection as it helps not only in assessing the urinary tract, but also in excluding complication that may arise from the diseases such as a urinary tract stone formation. We report a case of a 10 year old boy with giant vesical calculus to the alert pediatricians to the likelihood of bladder calculus complicating urinary tract infection in our environment and the usefulness of imaging modality both in the clinical work-up and the follow up in order to reduce delay in patient management. It is also presented to alert general practitioners that simple non-invasive and cheap ultrasound has a role to play in making a diagnosis and management.
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