A 2 8-year-old gravida 4 para 3 at 10 weeks gestation presented to an emergency department with complaints of dysuria, bladder spasm, weak urinary stream, and positional voiding for 1 month. Medical examination Urinalysis: Moderate blood with an absence of leukocyte esterase and nitrates Pelvic ultrasound: Confirmation of intrauterine pregnancy at 7 weeks 3 days, along with a urinary bladder stone measuring 3.7 centimeters in greatest dimension Confirmation of this finding and ruling out the presence of hematoma was obtained using a kidney, ureter, and bladder x-ray. Subsequently, the patient was referred to the Maternal-Fetal Medicine and Urology departments for further management.

Diagnosis and management At 9 weeks and 4 days of gestation, the patient was monitored by the urologist. A holmium laser cystolitholapaxy was planned for the beginning of the second trimester when…