CASE REPORT OF A RARE PRESENTATION OF MULTIPLE GIANT BLADDER STONE Bladder stone can be classified as primary, secondary or migratory and the etiology can be multifactorial. Unlike kidney or ureter, bladder stone only constituted around 5% of all urinary tract stone. Generally bladder stones occur in conditions such as bladder outlet obstruction, neurogenic bladder, chronic infection and foreign body. The prevalence is higher in male with a reported ratio of male to female of 4:1. Giant bladder stone is a rare condition moreover of a case of multiple huge stones. There is a numerous case report about a single giant bladder stone but not so in case of multiple calculi. We reported a case of a lady presented with a sudden onset of acute renal impairment with multiple huge bladder stones detected from imaging. Open cystolithotomy was done and a few huge bladder stones were extracted. This case report is to illustrate a rare presentation of multiple giant bladder stones.