Urinary tract calculus also known as urolithiasis refers to the formation of hard, stone-like deposits composed of minerals and salts within any part of the urinary tract. Urinary tract calculi are either of calcium type, struvite type, uric acid type and cysteine type. Giant bladder calculus refers to an unusually large stone that forms within the urinary bladder and weighing greater than 100 grams or measuring more than 40 mm in diameter, and usually develop due to prolonged urinary stasis, infection and or obstruction. This is a 65-year-old farmer referred from a health facility for abdominal and pelvic radiograph (Kidney, Ureter and Urinary bladder view; KUB) on account of prolonged dysuria, dribbling of urine, increased frequency of micturition, supra-pubic pain that radiates to the groin. The KUB demonstrated oval opacities of calcific densities in the lumbar region bilaterally; one on the right and two on the left measuring about 10mm, and 5mm/10mm on the right and left respectively. A larger oval opacity measuring about 75mm x 70mm in mediolateral and cranio-caudal dimension in keeping with a giant calculus within the pelvic cavity. A complementary ultrasonography further confirmed the presence and location of the aforementioned calculi respectively. We report a case of a giant calculus with bilateral renal calculi in a patient with urinary tract symptoms due to peculiar presentation and to review the literature.