What platform has 128-bit integer support to where that was an important thing to add to the primitive types?
There's lots of one-off uses for 128-bit integers scattered around systems programming (and programming in general, I just happen to come from more of a systems background). Individually using a pair of 64b integers for each case is totally workable, but eventually life is easier if you just have an Int128 type. There's not really any one use case that drove their inclusion in the standard library, rather lots of times that we were saying "it would be kind of nice if we had this".
Makes it a lot easier to handle packed binary files etc.