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1.
Int. braz. j. urol ; 43(6): 1136-1143, Nov.-Dec. 2017. tab, graf
Artículo en Inglés | LILACS | ID: biblio-892922

RESUMEN

ABSTRACT Purpose: We evaluated the correlation between prostate calculi and hematospermia in patients undergoing prostate biopsy, and its impact on sexual activity of patients. Materials and Methods: A single-center prospective randomized study of 212 patients referred for transrectal ultrasound-guided prostate biopsy (TRUSBx) was performed. All patients were divided into two groups: Group A (GA), 106 patients with moderate/marked presence of prostatic calculi visualized by TRUS; Group B (GB), 106 patients with absence/scarce of prostatic calcifications. Patients were handed questionnaires to obtain a validated data on the duration and impact of hematospermia on sexual activity. The anxiety scores were recorded using a visual analogue scale. Results: No significant difference was noted between the two groups when comparing age, preoperative PSA level, prostate volume, and biopsy number, except for digital rectal examination (DRE) findings. Post-biopsy results of patients included in GA revealed that the complication of hematospermia was present in 65.1%, while in GB was present in 39.7% (p<0.001). On multivariate analysis for identifying significant preoperative predictors of hematospermia, which included variables of age, PSA, prostate volume, and prostate cancer were not shown to be significant predictors of hematospermia, except DRE and prostate calculi (p<0.001). The mean anxiety score was 3.7±2.8 in GA and 2.3±1.9 in GB, respectively (p<0.001). Conclusions: Prostatic calculi are an independent predictive factor of severe hematospermia after TRUSBx on the basis of multivariate analysis, but don't affect the positive rate of prostate cancer. Patients should be adequately counselled before TRUSBx to avoid undue anxiety and alterations in sexual activity.


Asunto(s)
Humanos , Masculino , Enfermedades de la Próstata/patología , Cálculos/patología , Hematospermia/etiología , Enfermedades de la Próstata/complicaciones , Enfermedades de la Próstata/diagnóstico por imagen , Neoplasias de la Próstata/patología , Neoplasias de la Próstata/diagnóstico por imagen , Biopsia/métodos , Cálculos/complicaciones , Cálculos/diagnóstico por imagen , Estudios Prospectivos , Antígeno Prostático Específico/sangre , Coito , Biopsia por Aspiración con Aguja Fina Guiada por Ultrasonido Endoscópico , Biopsia Guiada por Imagen , Persona de Mediana Edad
2.
Arq. bras. oftalmol ; 79(6): 411-413, Nov.-Dec. 2016. tab, graf
Artículo en Inglés | LILACS | ID: biblio-838753

RESUMEN

ABSTRACT We present two patients with dacryoliths and patent lacrimal drainage with intermittent tearing and without infection. Dacryoliths can be present in the lacrimal sac or lacrimal duct without acute or chronic inflammation. In these cases, we believe dacryolith formation was a causative factor of intermittent epiphora even with a patent drainage system, and we propose that dacryoliths and even fungal colonization formation may be the first event before dacryocystitis and should be considered as a cause of epiphora.


RESUMO Apresentamos dois pacientes com dacriolitíase e drenagem lacrimal patente com lacrimejamento intermitente, sem infecção. Os dacriolitos podem estar presentes no saco lacrimal ou duto lacrimal, sem inflamação aguda ou crônica. Neste caso nós acreditamos que a dacriolitíase foi um fator causador da epífora intermitente mesmo com sistema de drenagem patente e propomos que dacriolitíase e até mesmo a colonização fúngica pode ser o primeiro evento antes dacriocistite, e deve ser adicionada como uma das causas de epífora.


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Cálculos/complicaciones , Aparato Lagrimal/microbiología , Enfermedades del Aparato Lagrimal/complicaciones , Lágrimas/metabolismo , Infecciones Fúngicas del Ojo/complicaciones , Dacriocistitis/complicaciones , Dacriocistitis/microbiología , Aparato Lagrimal/fisiopatología
3.
Korean Journal of Urology ; : 318-323, 2015.
Artículo en Inglés | WPRIM | ID: wpr-34595

RESUMEN

PURPOSE: Testicular microlithiasis (TM) is a relatively rare clinical entity of controversial significance characterized by the existence of hydroxyapatite microliths located in the seminiferous tubules. The aim of this study was to observe the natural course of changes in the calcific density of pediatric TM. MATERIALS AND METHODS: We included a total of 23 TM patients undergoing scrotal ultrasound (US) on at least two occasions from July 1997 to August 2014. We retrospectively analyzed the patient characteristics, clinical manifestations, specific pathological features, and clinical outcomes. We measured the calcified area and compared the calcific density between the initial and final USs. RESULTS: The mean age at diagnosis was 11.3+/-4.6 years, and the follow-up period was 79.1+/-38.8 months (range, 25.4-152.9 months). During the follow-up period, no patients developed testicular cancer. Calcific density on US was increased in the last versus the initial US, but not to a statistically significant degree (3.74%+/-6.0% vs. 3.06%+/-4.38%, respectively, p=0.147). When we defined groups with increased and decreased calcification, we found that diffuse TM was categorized into the increased group to a greater degree than focal TM (10/20 vs. 4/23, respectively, p=0.049). In addition, five of eight cases of cryptorchidism (including two cases of bilateral cryptorchidism) were categorized in the increased calcification group. CONCLUSIONS: Diffuse TM and cryptorchidism tend to increase calcific density. Close observation is therefore recommended for cases of TM combined with cryptorchidism and cases of diffuse TM.


Asunto(s)
Adolescente , Niño , Humanos , Masculino , Calcificación Fisiológica , Cálculos/complicaciones , Criptorquidismo/diagnóstico , Densitometría/métodos , Estudios de Seguimiento , Gonadoblastoma/diagnóstico , República de Corea , Escroto/diagnóstico por imagen , Túbulos Seminíferos/patología , Enfermedades Testiculares/complicaciones , Neoplasias Testiculares/diagnóstico
4.
Rev. paul. pediatr ; 31(4): 554-558, dez. 2013. tab, graf
Artículo en Inglés | LILACS | ID: lil-698046

RESUMEN

OBJECTIVE: To discuss the relationship between testicular microlithiasis and testis tumors in children and to consider the chances of testis preserving surgery in specific cases. CASE DESCRIPTION: Pre-adolescent presenting testicular microlithiasis and a larger left testis, corresponding to a cystic testicular tumor. The tumor was excised, with ipsilateral testis preservation. Histology diagnosed a testis dermoid tumor. COMMENTS: The relationship between testis tumors and testicular microlithiasis is ill defined in children. Pediatric urologists need to develop specific follow-up protocols for pre-pubertal children. .


OBJETIVO: Discutir las implicaciones de la microlitíasis testicular en el niño con relación al riesgo oncológico implicado y la posibilidad de cirugía de preservación testicular en casos elegidos. DESCRIPCIÓN DEL CASO: Pre-adolescente presentando aumento microlitíasis testicular y aumento del testículo izquierdo, con lesión tumoral quística. La lesión fue resecada, con preservación del testículo y diagnóstico histológico de tumor dermatoide testicular. COMENTARIOS: La relación entre tumores de testículo y microlitíasis testicular es mal definida en niños y hay la necesidad de desarrollar protocolos de seguimiento específicos para esa franja de edad. .


OBJETIVO: Discutir as implicações da microlitíase testicular na criança com relação ao risco oncológico envolvido e a possibilidade de cirurgia de preservação testicular em casos escolhidos. DESCRIÇÃO DO CASO: Pré-adolescente apresentava microlitíase testicular e aumento do testículo esquerdo, correspondendo a tumor testicular cístico. Ressecou-se o tumor, com preservação do testículo. O diagnóstico histológico foi de tumor dermoide testicular. COMENTÁRIOS: A relação entre tumores de testículo e microlitíase testicular é mal definida em crianças e há a necessidade de desenvolver protocolos de seguimento específicos para essa faixa etária. .


Asunto(s)
Niño , Humanos , Masculino , Cálculos/complicaciones , Quiste Dermoide/complicaciones , Enfermedades Testiculares/complicaciones , Neoplasias Testiculares/complicaciones , Cálculos/diagnóstico , Cálculos/cirugía , Quiste Dermoide/diagnóstico , Quiste Dermoide/cirugía , Enfermedades Testiculares/diagnóstico , Enfermedades Testiculares/cirugía , Neoplasias Testiculares/diagnóstico , Neoplasias Testiculares/cirugía
6.
Prensa méd. argent ; 95(9): 581-585, nov. 2008. ilus
Artículo en Español | LILACS | ID: lil-530071

RESUMEN

La perforación de la vesícula biliar es una complicación frecuente durante la colecistectomía laparoscópica y puede asociarse con cálculos caídos a la cavidad peritoneal, que a veces no son recuperados. Esto no ha sido considerado un problema relevante pero pueden presentarse complicaciones con cuadros clínicos inespecíficos que se manifiestan meses o años después de la cirugía y requieren tratamiento quirúrgico. Se presenta el caso de un paciente con absceso intraabdominal secundario a un cálculo no recuperado. Se revisa el manejo y la prevención de esta complicación.


Gallbladder perforation is a frequent complication during laparoscopic cholecystectomy and can be associated with dropped gallstones to the peritoneal cavity that sometimes are unretrieved. This issue has not been considered a relevant problem, but complications can occur with nonspecific clinical presentation, showing up months or years after surgery and sometimes require surgical treatment. A case report is presented of a patient with an intraabdominal abscess secondary to an unretrieved gallstone. Management and prevention are also reviewed.


Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Absceso Abdominal/complicaciones , Colecistectomía Laparoscópica , Cálculos/complicaciones , Drenaje , Rotura Gástrica , Vesícula Biliar/cirugía
7.
Rev. argent. ultrason ; 6(2): 118-123, jun. 2007. ilus
Artículo en Español | LILACS | ID: lil-489298

RESUMEN

Se presenta el caso de una paciente de 72 años que concurrió al servicio de ecografía del Hospital J. F. Muñiz, de la Ciudad de Buenos Aires, para evaluar una tumoración en la pared abdominal y descartar un derrame pleural. Presentaba como antecedente una cirugía laparoscópica, realizada 15 meses antes, y los resultados ecográficos presentaron colecciones originadas por el derrame de cálculos en la cavidad abdominal.


Asunto(s)
Femenino , Anciano , Humanos , Cálculos/cirugía , Cálculos/complicaciones , Cálculos/diagnóstico , Cálculos , Colecistectomía Laparoscópica/efectos adversos , Colecistectomía Laparoscópica/estadística & datos numéricos
8.
Artículo en Inglés | IMSEAR | ID: sea-125215

RESUMEN

A case of biliary ascariasis associated with Chronic Calcific Pancreatitis of the tropics in a 50-year-old lady is reported. Although acute pancreatitis is a common complication of biliary ascariasis, there are no reports linking ascariasis to chronic pancreatitis. The association of these two entities in the present case is most probably coincidental as both these entities are not very uncommon in coastal Orissa.


Asunto(s)
Animales , Ascariasis/complicaciones , Ascaris lumbricoides , Enfermedades de las Vías Biliares/complicaciones , Cálculos/complicaciones , Femenino , Humanos , Persona de Mediana Edad , Pancreatitis Crónica/complicaciones
9.
Artículo en Inglés | IMSEAR | ID: sea-124238

RESUMEN

Patients with chronic pancreatitis may have varied complications including common bile duct stenosis, cholangitis, pseudocyst or fistula formation and secondary biliary cirrhosis. Common bile duct obstruction due to disimpaction of a pancreatic calculus into the ampulla of Vater leading to severe cholangitis and septic shock is a rare phenomenon. We are reporting such a case here.


Asunto(s)
Adulto , Ampolla Hepatopancreática , Cálculos/complicaciones , Colangitis/etiología , Infecciones por Escherichia coli/etiología , Humanos , Masculino , Enfermedades Pancreáticas/complicaciones , Choque Séptico/etiología
10.
The Korean Journal of Internal Medicine ; : 1-8, 1999.
Artículo en Inglés | WPRIM | ID: wpr-153284

RESUMEN

OBJECTIVE: Since choledochal cyst is frequently associated with the anomalous union of pancreaticobiliary duct (AUPBD), AUPBD has been regarded to be the etiologic factor of choledochal cyst. However, the clinical significance of AUPBD an patients with choledochal cyst has not been clearly defined. Therefore, to clarify the significance of AUPBD in choledochal cyst patients, we compared the clinical features of patients with choledochal cyst according to the presence or absence of AUPBD. METHODS: Among 52 cases which were diagnosed as choledochal cyst out of 5,037 ERCP referrals between August 1990 and December 1996, we selected 44 cases, in which the pancreaticobiliary junction was clearly visualized on cholangio-pancreaticography. These cases were divided into AUPBD-present group (n = 28) and AUPBD-absent group (n = 16). Clinical features were compared between the two groups. Furthermore, in AUPBD-present group, clinical data were also analyzed according to Kimura's classification of AUPBD. RESULTS: In our study, AUPBD was associated with choledochal cyst in 28 (64%) cases. AUPBD was found only in type I and IV according to Todani's classification of choledochal cyst. There were no significant differences between the AUPBD-present group and the AUPBD-absent group in the incidence of gallstone disease, while the incidence of acute inflammation was 93% (26/28) in the AUPBD-absent group (p < 0.01). Carcinoma developed only in the AUOBD-present group (9/28, 32%) (p < 0.05). Pancreatic disorders (i.e. pancreatic stone, pancreatitis or pancreatic cancer) occurred in 12 of 28 cases in the AUPBD-present group (43%), while only in 1 of 16 cases in the AUPBD-absent group (6%) (p < 0.05). CONCLUSION: AUPBD associated with choledochal cyst may have implications not only as a possible etiologic factor but also as an important factor that may affect the clinical course, surgical planning and prognosis. In cases with choledochal cyst, we should make an effort to evaluate the presence of AUPBD.


Asunto(s)
Adulto , Anciano , Femenino , Humanos , Masculino , Adolescente , Conductos Biliares/anomalías , Cálculos/complicaciones , Colangiografía , Quiste del Colédoco/diagnóstico por imagen , Quiste del Colédoco/patología , Quiste del Colédoco/complicaciones , Inflamación/complicaciones , Persona de Mediana Edad , Neoplasias/complicaciones , Conductos Pancreáticos/diagnóstico por imagen , Conductos Pancreáticos/anomalías , Pronóstico
11.
J. bras. urol ; 23(1): 28-31, jan.-mar. 1997. ilus
Artículo en Portugués | LILACS | ID: lil-219894

RESUMEN

A calcificaçäo intratubular do testículo, também conhecida como microlitíase testicular, é patologia rara e de etiologia incerta, descoberta durante a investigaçäo de sintomas testiculares inespecíficos. Apresenta padräo ultra-sonográfico característico, diferente daquele observado em outros tipos de calcificaçöes. Sua associaçäo com outras patologias foi descrita, inclusive com tumores testiculares, motivo pelo qual o paciente com microlitíase testicular deve merecer atençäo especial no que diz respeito à investigaçäo


Asunto(s)
Humanos , Masculino , Adulto , Cálculos/diagnóstico , Enfermedades Testiculares/diagnóstico , Seminoma/complicaciones , Neoplasias Testiculares/complicaciones , Cálculos/complicaciones , Criptorquidismo/complicaciones , Enfermedades Testiculares/complicaciones , Infertilidad Masculina/etiología
12.
Indian J Med Sci ; 1994 Sep; 48(9): 199-200
Artículo en Inglés | IMSEAR | ID: sea-67195

RESUMEN

Pulmonary alveolar microlithiasis is a rare disease of unknown etiology. There is a formation of calcific bodies within the alveoli. The X-Ray shows extensive infiltration of both lungs. So far less than 100 cases were reported. However, we are unware of a case with pectus excavatum. In this report we discuss a case of pulmonary alveolar microlithiasis with pectus excavatum, and its treatment and medical intervention.


Asunto(s)
Adulto , Biopsia , Cálculos/complicaciones , Femenino , Tórax en Embudo/complicaciones , Humanos , Enfermedades Pulmonares/complicaciones , Alveolos Pulmonares/patología
14.
Rev. chil. obstet. ginecol ; 55(1): 6-9, 1990. ilus
Artículo en Español | LILACS | ID: lil-87466

RESUMEN

Presentamos 5 pacientes que consultaron por orquialgia y en quiénes se hizo el diagnóstico de microlitiasis testicular por medio de una ecografía escrotal. En cuatro de ellos se encontró azoospermia y también 4 presentaban los testículos disminuidos de tamaño. Los hallazgos ecográficos son característicos y consisten en la presencia de múltiples imágenes ecogénicas, sin sombra acústica distal, diseminadas en ambos testiculos. El estudio patológico efectuados en 3 casos demostró atrofia del epitelio germinal con compromiso de la espermiogénesis asociado a la presencia de micro-esferas cálcicas intratubulares. Existen escasos antecedentes en la literatura acerca de la microlitiasis testicular y hasta ahora no conocíamos esta asociación entre microlitiasis testicular, orquialgia y oligo o azoospermia. El diagnóstico puede efectuarse con una ecografía escrotal, la que deberá incorporarse al estudio de la infertilidad masculina


Asunto(s)
Adulto , Humanos , Masculino , Cálculos , Enfermedades Testiculares , Cálculos/complicaciones , Infertilidad Masculina/etiología , Dolor/etiología , Escroto , Enfermedades Testiculares/complicaciones
15.
Indian Pediatr ; 1987 May; 24(5): 448
Artículo en Inglés | IMSEAR | ID: sea-6337
16.
Indian Pediatr ; 1983 May; 20(5): 386
Artículo en Inglés | IMSEAR | ID: sea-13609
20.
J Indian Med Assoc ; 1974 Jun; 62(12): 418
Artículo en Inglés | IMSEAR | ID: sea-101873
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