ABSTRACT
Specific management guides for suprarenal incidentalomas detected after birth do not exist for children, but due to the high proportion of malignant tumors, surgical resection is recommended. We present the case of a 7-year-old patient with a non-functioning left suprarenal incidentaloma. Surgical resection and subsequent anatomopathologic analysis of the mass confirmed the diagnosis of ganglioneuroma in process of maturation. Most ganglioneuromas are incidental and have a good prognosis due to their benign behaviour, even though malignant transformation has also been described, for which reason postoperative controls to detect local recurrence and occurrence of new foci are recommended.
Subject(s)
Ganglioneuroma , Retroperitoneal Neoplasms , Child , Female , Ganglioneuroma/diagnosis , Ganglioneuroma/surgery , Humans , Retroperitoneal Neoplasms/diagnosis , Retroperitoneal Neoplasms/surgerySubject(s)
Scrotum/blood supply , Scrotum/pathology , Vasculitis/pathology , Adolescent , Gangrene , Humans , MaleSubject(s)
Kidney Calculi/diagnostic imaging , Kidney Calices/diagnostic imaging , Adult , Female , Humans , RadiographyABSTRACT
En la infancia, no existen guías específicas para el manejo de los incidentalomas suprarrenales detectados postnatalmente, pero dada la alta proporción de tumores malignos se recomienda su resección quirúrgica. Presentamos el caso de una paciente de 7 años diagnosticada de un incidentaloma suprarrenal izquierdo no funcionante. La exéresis quirúrgica de dicha masa y el posterior estudio histopatológico confirmaron el diagnóstico de ganglioneuroma en proceso de maduración. La mayoría de ganglioneuromas son incidentales y presentan un buen pronóstico dado su comportamiento benigno, aunque está descrita la transformación maligna, recomendándose realizar controles postoperatorios para detectar las recidivas locales y la aparición de nuevos focos (AU)
Specific management guides for suprarenal incidentalomas detected after birth do not exist for children, but due to the high proportion of malignant tumors, surgical resection is recommended. We present the case of a 7-yearoldpatient with a non-functioning left suprarenal incidentaloma. Surgical resection and subsequent anatomopathologic analysis of the mass confirmed the diagnosis of ganglioneuroma in process of maturation. Most ganglioneuromas are incidental and have a good prognosis due to their benign behaviour, even though malignant transformation has also been described, for which reason postoperative controls to detect local recurrence and occurrence of new foci are recommended (AU)
Subject(s)
Humans , Female , Child , Ganglioneuroma/complications , Ganglioneuroma/pathology , Ganglioneuroma/surgery , Retroperitoneal Neoplasms/complications , Retroperitoneal Neoplasms/surgery , Retroperitoneal Neoplasms/pathology , Adrenal Gland Neoplasms/pathology , Adrenal Gland Neoplasms/complicationsABSTRACT
INTRODUCTION AND OBJECTIVES: to evaluate the frequency of reoperation caused by massive hematuria in the postoperation of open prostatectomy in benign prostatic hyperplasia (BHP) at our hospital. At the same time, we also want to evaluate the effectiveness and possible secondary effects of using transurethral approach to solve this surgical complications. MATERIAL AND METHODS: we analyzed retrospectively 540 open surgeries in benign prostatic hyperplasia, carried out from 1998 to 2005. We evaluated effectiveness, average surgery time and complications in case of endoscopic review. RESULTS: a reoperation was necessary in 2.5% of all 540 cases. In all the cases reoperated, hemorrhage was controlled using transurethral approach. Average surgery time was 37 minutes and secondary effects observed were not important. CONCLUSIONS: transurethral approach is a simple and effective technique in the treatment of massive hematuria after open prostatectomy in BPH. Surgery time spent is acceptable, and early and delayed complications observed have been few and cannot, in our opinion, be imputed only to this tech-
Subject(s)
Hematuria/etiology , Hematuria/surgery , Prostatectomy/adverse effects , Prostatic Hyperplasia/surgery , Humans , Male , Retrospective Studies , Urethra , Urologic Surgical Procedures, Male/methodsABSTRACT
Introducción y objetivos: Evaluar la frecuencia de reintervención por hematuria postadenomectomía en nuestro centro al igual que la efectividad y los posibles efectos secundarios del abordaje transuretral como tratamiento resolutivo en el postoperatorio inmediato. Material y métodos: Se analizaron retrospectivamente 540 adenomectomías retropúbicas realizadas en el periodo 1998-2005. Se evaluó la efectividad, el tiempo quirúrgico medio de reintervención y las complicaciones en los casos en que se realizó la revisión endoscópica. Resultados: En un 2,5% del total de adenomectomías retropúbicas fue necesaria por hematuria la revisión endoscópica. En todos estos casos se logró por esta vía el control hemostático. El tiempo quirúrgico medio fue de 37 minutos y los efectos secundarios observados insignificantes. Conclusiones: La vía transuretral es una técnica simple y eficaz en el tratamiento de la hematuria masiva postadenomectomía retropúbica. El tiempo quirúrgico empleado es aceptable y las complicaciones observadas a largo plazo son mínimas y no pueden atribuirse únicamente a dicha técnica
Introduction and objectives: to evaluate the frequency of reoperation caused by massive hematuria in the postoperation of open prostatectomy in benign prostatic hyperplasia (BHP) at our hospital. At the same time, we also want to evaluate the effectiveness and possible secondary effects of using transurethral approach to solve this surgical complications. Material and methods: we analyzed retrospectively 540 open surgeries in benign prostatic hyperplasia, carried out from 1998 to 2005. We evaluate the effectiveness, average surgery time and complications in case of endoscopic review. Results: a reoperation was necessary in 2.5% of all 540 cases. In all the cases reoperated, hemorrhage was controlled using transurethral approach. Average surgery time was 37 minutes and secondary effects observed were not important. Conclusions: transurethral approach is a simple effective technique in the treatment of massive hematuria after open prostatectomy in BPH. Surgery time spent is aceptable, and early and delayed complications observed have been few and cannot, in our opinion, be imputed only to this technique
Subject(s)
Male , Humans , Postoperative Complications/surgery , Prostatectomy/adverse effects , Hematuria/etiology , Hematuria/surgery , Treatment Outcome , Prostatectomy/methods , Retrospective Studies , Time FactorsABSTRACT
Presentamos un caso de adenocarcinoma prostático tratado mediante ultrasonido de alta frecuencia (HIFU). El HIFU ofrece una nueva alternativa en el tratamiento oncológico mediante la destrucción tisular utilizando ondas de choque de alta frecuencia. Su uso en tumores pancreáticos, vesicales, prostático, renales y hepáticos (tanto primarios como secundarios) se está extendiendo en los últimos años. Su focalización sobre las células tumorales disminuye teóricamente los efectos secundarios asociados a otras técnicas terapéuticas
We report a new case of prostate Cancer treated by High intensity focused ultrasound (HIFU). HIFU offers a new way of oncological treatment based on tissue destroyed by high intensity focused ultrasound waves. HIFU is not suitable for all types of cancer. It´s used on Pancreatic cancer, bladder cancer, prostate cancer, kidney cancer and primary and secondary liver cancer. As it only used waves to kill the cancer cells, it doesn´t have as many side effects as other types of cancer treatments already in use
Subject(s)
Humans , Male , Middle Aged , Adenocarcinoma/complications , Adenocarcinoma/therapy , Adenocarcinoma , Radio Waves/therapeutic use , Prostatic Neoplasms/epidemiology , Prostatic Neoplasms/therapy , Prostatic Neoplasms , Transurethral Resection of Prostate/methods , Urinary Incontinence/complications , Ureteral Obstruction/complications , Urethral Obstruction/complicationsSubject(s)
Enterococcus faecalis , Escherichia coli Infections/diagnosis , Gram-Positive Bacterial Infections/diagnosis , Pseudomonas Infections/diagnosis , Urinary Bladder Diseases/diagnosis , Urinary Tract Infections/diagnosis , Adult , Diagnosis, Differential , Humans , Male , Urinary Bladder Calculi/diagnosisABSTRACT
Rupture of the superficial dorsal vein of the penis during intercourse is an unfrequented entity that makes the differential diagnosis with other acute penile injuries that may require surgical exploration necessary. We report the case of a 58-year-old male patient with 24-hours evolution painless haematoma after intercourse; its evolution and characteristic physical exploration enable us to adopt a conservative approach that resulted in complete recovery without sequels.
Subject(s)
Penis/blood supply , Veins , Humans , Male , Middle Aged , Rupture, Spontaneous , Vascular DiseasesABSTRACT
No disponible
Subject(s)
Adult , Humans , Urinary Bladder Calculi/surgery , Escherichia coli/pathogenicity , Escherichia coli Infections/complications , Enterococcus faecalis/pathogenicity , Pseudomonas aeruginosa/pathogenicity , Pseudomonas Infections/complicationsABSTRACT
La rotura de vena dorsal superficial de pene durante el coito es una entidad poco frecuente que plantea el diagnóstico diferencial con otras lesiones peneanas agudas que pueden llegar a requerir exploración quirúrgica. Presentamos el caso de un paciente varón de 58 años con hematoma peneano no doloroso tras el coito, de 24 horas de evolución con una evolución y exploración física características que permitió adoptar una actitud conservadora con recuperación total sin secuelas
Rupture of the superficial dorsal vein of the penis during intercourse is an unfrequented entity that makes the differential diagnosis with other acute penile injuries that may require surgical exploration necessary. We report the case of a 58-year-old male patient with 24-hours evolution painless haematoma after intercourse; its evolution and characteristic physical exploration enable us to adopt a conservative approach that resulted in complete recovery without sequels
Subject(s)
Male , Middle Aged , Humans , Penis/injuries , Veins/injuries , Penile Diseases/diagnosis , Hematoma/etiologyABSTRACT
El uréter retrocavo es una anomalía del trayecto ureteral derecho, el cual se sitúa posterior a la vena cava a nivel de la 3ª o 4ª vértebra lumbar. Es una entidad poco frecuente. Inicialmente es asintomático, diagnosticándose a partir de la segunda década de la vida por dolor lumbar o alteración de la función renal. Mayoritariamente cursa con ureteropielocaliectasia. Las técnicas diagnósticas utilizadas son la urografía intravenosa y la tomografía axial computadorizada. El tratamiento de elección dependerá de cada caso, pudiendo realizar un tratamiento conservador, cirugía reconstructura o nefrectomía (AU)
Retrocaval ureter is a congenital anomaly of the right ureter, which typically deviates medially behind the inferior cave vein inferior at the 3er-4th lumbar vertebra. It's an infrequent entily, initially asymptomatic. When diagnosed, it is usually after the second decade of life because of flank pain or renal function impairment. Ureteropielocaliectasia is a common urography finding. Diagnosis relies on urography and computerized tomography test. Treatment of choice must be individualized, varying from abstention to reconstructive surgery or nephrectomy (AU)
