Rotura del tendón del tríceps asociada a bursitis olecraniana e infiltraciones con corticoides / Triceps tendon rupture associated with olecranon bursitis and steroid injections

Se presenta un estudio anatomopatológico que demuestra la relación existente entre la rotura iterativa distal del tendón del tríceps y la historia previa de varias infiltraciones de corticoides para el tratamiento de una bursitis olecraniana, así como los resultados satisfactorios obtenidos tras la reparación primaria mediante sutura transósea en el olécranon a las 6 semanas de la rotura. El tratamiento de los tejidos inflamados con inyecciones locales de esteroides presenta riesgos, sobre todo si se hacen de forma repetida y directamente sobre el tendón, especialmente en atletas de fuerza, y por extensión en trabajadores de fuerza, quienes hacen una alta demanda de su estructura músculoesquelética

An anatomopatologic study appears that demonstrates the existing relation between the iterative distal triceps tendon rupture and the previous history of several steroid injections for the treatment of olecranon bursitis, as well as the obtained satisfactory results after the primary repair through drill holes in the olecranon to the 6 weeks of the rupture. The treatment of weaves inflamed with local steroid injections present risks, mainly if they become of repeated form and directly of the tendon, specialing in athletes of force and, by they extension in working of force, who make a high demand of their musculoesqueletic structure

Kikuchi-Fujimoto disease. A case report.

Histologically, Kikuchi-Fujimoto disease (KFD) is a necrotising, self-limiting lymphadenitis. It typically affects the lymph nodes of the neck and it is often accompanied by a high fever. The present paper documents the case of a 28-year old male carrier of KFD. From the x-ray images, the KFD clinically appeared to be a submandibular salivary gland tumor. An ultrasound study led us to believe that it was more likely a branchial cyst. Malignant lymphoma can be mistaken for KFD, thus the diagnosis must be precise and the differentiation is crucial.

[A fibroepithelial myxoid polyp of the renal pelvis in a patient with horseshoe kidneys. Apropos a case]. / Pólipo fibroepitelial mixoide de la pelvis renal en paciente con riñones en herradura. A propósito de un caso.

Tumours of the renal pelvis are usually urothelial carcinomas. The benign tumors are extremely rare. Fibroepithelial polyps are the most common mesodermal tumors of the upper urinary tract. They are found most commonly in the ureter but several have been reported in the renal pelvis. Patients usually present with pain and less commonly hematuria. Grossly, these polypoid structures are smooth nodules or filiform projections varying is size from a few millimeters to several centimetres. Histologically, they consist of a thick fibrous stalk with numerous vascular channels covered by a layer of normal or hyperplastic transitional epithelium. The etiology of these tumors is unknown but congenital, obstruction, allergy and trauma have been implicated. Conservative treatment is recommended when the diagnosis is certain. To our knowledge, this is the first report of fibroepithelial polyp of the renal pelvis in a patient with horseshoe kidney.

[Bladder paraganglioma. Report of a case and review of the Spanish literature]. / Paraganglioma vesical. Presentación de un caso y revisión de la literatura española.

Paragangliomas are rare tumours of the bladder accounting for 0.06% of all vesical tumours. This paper reports one case of vesical paraganglioma in a young female patient that has the singularity of being associated to melanin pigmentation. A review is made of cases treated in Spain, adding some comments on the signs and symptoms presented, as well as the diagnostic and therapeutical methods used in this unusual condition.

[Amyloid arthropathy associated with multiple myeloma]. / Artropatía amiloide asociada a mieloma múltiple.

Amyloidosis as a complication of patients afflicted with multiple myeloma only arose in 15% of the cases. The articular localization is particularly rare, the clinical findings being similar to rheumatoid arthritis. A case of amyloid arthritis associated to Bence-Jones myeloma, kappa type, is presented and the literature is reviewed.