[Strangulated urethral prolapse. Case report]. / Prolapso uretral encarcerado. A propósito de un caso clínico.

OBJECTIVE: We report a case of strangulated urethral prolapse. METHOD/RESULTS: A 62-year-old female patient presents to the emergency department with complaints of a bleeding vaginal mass, pain referred to the vaginal introitus and dysu-ria. After being diagnosed with a strangulated urethral pro-lapse, surgical excision of the prolapsed urethra was performed. Pathologically, vascular proliferation of the angioma-tous type with thrombosis and focal recanolization (Masson) and inclusion of rare muscular fibers were recognized. Her postoperative course was uneventful, without any recurrence or abnormal micturition. CONCLUSION: For the treatment of strangulated urethral prolapse, surgical excision has been widely applied with successful results.

[Bladder adenocarcinoma. Case report]. / Adenocarcinoma vesical. Aportación de un caso clínico.

OBJECTIVE: Primary bladder adenocarcinoma is a rare entity. We performed a review of the literature on this subject and present a clinical case. METHOD/RESULTS: A 74 year old female patient presents to the emergency department with complaints of gross hematúria not accompanied by lower urinary tract symptoms. Diagnostic work-up included renal and bladder ultrasound, cistoscopy and abdomino-pelvic C. T. scan. Metastatic disease was excluded. Trans-urethral resection revealed an invasive adenocarcinoma. A gynaecologic origin was excluded by further gynaecologic examination and an anterior pelvic exanteration was performed. The bladder specimen showed primary bladder adenocarcinoma, pT3aNO. At 6 months of follow-up, the patient does not present disease progression or surgical complications. CONCLUSION: Primary bladder adenocarcinoma is rare. Unlike urothelial carcinoma, it responds poorly to chemotherapy or radiotherapy Radical Cistectomy offer the best chance of long-term survival.

Prolapso uretral encarcerado. A propósito de un caso clínico / Strangulated urethral prolapse. Case report

Objetivo: Presentar un caso clínico de prolapso de la mucosa uretral encarcerado. Métodos/Resultados: Paciente del sexo femenino de 62 años de edad. Acude al Servicio de urgencias por masa vaginal sangrante acompañada de dolor, localizada en el introioto vaginal y disuria. Después del diagnóstico de prolapso de la mucosa uretral encarcerado, se sometió a exéresis quirúrgica del mismo. El examen histológico reveló uretra con proliferación vascular de tipo angiomatoso con trombosis y recanalización focal (Masson) e inclusión de raros fascículos de fibras musculares. El postoperatorio recorre sin incidencias, no recurrencias o problemas miccionales. Conclusión: Para el tratamiento del prolapso uretral encarcerado, la exéresis quirúrgica es el «gold stardard» (AU)

Objective: We report a case of strangulated urethral prolapse. Method/Results: A 62 year old female patient presents to the emergency department with complaints of a bleeding vaginal mass, pain referred to the vaginal introitus and dysuria. After being diagnosed with a strangulated urethral prolapse, surgical excision of the prolapsed urethra was performed. Pathologically, vascular proliferation of the angiomatous type with thrombosis and focal recanalization (Masson) and inclusion of rare muscular fibers were recognized. Her postoperative course was uneventful, without any recurrence or abnormal micturition. Conclusion: For the treatment of strangulated urethral prolapse, surgical excision has been widely applied with successful results (AU)

Adenocarcinoma vesical. Aportación de un caso clínico / Bladder adenocarcinoma. Case report

Objetivo: El adenocarcinoma primario de vejiga es una entidad rara. Realizamos una revisión de la literatura y presentamos un caso clínico. Métodos/Resultados: Se trata de una paciente del sexo femenino de 74 años de edad que acude al servicio de urgencias por hematuria macroscópica, sin otra sinto matología acompañante. Se sometió a varios exámenes auxiliares de diagnóstico, incluyendo ecografía renal y vesical, cistoscopia y TAC abdominal y pélvico. Después de la realización de resección transuretral de pólipo vesical y frente al diagnóstico de adenocarcinoma músculo invasivo, se somete a una evaluación ginecológica completa, excluyendo enfermedad ginecológica. Se procede a exanteración pélvica anterior. El informe anatomo patológico muestra un adenocarcinoma vesical primario, pT3aN0, con ganglios linfáticos regionales negativos. Después de 6 meses de seguimiento, la paciente no presenta complicaciones resultantes de la cirugía o evidencia de evolución de su enfermedad. Conclusión: El Adenocarcinoma vesical primario es una entidad rara. Al contrario del carcinoma urotelial, responde mal a la quimioterapia y radioterapia, por lo que el único tratamiento eficaz es la cirugía radical (AU)

Objective: Primary bladder adenocarcinoma is a rare entity. We performed a review of the literature on this subject and present a clinical case. Method/Results: A 74 year old female patient presents to the emergency department with complaints of gross hematúria not accompanied by lower urinary tract symptoms. Diagnostic work-up included renal and bladder ultrasound, cistoscopy and abdomino-pelvic C.T. scan. Metastatic disease was excluded. Trans-urethral resection revealed an invasive adenocarcinoma. A gynaecologic origin was excluded by further gynaecologic examination and an anterior pelvic exanteration was performed. The bladder specimen showed primary bladder adenocarcinoma, pT3aN0. At 6 months of follow-up, the patient does not present disease progression or surgical complications. Conclusion: Primary bladder adenocarcinoma is rare. Unlike urothelial carcinoma, it responds poorly to chemotherapy or radiotherapy. Radical Cistectomy offer the best chance of long-term survival (AU)