[Adrenal ectopy in epididymis]. / Ectopia adrenal en epidídimo.

OBJECTIVE: To report a case of ectopic adrenal in the epididymis. METHODS: A 17-year-old male consulted for a left varicocele and complaints referred to the right epididymis a year and a half after an episode of acute epididymitis. A nodule was excised from the epididymis. RESULTS: The pathological analysis showed an 0.4 cm nodule comprised of adrenocortical tissue. CONCLUSIONS: Ectopic adrenal cortical tissue is a benign lesion. Although routine search for this lesion is not indicated, it should be resected for histological analysis and differential diagnosis when it is found during a surgical procedure in this area.

[Non-functional renal paraganglioma associated with carotid paraganglioma and appendicular mucocele]. / Paraganglioma renal no funcionante asociado con un paraganglioma carotídeo y un mucocele apendicular.

OBJECTIVE: A case of nonfunctional renal paraganglioma associated with appendicular mucocele and metachronic carotid paraganglioma is presented. METHODS/RESULTS: A 68-year-old patient consulted for abdominal pain. Patient evaluation with US, CT and opague enema showed an elongated mass that compromised the cecum and a solid mass in the right kidney. The patient underwent appendectomy and radical right nephrectomy. The anatomopathological findings showed an appendicular mucocele and renal paraganglioma. The postoperative hormone analyses were normal. A carotid paraganglioma was removed 8 months later. CONCLUSIONS: Renal tumors arising from neural crest cells are uncommon. To our knowledge, this is the third case of nonfunctional renal paraganglioma reported in the literature. The associated appendicular mucocele was an incidental finding.

[Adrenal tuberculosis. Diagnosis using polymerase chain reaction]. / Tuberculosis suprarrenal. Diagnóstico mediante la reacción en cadena de la polimerasa.

OBJECTIVE: To present a case of a patient suffering from adrenocortical insufficiency (Addison's disease) and to demonstrate the utility of the polymerase chain reaction (PCR) in the diagnosis of adrenal cortex tuberculosis. METHODS/RESULTS: Herein we describe a patient with Addison's disease who had developed pulmonary tuberculosis a few years earlier. CT and PCR test were utilized in making the diagnosis. CONCLUSION: Although adrenocortical tuberculosis is uncommon today, it must be considered when evaluating adrenocortical insufficiency, especially if the patient has or has had tuberculosis. Although Mycobacterium tuberculosis might not be demonstrated by bacteriologic techniques, PCR can be useful in making the etiological diagnosis.

[Blind ureter ending in ejaculatory duct. Report of a case]. / Ureter ciego desembocando en conducto eyaculador. A propósito de un caso.

OBJECTIVES: Herein we describe a case of an extremely uncommon malformation of the genitourinary system in a patient who had consulted for epididymitis. METHODS: Patient evaluation included radiological examination, IVP, US, CT and DVG The latter method was essential in the diagnosis of the malformation. RESULTS: The findings indicated left renal agenesis with blind left ureter opening to the ipsilateral ejaculatory duct, with severe deformity of the left seminal vesicle and ejaculatory duct. CONCLUSIONS: Since the patient has no important symptoms at the present time, contrary to the widely accepted approach, surgery has not been performed due to the risk of causing an iatrogenic lesion.

[Pure prostatic leiomyoma]. / Leiomioma prostático puro.

We report a case of pure leiomyoma of the prostate, an uncommon benign tumor with a leiomyomatous component distinct from benign prostatic hyperplasia. The literature is reviewed and several considerations are put forward relative to the etiopathogenesis, clinical and anatomopathological features, differential diagnosis and prognosis of this tumor.

[Acquired cystic renal disease: a case of intracystic hemorrhage simulating renal tumor]. / Enfermedad quística renal adquirida: un caso de hemorragia intraquística simulando tumoración renal.

We report a case of intracystic hemorrhage in a patient with acquired cystic kidney disease, undergoing hemodialysis. A surgical procedure was performed owing to the discrepancy between the clinical and radiological findings. The histological analyses revealed no evidence of kidney tumours.

[The cutaneous metastasis of prostatic adenocarcinoma. Apropos a case]. / Metástasis cutánea de adenocarcinoma de próstata. A propósito de un caso.

An additional case of prostatic adenocarcinoma metastasizing to the skin is described. The metastatic lesions appeared late and despite surgical and hormonal castration. To our knowledge only 5 cases have been reported in the Spanish literature. Cutaneous metastasis originating from adenocarcinoma of the prostate is a sign of poor prognosis and patients die within 6 months after the appearance of the metastatic lesions. The site and route of tumor dissemination in the present case coincide with those reported in the literature.

[Bladder amyloidosis]. / Amiloidosis vesical.

We present a case of Vesical Amyloidosis (V.A.) in a woman with Rheumatoid Arthritis. Clinical data, other locations and Histochemical findings are consistent with Secondary Amyloidosis. After T.U.R., she was treated with Dimethylsulfoxide (DMSO) and Colchicine. Her severe hematuria disappeared.