ABSTRACT
We report the case of a patient who has autoinjected himself the penis and the scrotum with a solution constituted by petroleum, vaseline, oxygenated water and ketoconazol gel. Treatment consists in the excision of the injected deposit of lipid material and antibiotic therapy with good result at 4 months. We review the existing literature related with this exceptional pathology.
Subject(s)
Penis/injuries , Self-Injurious Behavior , Humans , Injections , Male , Middle Aged , Oils/administration & dosage , SolutionsABSTRACT
OBJECTIVE: Two cases of oliguric acute renal failure in HIV+ patients treated with indinavir are described. METHODS: Patient evaluation included blood analysis, urinalysis, abdominal x-rays, renal US and IVP. RESULTS: Both cases resolved with discontinuation of drug therapy, administration of fluids and urine acidification. CONCLUSIONS: Severe acute renal failure is an uncommon complication in HIV+ patients treated with indinavir. This drug has a great tendency to precipitate in urine. The severity of the crystalluria depends on the drug dose and urinary pH, and can cause tubulointerstitial nephritis and urinary calculi with obstruction of the urinary tract.
Subject(s)
Anuria/chemically induced , HIV Protease Inhibitors/adverse effects , HIV Seropositivity/drug therapy , Indinavir/adverse effects , Adult , Humans , Male , Middle AgedABSTRACT
Presentamos el caso de un paciente que se autoinyectó en el pene y en escroto una solución constituida por petróleo, vaselina, agua oxigenada y gel de ketoconazol. Se trató con desbridamiento y antibioticoterapia con buen resultado a los 4 meses. Revisamos la literatura existente en relación a esta excepcional patología (AU)
Subject(s)
Middle Aged , Male , Humans , Self-Injurious Behavior , Solutions , Oils , Penis , InjectionsABSTRACT
OBJECTIVE: To report 5 cases of cystic nephroma and review the clinical, diagnostic and therapeutic aspects. METHODS: From 1974 to 1988, 5 cases of cystic nephroma were diagnosed at our hospital. Patient evaluation included IVP and renal US, and occasionally ascending urography, fine needle aspiration biopsy and CT. The cyst was removed through a lumbar incision in 4 patients and nephrectomy in one patient. RESULTS: The patients were followed by yearly ultrasound/urography for 1 to 15 years. No evidence of local recurrence or metastatic disease has been found. CONCLUSIONS: Cystic nephroma is an uncommon, benign kidney disease whose etiology is unknown. Although new imaging techniques are available, surgical excision and histologic analysis of the tumor are the only effective methods to distinguish benign from malignant cystic lesions of the kidney. Because it is a benign lesion, surgery must be conservative. Complete excision of the cyst is advocated. We found a well-encapsulated, noninfiltrating lesion that permitted surgical excision without difficulty in most of our cases. Herniation of some cysts into the urinary tract is a characteristic radiological sign.
Subject(s)
Kidney Diseases, Cystic/diagnosis , Adolescent , Adult , Aged , Child , Child, Preschool , Female , Humans , Middle AgedABSTRACT
OBJECTIVE: To report a case of granuloma due to a retained surgical sponge that mimicked a pseudotumor in a patient with autosomal dominant polycystic kidney disease. The appearance of retained surgical sponges on diagnostic imaging is reviewed. METHODS: Patient evaluation included renal ultrasound, magnetic resonance imaging (MRI) and arteriography. RESULTS: MRI provides characteristic features that permit preoperative diagnosis. CONCLUSIONS: In the presence of a mass or abscess in patients who have previously undergone surgery, a retained surgical sponge should be included in the differential diagnosis. MRI permits preoperative diagnosis.
Subject(s)
Foreign Bodies/diagnosis , Kidney Neoplasms/diagnosis , Polycystic Kidney Diseases/complications , Surgical Sponges , Diagnosis, Differential , Humans , Male , Middle AgedABSTRACT
Presentation of one case of inferior cava leiomyosarcoma in a 24-year old female patient, incidentally diagnosed after performance of ultrasound. The complementary examinations performed (CAT, NMR, arteriography) guided to a mass of suprarenal origin. During surgery, a tumour of the inferior cava vein was suspected and was later confirmed through the pathoanatomical study of the surgical piece. Review of the clinical and diagnostic aspects placing special emphasis on treatment.
Subject(s)
Leiomyosarcoma/pathology , Vascular Neoplasms/pathology , Vena Cava, Inferior , Adult , Female , Humans , Leiomyosarcoma/diagnosis , Leiomyosarcoma/surgery , Vascular Neoplasms/diagnosis , Vascular Neoplasms/surgeryABSTRACT
Immunotherapy management for advanced renal carcinoma has awaken a growing interest over the last few years. Based on Atzpodien's studies, in December 1994 a protocol was initiated in our centre for the treatment of metastatic renal carcinoma, using subcutaneous alpha interferon, subcutaneous Interleukin-2 and endovenous 5-Fluorouracil. The present report analyzes all six cases included in the protocol and their results.
