ABSTRACT
OBJECTIVE: To report one case of gunshot bladder trauma and to review its diagnosis and treatment in the related literature. METHODS: We report the case of a 43-year-old-male with an abdominal firearm wound and gross haematuria. Imaging diagnosis by abdominal and pelvic CT and CT-cystography. Surgical treatment. RESULTS: CT-cystography showed extraperitoneal bladder rupture. Exploratory laparotomy to evaluate for other associated injuries. Bladder wall surgical closure and ureteroneocystostomy with transvesical technique because of complete distal ureter tear. Broad spectrum antibiotherapy. Favourable progress. The patient was discharged at 14th day. CONCLUSIONS: Firearm bladder traumas are a rare entity. Surgical exploration and closure is mandatory. In haemodynamicaly stable patients, abdomen and pelvis CT and CT-cystography allow us to rule out associated injuries and to classify the bladder trauma type. Ureteral damage associated in 5-8,9%, diagnosed during surgical exploration. Broad-spectrum antibiotherapy in all patients.
Subject(s)
Urinary Bladder/injuries , Adult , Humans , Male , Wounds, Gunshot/diagnosis , Wounds, Gunshot/surgeryABSTRACT
Objetivo: Presentar un caso de traumatismo vesical por arma de fuego y revisar aspectos diagnósticos y terapéuticos en la literatura relacionada. Material y métodos: Presentamos el caso de un varón de 43 años con herida abdominal por arma de fuego y hematuria macroscópica. Diagnóstico de imagen mediante TC abdómino-pélvico y TC-cistografía. Tratamiento quirúrgico. Resultados: Rotura vesical extraperitoneal en TC-cistografía. Laparotomía exploradora para descartar lesiones asociadas. Cierre quirúrgico de la pared vesical y ureteroneocistostomía con técnica transvesical por desinserción ureteral distal. Antibioterapia de amplio espectro. Evolución favorable. Alta al 14º día. Conclusiones: Los traumatismos vesicales por arma de fuego son una entidad poco frecuente. Debe realizarse exploración y cierre quirúrgico de la perforación vesical en todos los casos. En pacientes estables hemodinámicamente, TC abdómino-pélvico y TC-cistografía permiten descartar lesiones asociadas y clasificar el tipo de traumatismo vesical. Daño ureteral asociado en 5-8,9%, diagnosticado intraoperatoriamente. Antibioterapia intravenosa de amplio espectro en todos los pacientes
Objetive: To report one case of gunshot bladder trauma and to review its diagnosis and treatment in the related literature. Methods: We report the case of a 43-year-old-male with an abdominal firearm wound and gross haematuria. Imaging diagnosis by abdominal and pelvic CT and CT-cystography. Surgical treatment. Results: CT-cystography showed extraperitoneal bladder rupture. Exploratory laparotomy to evaluate for other associated injuries. Bladder wall surgical closure and ureteroneocystostomy with transvesical technique because of complete distal ureter tear. Broad spectrum antibiotherapy. Favourable progress. The patient was discharged at 14th day. Conclusions: Firearm bladder traumas are a rare entity. Surgical exploration and closure is mandatory. In haemodynamicaly stable patients, abdomen and pelvis CT and CT-cystography allow us to rule out associated injuries and to classify the bladder trauma type. Ureteral damage associated in 5- 8,9%, diagnosed during surgical exploration. Broad-spectrum antibiotherapy in all patients
Subject(s)
Male , Adult , Humans , Abdominal Injuries/complications , Urinary Bladder/injuries , Wounds, Gunshot/complications , Tomography, X-Ray Computed , Hematuria/etiology , Urinary Bladder/surgeryABSTRACT
Dentro de los sarcomas vesicales del adulto, el histiocitoma fibroso maligno constituye una variedad histológica extremadamente rara. Presentamos un caso con afectación simultánea de vejiga y próstata en un varón de 25 años, que fue tratado favorablemente con cirugía radical y poliquimioterapia. Así mismo, revisamos la bibliografía existente hasta la fecha sobre estas neoplasias (AU)
Subject(s)
Adult , Male , Humans , Histiocytoma, Benign Fibrous , Neoplasms, Multiple Primary , Prostatic Neoplasms , Urinary Bladder NeoplasmsABSTRACT
Presentamos un nuevo caso de hemangiopericitoma retroperitoneal con la peculiaridad del gran tamaño de la tumoración. Debido a esto y al llamativo aporte vascular se procedió a una embolización arterial preoperatoria, que facilitó su extirpación completa. Realizamos una revisión bibliográfica reflejando los aspectos clínicos, patológicos y terapéuticos fundamentales de estos tumores (AU)
Subject(s)
Adult , Female , Humans , Hemangiopericytoma , Retroperitoneal NeoplasmsABSTRACT
Among the adult bladder sarcomas it's extremely rare as an histological variety the malignant fibrous histiocytoma. We present a case of a 25 years old young male with bladder and prostate both affected, successfully treated with radical surgery and poliquimiotherapy. We also reviewed the bibliography about this neoplasias up to now.
Subject(s)
Histiocytoma, Benign Fibrous/therapy , Neoplasms, Multiple Primary/therapy , Prostatic Neoplasms/therapy , Urinary Bladder Neoplasms/therapy , Adult , Humans , MaleABSTRACT
We present a new case of retroperitoneal hemangiopericytoma with the special feature of a big size tumour. Due to this feature and also to the hypervascularitation we proceeded a preoperative arterial embolization that made possible its complete removal. We did a bibliographic review showing the fundamental clinic pathologic and therapeutical basic aspects of this tumours.
Subject(s)
Hemangiopericytoma/pathology , Retroperitoneal Neoplasms/pathology , Adult , Female , HumansABSTRACT
Presentamos un caso de torsión testicular izquierda ocurrida cuatro meses después de un cuadro similar homolateral en el que se realizó detorsión y fijación bilateral de ambos testículos. La orquidopexia previa se realizó con seda 3-0 y fijación transeptal del testículo contralateral. El antecedente de orquidopexia bilateral no debe influir en el diagnóstico diferencial en el escroto agudo. La fijación creemos que debe realizarse con sutura irreabsorbible en tres localizaciones entre el testículo y el músculo dartos, y se debe realizar exploración del hemiescroto contralateral (AU)
Subject(s)
Adult , Humans , Male , Suture Techniques , Spermatic Cord TorsionABSTRACT
We report a case of left testicular torsion four months after a similar homolateral case in which we did detorsion and bilateral fixation of both testicles. The antecedent orchiopexy was accomplished using 3-0 silk and transseptal fixation of the contralateral testicle. A history of bilateral orchiopexy should nor interfere with diagnosing torsion in the acute scrotum. We recommend the use of nonabsorbable suture material joining the testis to the dartos muscle in 3 locations and the contralateral hemiscrotum must be explored.
Subject(s)
Spermatic Cord Torsion/surgery , Suture Techniques , Adult , Humans , MaleABSTRACT
Reports on fracture of the penis are scarce in the spanish urological literature and in most cases injury appear limited to the corpora cavernosa. In this report a case of rupture of both corpora cavernosa and the urethra during sexual intercourse is presented. Early surgical treatment rendered good results. A literature review on currently recommended diagnostic and treatment practices is presented.
