ABSTRACT
One case of pseudotumoral granulomatous renal mass during endovesical bacillus Calmette-Guérin (BCG) therapy for superficial bladder neoplasm is reported. Such an adverse effect is exceptional and is clearly related to a vesicorenal reflux in our patient. In this case ultrasound-guided fine-needle aspiration was able to settle the diagnosis and avoid surgery. The patient responded to triple antituberculous therapy.
Subject(s)
BCG Vaccine/adverse effects , Granuloma/etiology , Kidney Diseases/etiology , Urinary Bladder Neoplasms/therapy , BCG Vaccine/therapeutic use , Biopsy, Needle , Granuloma/pathology , Humans , Kidney Diseases/pathology , Male , Middle Aged , Urinary Bladder Neoplasms/complications , Vesico-Ureteral Reflux/complicationsABSTRACT
A case of multilocular cyst of the kidney in a forty-eight old female is reported. The urography-ultrasonography association had shown the heterogeneous character of the renal tumor. The angiography and the computed tomography were alarming. The real diagnosis was established by histologic study after nephrectomy.
Subject(s)
Cystadenoma/diagnostic imaging , Kidney Diseases, Cystic/diagnostic imaging , Kidney Neoplasms/diagnostic imaging , Angiography , Female , Humans , Middle Aged , Tomography, X-Ray Computed , Ultrasonography , UrographyABSTRACT
This new resectoscope is the result of over 30 years experience of T.U.R. Its principle is a double flow running through the resectoscope: inflow and outflow under succion. The advantages are: 1. T.U.R. can be performed continuously, quicker than with conventional resectoscopes and theoretically with no limit of time. 2. T.U.R. is done under intra-vesical pressure, avoiding the T.U.R. syndrome. 3. T.U.R. is done more confortably: better vision bleeding control by watching the suction bottle, no more wet surgeon.
Subject(s)
Prostatectomy/instrumentation , Endoscopes , Humans , Male , Methods , Suction , Therapeutic IrrigationSubject(s)
Granuloma/diagnosis , Retroperitoneal Neoplasms/diagnosis , Adult , Age Factors , Aged , Appendectomy , Biopsy , Child, Preschool , Diagnosis, Differential , Female , Granuloma/pathology , Granuloma/surgery , Histiocytosis, Langerhans-Cell/diagnosis , Humans , Inflammation , Kidney Calculi/surgery , Middle Aged , Nephrectomy , Panniculitis, Nodular Nonsuppurative/diagnosis , Retroperitoneal Neoplasms/pathology , Retroperitoneal Neoplasms/surgery , Ureter/surgeryABSTRACT
The T.U.R.P. syndrome is always secondary either to the perforation of the prostatic capsula or to the opening of a veinous sinus. If the T.U.R.P. syndrome occurs, it can be or early, or late. Generally attributed to hemolysis with hemoglobinemia, we denie it. In fact the T.U.R.P. syndrome is to be attributed to hypervolemia and hyponatremia. The proper treatment requires the use of hypertonic sodium solution. The use of sterile water as irrigant for the T.U.R. is absoluetly convenient and not dangerous, unless one perforates the capsule or open a veinous sinus.
