RESUMO
OBJECTIVES: To evaluate the diagnostical possibilities of helicoidal CAT in crossed renal ectopy (CRE) and review 36 cases published in Spain, including our 3 new patients. CLINICAL CASES: We present two women and a man aged between 54 and 82 who were diagnosed of left CRE. One of them showed an ureterocele and other one presented a splenic angiosarcoma. DISCUSSION: Main embriological theories, clinical presentation, associated anomalies and different radiological systems used in the diagnosis of this infrequent congenital malformation are evaluated.
Assuntos
Rim/anormalidades , Rim/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores SexuaisRESUMO
OBJETIVOS: Evaluar las posibilidades diagnósticas de la TAC helicoidal en la ectopia renal cruzada (ERC) a la vez que se realiza una revisión de 36 casos publicados en España, incluyendo nuestros 3 nuevos pacientes. CASOS CLÍNICOS: Presentamos 2 mujeres y 1 varón con edades comprendidas entre 54 y 82 años, que fueron diagnosticados de ERC izquierda. Uno de ellos mostraba asociadamente un ureterocele ipsilateral y otro presentaba un angiosarcoma esplénico. DISCUSIÓN: Las principales teorías embriogénicas, presentación clínica, anomalías asociadas y distintos medios radiológicos en el diagnóstico de esta infrecuente malformación congénita son evaluados (AU)
Assuntos
Pessoa de Meia-Idade , Idoso de 80 Anos ou mais , Idoso , Masculino , Feminino , Humanos , Tomografia Computadorizada por Raios X , Fatores Sexuais , Fatores Etários , RimRESUMO
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Assuntos
Idoso , Feminino , Humanos , Tabagismo , Paracentese , Punções , Doença Pulmonar Obstrutiva Crônica , Asma , Enfisema Mediastínico , Volume Expiratório ForçadoRESUMO
OBJECTIVE: To report a case of pulmonary embolism secondary to chronic over-distended bladder, responsible for iliac vein obstruction. CLINICAL CASE: A 73-year-old patient presented with sudden onset of pulmonary embolism, confirmed by isotope lung scan, after drainage of 2,300 cc of urine from an over-distended bladder, responsible for bilateral iliac vein obstruction and a bilateral obstructive uropathy. The patient had a favourable course after anticoagulation with heparin and temporary bladder catheterization, leading to resolution of the peripheral oedema and obstructive uropathy. CONCLUSION: About thirty cases of obstruction of large pelvic vessels due to over-distended bladder have been reported to date. However, and after an extensive review of the literature, this case appears to be the first report of pulmonary embolism secondary to chronic over-distended bladder.
Assuntos
Embolia Pulmonar/etiologia , Retenção Urinária/complicações , Idoso , Doença Crônica , Humanos , MasculinoRESUMO
Retrovesical masses in men not related to prostatic carcinoma or hyperplasia is an uncommon pathology. Rare masses or unusual manifestations of those common diseases are a diagnostic dilemma. We review our experience in three unusual retrovesical masses in men: carcinosarcoma filling a giant bladder diverticulum; cystic prostatic carcinoma; and acquired cystic dilatation of the seminal vesicle associated with a prostatic carcinoma that obstructed and invaded the vesicle. We report the imaging findings and review the literature. In our experience, the imaging findings are usually not specific for doing a precise diagnosis and biopsy procedures are necessary.
Assuntos
Doenças dos Genitais Masculinos/diagnóstico , Glândulas Seminais , Idoso , Carcinoma/complicações , Carcinoma/diagnóstico , Carcinoma/cirurgia , Carcinossarcoma/complicações , Carcinossarcoma/diagnóstico , Carcinossarcoma/cirurgia , Diagnóstico Diferencial , Doenças dos Genitais Masculinos/etiologia , Doenças dos Genitais Masculinos/cirurgia , Humanos , Imageamento por Ressonância Magnética , Masculino , Hiperplasia Prostática/complicações , Hiperplasia Prostática/diagnóstico , Hiperplasia Prostática/cirurgia , Neoplasias da Próstata/complicações , Neoplasias da Próstata/diagnóstico , Neoplasias da Próstata/cirurgia , Glândulas Seminais/diagnóstico por imagem , Glândulas Seminais/patologia , Tomografia Computadorizada por Raios X , Ultrassonografia , Neoplasias da Bexiga Urinária/complicações , Neoplasias da Bexiga Urinária/diagnóstico , Neoplasias da Bexiga Urinária/cirurgia , UrografiaRESUMO
Laparoscopic cholecystectomy is a proven, well-accepted surgical technique for removing the diseased gallbladder and has rapidly become the surgical procedure of choice over conventional open cholecystectomy. Radiologists must be aware of the possibility of inadvertent dissemination of incidental gallbladder cancer during laparoscopic cholecystectomy. We report a case of this unusual complication: a patient with port site metastases after laparoscopic cholecystectomy for an unexpected gallbladder carcinoma at an early stage.
Assuntos
Neoplasias Abdominais/secundário , Adenocarcinoma/secundário , Colecistectomia Laparoscópica/efeitos adversos , Neoplasias da Vesícula Biliar/patologia , Inoculação de Neoplasia , Neoplasias Abdominais/diagnóstico por imagem , Adenocarcinoma/diagnóstico por imagem , Idoso , Feminino , Neoplasias da Vesícula Biliar/cirurgia , Humanos , Tomografia Computadorizada por Raios XRESUMO
OBJECTIVE: To describe four additional cases of adult inguinal bladder hernia. METHODS: From 1986 to 1998, four cases of bladder inguinal herniation were diagnosed at our services. The etiology, diagnosis, treatment, associated conditions and complications are presented. RESULTS: Two cases had resulted from benign prostatic hyperplasia; one underwent TUR and the other was treated with alpha-blockers. The remaining two cases were due to prostatic carcinoma and were treated with hormone therapy. The bladder hernia was surgically repaired in three cases; the last patient refused surgery. CONCLUSIONS: A bladder hernia that is incidentally discovered during herniorrhaphy can be resolved without difficulty. However, problems may arise when an unsuspected bladder hernia is undetected due to preoperative bladder emptying and is included in the sutures of herniorrhaphy. When important bladder hernias are diagnosed preoperatively, surgical resolution is always indicated, as well as treatment by surgery or drugs of the urinary obstruction that contributed to the condition.
