[Brucellar orchitis. Case report and bibliographic review]. / Orquitis brucelar. A propósito de un nuevo caso y revisión de la literatura.

OBJECTIVE: We report one case of unilateral epididymo-orchitis secondary to Brucella and perform a bibliographic review. METHODS: We report the case of a 5 1-year-old male with fever, predominantly in the evening hours, over one month associated with a subacute inflammatory process on the right testicle and osteoarticular pain on the left ribs. RESULTS: Treatment was performed with rifampicin 600 mg/day for 45 days and doxicilin 100 mg/12 hours for 45 days. CONCLUSIONS: The brucellar etiology should be taken into consideration in front of an epididymo- orchitis with torpid outcome, mainly in areas of endemic Brucella and patients that have had contact with cattle or non controlled milk derivatives. We emphasize that contact could have been several months before the appearance of clinical epididymoorchitis.

[Bladder leiomyoma. Report of two new cases and bibliographic review]. / Leiomioma vesical. A propósito de dos nuevos casos y revisión de la literatura.

OBJECTIVE: Primary mesothelial tumors of the bladder are rare entities, being leiomyoma the most frequent of them. It may grow without any clinical symptoms or with very unspecific ones. METHODS: We report two cases of bladder leiomyoma in 2 patients, and performed a bibliographic review. RESULTS: They were treated by transurethral resection, with an excellent outcome, without incidences over five years of follow-up. CONCLUSIONS: Surgical treatment continues to be the best solution; it is easy to perform and has a very limited number of complications. Prognosis is good in any case and progression is anecdotic.

Orquitis brucelar. A propósito de un nuevo caso y revisión de la literatura / Brucellar orchitis. Case report and bibliographic review

OBJETIVO: Presentamos un caso de orquiepididimitis aguda unilateral secundaria a infección por Brucella y revisamos la literatura al respecto. MÉTODOS: Presentamos el caso de un varón de 51 años con fiebre de predominio vespertino de un mes de evolución asociado a proceso inflamatorio subagudo en teste derecho y dolor osteoarticular costal izquierdo. RESULTADOS: Se trata mediante Rifampicina a una dosis de 600 mg./día durante 45 días y Doxiclina 100 mg. cada 12 horas durante 45 días. CONCLUSIONES: Se debe tener en cuenta la etiología brucelósica ante orquiepididimitis de evolución tórpida, especialmente en áreas donde la Brucella pueda ser endémica y en personas que hayan tenido contacto con ganado o derivados de la leche no sujetos a control. Destacar que el contacto puede haber sido incluso varios meses antes de la clínica de orquiepididimitis

OBJECTIVE: We report one case of unilateral epididymo-orchitis secondary to Brucella and perform a bibliographic review. METHODS: We report the case of a 51-year-old male with fever, predominantly in the evening hours, over one month associated with a subacute inflammatory process on the right testicle and osteoarticular pain on the left ribs. RESULTS: Treatment was performed with rifampicin 600 mg/day for 45 days and doxicilin 100 mg/12 hours for 45 days. CONCLUSIONS: The brucellar etiology should be taken into consideration in front of an epididymo- orchitis with torpid outcome, mainly in areas of endemic Brucella and patients that have had contact with cattle or non controlled milk derivatives. We emphasize that contact could have been several months before the appearance of clinical epididymo-orchitis

Papiloma invertido. Aportación de dos casos y revisión de la literatura / Inverted papilloma. Report of two cases and bibliographic review

Objetivo: El papiloma invertido es una rara lesión polipoidea del urotelio, conocida como entidad diferente desde 1963, desde cuando escasamente se han publicado más de 100 casos en la literatura. Aunque su potencial maligno es todavía desconocido, existen varias publicaciones científicas en las que se denota. Métodos: Presentamos dos casos de papiloma invertido y hacemos una detallada revisión de la literatura científica al respecto. Resultados: Ambos pacientes fueron diagnosticados por el servicio de Anatomía Patológica de papiloma invertido, siguiendo controles periódicos posteriores y no apareciendo recidivas en ninguno de los dos casos, a los 24 y 18 meses de seguimiento respectivamente. Conclusiones: La posibilidad de que el papiloma invertido sea una lesión con potencial maligno debe ser en todo caso considerada y sugerimos que los pacientes con este diagnóstico sean sometidos a los exámenes urológicos de seguimiento en cualquier neoplasia vesical (AU)

Objective: Inverted papilloma is a rare polypoid lesion of the urothelium, known as a different entity since 1963. Not many more than 100 cases have been published. Although its malignant potential is still unknown, several scientific publications have noted it. Methods: We report to cases of inverted papilloma and perform a detailed bibliographic review. Results: Both patients were diagnosed by the Pathology Department and entered periodic follow-up visits, being free of recurrence at 24 and 18 months respectively. Conclusions: The possibility that inverted papilloma is a lesion with malignant potential should be considered in every case, and we suggest that patients with this diagnosis should enter a follow-up protocol like any bladder neoplasia (AU)

Leiomioma vesical. A propósito de dos casos y revisión de la literatura / Bladder leiomyoma. Report of two new cases and bibliographic review

Objetivo: Los tumores mesoteliales primarios de la vejiga son entidades raras, y de entre ellos el más frecuente es el leiomioma vesical, que puede crecer sin apenas manifestaciones clínicas o muy inespecíficas. Métodos: Presentamos el caso de un leiomioma vesical en dos pacientes y la revisión de la literatura. Resultados: El tratamiento fue mediante una resección transuretral, la evolución excelente y el seguimiento en consultas externas tras más de 5 años sin incidencias. Conclusiones: El abordaje quirúrgico sigue siendo la mejor solución, de fácil ejecución y con un porcentaje escaso de complicaciones. El pronóstico es bueno en cualquier caso y las recidivas son anecdóticas (AU)

Objective: Primary mesothelial tumors of the bladder are rare entities, being leiomyoma the most frequent of them. It may grow without any clinical symptoms or with very unspecific ones. Methods: We report two cases of bladder leiomyoma in 2 patients, and performed a bibliographic review. Results: They were treated by transurethral resection, with an excellent outcome, without incidences over five years of follow-up. Conclusions: Surgical treatment continues to be the best solution; it is easy to perform and has a very limited number of complications. Prognosis is good in any case and progression is anecdotic (AU)