Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 2 de 2
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
1.
Int J Surg Case Rep ; 118: 109625, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38631192

RESUMO

INTRODUCTION: Gastric outlet obstruction presents with a range of symptoms which include abdominal pain, early satiety, weight loss and vomiting caused obstruction secondary to tumors from outside the gastrointestinal tract or due to motility disorders. Bladder cancer is rarely associated with Gastric outlet obstruction. It usually presents with painless hematuria and urinary symptoms. Squamous cell carcinoma is a subtype of bladder malignancies that tends to present at a later stage and is associated with poorer prognosis in terms of metastasis and survival. CASE PRESENTATION: We present the case of a 79-year-old man, non-smoker, who presented to the emergency department with gastric outlet obstruction and was found to have non-bilharzial squamous cell carcinoma of the bladder metastatic to the retroperitoneal lymph nodes causing duodenal and small bowel obstruction. CLINICAL DISCUSSION: Squamous cell carcinoma of the bladder, tends to present at later stages and spread to adjacent organs or spread through lymphatics to lymph nodes, liver, bone, brain, lungs, and the gastro-intestinal tract. Diagnosis is made through cystoscopy, pathology and imaging. Non-Bilharzial Squamous cell carcinoma of the bladder is associated with increased morbidity and mortality than its Bilharzial counterpart. CONCLUSION: This is a unique case of non-bilharzial squamous cell carcinoma of the bladder, metastatic to retroperitoneal lymph nodes that lead to compression of the duodenum and small bowels and eventual gastric outlet obstruction. There are few reports of gastro-intestinal obstruction secondary to bladder cancer, however this is the first case metastatic non-bilharzial Squamous cell carcinoma of the bladder presenting as gastric outlet obstruction.

2.
Int J Surg Case Rep ; 116: 109416, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38422750

RESUMO

INTRODUCTION: Cystitis glandularis is a proliferative disease of the bladder epithelium usually presenting in the setting of chronic inflammation, characterized by the formation of glands in the bladder mucosa and submucosa. Intestinal metaplasia is a described process in cystitis glandularis characterized by the presence of intestinal cells and mucin production which is rare as compared to cystitis glandularis. CASE PRESENTATION: We present a case of cystitis glandularis with intestinal metaplasia located in the bladder and concomitantly in the prostatic urethra. Patient underwent transurethral resection of the lesion which was unusually found in the prostatic urethra. CLINICAL DISCUSSION: Florid cystitis glandularis is a rare condition found in women more than in men. It usually presents with irritative lower urinary tract symptoms or hematuria which leads to its eventual diagnosis. It is usually causes by inflammation to the bladder mucosa due to infections or irritation. Patients are diagnosed through Transurethral resection of these bladder lesions found in the trigone and bladder neck region. Surgery is the standard treatment of choice. However, medical treatment may also be used to treat underlying inflammatory conditions using antibiotics, steroids, and non-steroidal anti-inflammatory agents. Radical or partial cystectomy may be performed for severe refractory cases. CONCLUSION: This article describes the rare occurrence of florid cystitis glandularis in the prostatic urethra and provides an overview on diagnosis, etiology, and management of the disease.

SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...