[Diffuse capillary hemangioma of the bladder]. / Hemangioma capilar vesical difuso.

Hemangioma of the bladder is an uncommon, benign vascular tumor. To date, less than 100 cases have been reported in the literature. A case of diffuse capillary hemangioma involving the entire bladder is described herein. The patient had previously received radiotherapy and the condition developed into severe bladder retraction with massive vesicoureteric reflux. The patient underwent cystectomy preserving the prostate and seminal vesicles and an ileal neobladder was created using a segment of the sigmoid colon. A follow-up of more than 4 years evidenced good results. The literature is reviewed highlighting the diagnostic and therapeutic aspects of this condition.

[Persistent Mullerian duct syndrome]. / Síndrome del conducto persistente de Müller.

We report on a 14-year-old boy who was admitted to the emergency department for acute retention of urine. At age 1 year, he had been submitted to surgery for left cryptorchidism and left-sided herniation, associated with hypospadias of the glans penis. Radiologic and endoscopic work up revealed a large retrovesical cavity with septation in its upper portion communicating with the prostatic urethra. These structures were removed and pathologic examination disclosed remnants of Müllerian ducts. This uncommon disease entity whose etiopathogenesis is ascribed to a deficient activity of the Müllerian inhibiting factor (MIF) classically presents in phenotypically male subjects with unilateral cryptorchidism, contralateral herniation, and persistent Müllerian remnants. The literature is reviewed, highlighting the diagnostic and therapeutic aspects of this syndrome.

[Bilateral adrenal gland metastasis of adenocarcinoma of the kidney]. / Metástasis suprarrenal bilateral por adenocarcinoma renal.

We report on a 52-year old male with simultaneous bilateral adrenal metastases from renal adenocarcinoma. The patient was submitted to radical nephrectomy, including the ipsilateral adrenal, and contralateral adrenalectomy, and received coadjuvant steroid replacement therapy. The patient died 11 months post-operatively. Similar cases previously reported in the literature are reviewed.

[Adrenal gland myelolipoma]. / Mielolipoma suprarrenal.

We report a case of adrenal myelolipoma with no endocrine activity, that was diagnosed preoperatively by CT because of its characteristic fatty composition. The clinical and radiologic findings are described, and the literature on this uncommon disease entity is reviewed.