RESUMO
Contribution of two new cases of vesicouterine fistula secondary to a cesarean incision. In one case, diagnosis was achieved through cystography and cystoscopy, while in the second case cystography, cystoscopy and stain testing (methylene blue) were used. In both cases management was through transperitoneal and transvesical fistulorrhaphy. The two cases showed favourable post-operative evolution with no relapse.
Assuntos
Fístula/diagnóstico , Fístula da Bexiga Urinária/diagnóstico , Doenças Uterinas/diagnóstico , Adulto , Feminino , Fístula/diagnóstico por imagem , Fístula/cirurgia , Humanos , Radiografia , Fístula da Bexiga Urinária/diagnóstico por imagem , Fístula da Bexiga Urinária/cirurgia , Doenças Uterinas/diagnóstico por imagem , Doenças Uterinas/cirurgiaRESUMO
OBJECTIVE: To describe an additional case of urinary schistosomiasis, a rare disease in our setting. METHODS/RESULTS: The clinical, radiological and cystoscopic features of urinary schistosomiasis are presented. The patient responded well to treatment with praziquantel. CONCLUSIONS: Urinary schistosomiasis, a condition produced by infection with Schistosoma haematobium, is rare in our setting. However, it should be considered in patients with sporadic episodes of hematuria that have immigrated from or travelled to areas where this disease is endemic. A detailed clinical interview can provide this useful information.
Assuntos
Esquistossomose Urinária/diagnóstico , Doenças da Bexiga Urinária/diagnóstico , Adulto , Animais , Biópsia , Doença Crônica , Hematúria/diagnóstico , Hematúria/tratamento farmacológico , Hematúria/parasitologia , Humanos , Masculino , Praziquantel/administração & dosagem , Schistosoma haematobium/isolamento & purificação , Esquistossomose Urinária/tratamento farmacológico , Esquistossomose Urinária/parasitologia , Esquistossomicidas/administração & dosagem , Bexiga Urinária/parasitologia , Bexiga Urinária/patologia , Doenças da Bexiga Urinária/tratamento farmacológico , Doenças da Bexiga Urinária/parasitologiaRESUMO
Twenty-seven cases of kidney injury in children under 15 years old are reviewed. All of them were diagnosed, treated and subsequently followed in our Service between 1979 and 1992. Clinical evaluation, blood and urine analyses, and imaging techniques are the three basic tools in the management of kidney injuries. Regarding imaging techniques, dynamic CT is currently the best diagnostic method, mainly due to its high anatomic resolution and because it permits evaluation of renal function and of possible associated lesions in other organs. Kidney injuries were classified into three categories: I (18 cases), II (4 cases), and III (4 cases). The last injury affected a pathological kidney. Emergency surgical procedures were performed in 7 cases (25.9%): 2 were category II, 4 category III, and the pathologic kidney that suffered trauma. Surgery was deferred in one case (category II) and the remaining 19 cases (74.1%) were treated conservatively: 18 were category I and 1 category II. Nephrectomy was required only for the pathologic kidney. All the other kidneys were preserved.