[Pelvic solid masses of uncertain etiology. A clinical case]. / Masas sólidas pelvianas de etiología incierta. Caso clínico.

We report the case of a 73 year old male with a bulky endovesical mass infiltrating near organs at the radiologic studies and urinary obstruction. We specify the diagnostic tests which end in the diagnosis of giant benign prostatic hyperplasia. Regarding the case, we consider the causes of solic pelvic masses and the diagnostic methods available, making a stand on the paramount importance of the hystologic exam.

Masas sólidas pelvianas de etiología incierta. Caso clínico / Solid pelvic masses of uncertain origin. A case report

Presentamos el caso de un varón de 73 años con una gran masa endovesical infiltrante de estructuras vecinas en los estudios radiológicos y uropatía obstructiva secundaria. Se detalla la batería diagnóstica realizada que concluye con el diagnóstico de H.B.P. masiva. A propósito del caso, comentamos las posibles causas de masas pelvianas sólidas (endo y retrovesicales) y los mecanismos diagnósticos disponibles, haciendo hincapié en la importancia capital de un estudio anatomopatológico (AU)

No disponible

[Malignant Leydig cell tumor. Report of a case and review of the literature]. / Tumor maligno de células de Leydig. Presentación de un caso y revisión de la literatura.

OBJECTIVE: To report an additional case of malignant Leydig cell tumor of the testis. The clinical, hormonal and histological criteria for malignancy are analyzed and the different therapeutic options are discussed. METHODS/RESULTS: A 75-year-old male presented with a painful testicular tumor, dyspnea and generalized syndrome. The chest film showed multiple bilateral metastatic pulmonary lesions. Pathological analysis disclosed malignant Leydig cell tumor. The patient died one month after orchidectomy due to the neoplasm. CONCLUSIONS: Metastatic Leydig cell tumor is uncommon. To date, no available treatment can significantly alter the course of the disease.

[Priapism secondary to a bilateral abscess of the corpora cavernosa]. / Priapismo secundario a absceso bilateral de cuerpos cavernosos.

Presentation of an exceptional case of priapism in an 82-year-old male, secondary to primary bilateral abscess corpus cavernosum. Diagnosis was reached through aspiration puncture and pus drainage, which also allowed the resolution of the condition. After a literature review, no similar case was found. This was a painful, long-lasting erection that resulted from corpus cavernosum repletion with purulent material instead of blood.

[Primary carcinoma of the male urethra. Report of a case and review of the literature]. / Carcinoma primario de uretra masculina. Aportación de un caso y revisión de la literatura.

Contribution of one case of epidermoid carcinoma of the urethra in a 47-year old male with a several years old urethral stenosis. The significance of urethroscopy and the obtention of biopsies for diagnosis is emphasised. Also a review is made of the existing literature on the different therapeutical alternatives.

[Spontaneous rupture of multiple cysts into the excretory tract in a case of cysts of the hilar sinus]. / Rotura quística múltiple espontánea en la vía excretora en un caso de hiliosinuquistosis.

We report a case of spontaneous rupture of renal cysts into the excretory tract, an uncommon complication in cystic disease and a rare finding in cysts of the hilar sinus. We discuss the different hypotheses on its etiopathogenesis. The possible mechanism of multiple spontaneous rupture in this case is described and the diagnostic possibilities are discussed.