Uso de ecopotenciador en lesión renal quística compleja / The use of ultrasound with potentiator media in the diagnosis of complex cystic lesions

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Ultrasound diagnosis of three cases of Mondor's disease.

OBJECTIVE: To describe clinical features and ultrasound findings of three cases of a little-known and relatively infrequent entity in daily clinical activity, which is often unnoticed and under-reported: penile Mondor's disease or superficial penile veins thrombophlebitis. METHODS: We are reporting the cases of three patients aged 33, 25 and 39 years who were referred to our department, the first case with suspicion of inguinal hernia, the second one to rule out testicular pathology because of pubic and perineal discomfort, and the third one for painful induration of the dorsal region of the penis. The three patients underwent Doppler-ultrasound examination (Toshiba®, using a 13-18MHz linear transducer) to establish definitive diagnosis, and had a favorable evolution with conservative management. RESULTS: Ultrasound examination revealed: Case 1. Penile superficial dorsal vein and lateral superficial veins thrombosis. Case 2. Thrombosis of the right branch of the superficial dorsal vein and its perineal distal connections. Case 3. Penile superficial dorsal vein thrombosis. Definitive diagnosis of the three cases was Mondor's disease. CONCLUSIONS: Mondor's disease is an often under-reported entity in daily clinical activity. Doppler-ultrasound findings (echogenic material within veins, lack of any response after compression by the transducer and absence of color flow) confirm de diagnosis. This disease has a favorable evolution and functional prognosis. Knowledge of Mondor's disease by echographists is basic to avoid false-negative results in radiologic examination.

Diagnóstico ecográfico de tres caso de enfermedad de Mondor del pene / Ultrasound diagnosis of three cases of Mondor`s disease

OBJETIVO: Describir las características clínicas y los hallazgos ecográficos de tres casos de una entidad poco conocida y relativamente infrecuente en la actividad clínica diaria, lo que ocasiona que sea infradiagnosticada: la enfermedad de Mondor del pene o tromboflebitis aislada de las venas superficiales del pene. MÉTODOS: Los casos corresponden a pacientes de 33, 25 y 39 años remitidos el primero por sospecha de hernia inguinal, el segundo para descartar patología testicular por molestias púbicas y perineales, y el tercero por induración dolorosa del dorso del pene. Se realizó ecografía-Doppler color de alta resolución (Toshiba®, con transductor lineal de 13-18 MHz) y tras el diagnóstico se instauró tratamiento conservador, evolucionando los tres casos de forma favorable. RESULTADOS: En el estudio ecográfico se apreció: Caso 1. Trombosis de la vena dorsal superficial y venas laterales superficiales. Caso 2. Trombosis de la rama derecha de la vena dorsal superficial y de sus conexiones distales perineales. Caso 3. Trombosis de la vena superficial dorsal del pene. Los tres casos fueron diagnosticados como enfermedad de Mondor. CONCLUSIONES: La enfermedad de Mondor es una entidad frecuentemente infradiagnosticada en la práctica diaria. Los hallazgos ecográficos-Doppler (contenido ecogénico en el interior de la vena, falta de respuesta a la compresión y ausencia de flujo) son diagnósticos. Se trata de una entidad clínica con buena evolución y pronóstico funcional. Es fundamental el conocimiento de esta entidad por parte del ecografista para evitar falsos negativos en el estudio radiológico(AU)

OBJECTIVE: To describe clinical features and ultrasound findings of three cases of a little-known and relatively infrequent entity in daily clinical activity, which is often unnoticed and under-reported: penile Mondor’s disease or superficial penile veins thrombophlebitis. METHODS: We are reporting the cases of three patients aged 33, 25 and 39 years who were referred to our department, the first case with suspicion of inguinal hernia, the second one to rule out testicular pathology because of pubic and perineal discomfort, and the third one for painful induration of the dorsal region of the penis. The three patients underwent Doppler-ultrasound examination (Toshiba®, using a 13-18MHz linear transducer) to establish definitive diagnosis, and had a favorable evolution with conservative management. RESULTS: Ultrasound examination revealed: Case 1. Penile superficial dorsal vein and lateral superficial veins thrombosis. Case 2. Thrombosis of the right branch of the superficial dorsal vein and its perineal distal connections. Case 3. Penile superficial dorsal vein thrombosis. Definitive diagnosis of the three cases was Mondor’s disease. CONCLUSIONS: Mondor’s disease is an often under-reported entity in daily clinical activity. Doppler-ultrasound findings (echogenic material within veins, lack of any response after compression by the transducer and absence of color flow) confirm de diagnosis. This disease has a favorable evolution and functional prognosis. Knowledge of Mondor’s disease by echographists is basic to avoid false-negative results in radiologic examination(AU)