RESUMO
A 20-day-old female presented in acute renal failure with an absent bladder and vaginal atresia. The right ureter opened into the uterus, resulting in a urometrocolpos, and the left ureter opened through a stenotic opening into the introitus. The literature is reviewed for reported cases and the embryo-pathology of bladder agenesis is discussed.
Assuntos
Anormalidades Múltiplas/diagnóstico , Anormalidades Múltiplas/cirurgia , Ureter/anormalidades , Bexiga Urinária/anormalidades , Útero/anormalidades , Vagina/anormalidades , Anormalidades Múltiplas/embriologia , Injúria Renal Aguda/etiologia , Cloaca/embriologia , Evolução Fatal , Feminino , Humanos , Hidronefrose/etiologia , Recém-Nascido , Nefrostomia PercutâneaRESUMO
Nephroblastoma (Wilms' tumor) is the most common renal malignancy in childhood. Extrarenal Wilms' tumor is uncommon, and the diagnosis is almost always postsurgical. The authors report two cases, located in the sigmoid mesocolon, one of these having an associated horseshoe kidney. Both were treated with excision followed by chemotherapy. They are now 36 months and 7 months postchemotherapy, respectively, and are symptom and recurrence free. Both had favorable histological findings. Association with a horseshoe kidney raises an important issue regarding the histogenesis of these tumors. The authors believe that there is a nexus between the fusion of metanephric blastema during the sixth to seventh week of intrauterine life and the "ectopic" metanephric blastema cells that may give rise to extrarenal Wilms' tumor. Association with a horseshoe kidney with an extrarenal Wilms' tumor has been reported on five previous occasions. The authors closely examine the link between the two.
Assuntos
Rim/anormalidades , Neoplasias do Colo Sigmoide/complicações , Tumor de Wilms/complicações , Pré-Escolar , Humanos , Lactente , Rim/diagnóstico por imagem , Masculino , Neoplasias do Colo Sigmoide/diagnóstico por imagem , Neoplasias do Colo Sigmoide/cirurgia , Ultrassonografia , Tumor de Wilms/diagnóstico por imagem , Tumor de Wilms/cirurgiaAssuntos
Abscesso Encefálico/microbiologia , Exoftalmia/etiologia , Granuloma de Células Plasmáticas/microbiologia , Infecções Estafilocócicas/complicações , Abscesso Encefálico/complicações , Abscesso Encefálico/diagnóstico , Pré-Escolar , Feminino , Granuloma de Células Plasmáticas/complicações , Granuloma de Células Plasmáticas/diagnóstico , Humanos , Tomografia Computadorizada por Raios XRESUMO
A forty-year-old male patient was admitted with acute intestinal obstruction, plain X-ray abdomen and chest revealing air fluid levels on the right side of chest. A successful operation was carried out and the patient made an uneventful recovery. Obstructed Morgagni's Hernia is an uncommon case and hence the presentation.