[Hemoptysis in a patient with a previous surgical correction of a tetralogy of Fallot]. / Hemoptisis en un paciente con el antecedente de corrección quirúrgica de una tetralogía de Fallot.

Aorto-bronchial fistula is a rare but associated with a height rare of mortality. Although most reported cases are secondary to infectious aneurysms, cases arising after surgery to correct congenital cardiovascular abnormalities have recently been described. We report the case of a 41-year-old patient with recurrent hemoptysis and a history of Fallot's tetralogy corrected in childhood. Given such a case of hemoptysis in a patient with a history of cardiovascular surgery, the correct diagnostic approach includes fiberoptic bronchoscopy, helicoidal CAT and/or NMR, and aortography. Diagnostic confirmation should be followed soon by corrective surgery.

[Dilatation of the azygos vein: an unusual cause of pulmonary mass]. / Dilatación de la vena ácigos: una causa infrecuente de masa pulmonar.

Infrahepatic interruption of the inferior cava vein, is a rare congenital anomaly, usually associated with congenital heart and abdominal diseases. The systemic venous flow is accommodated by the dilated azygos. This dilated azygos arch accounts for the right paratracheal or mediastinal mass, and may be misinterpreted as a neoplasm. We report a case with this congenital vascular anomaly, associated with another of tracheobronchial tree.

[Mediastinal epithelioid hemangioendothelioma]. / Hemangioendotelioma epitelioide mediastínico.

The epitheloid hemangioendothelioma (EH) is a rare tumor of vascular origin, which exceptionally manifestates as a mediastinic mass. We present a new case of location at the upper cava vein and we review the clinical, histological and therapeutic characteristics of the EH.

Secuestro pulmonar intralobar sobreinfectado, a propósito de un caso / No disponible

El secuestro pulmonar es una malformación congénita poco frecuente, generalmente asintomática hasta que la lesión se infecta, debutando entonces como infecciones respiratorias de repetición. El diagnóstico se confirma mediante pruebas de imagen que permitan objetivar el tejido pulmonar no funcionante irrigado por circulación sistémica. El tratamiento de elección es la resección quirúrgica con ligadura de los vasos nutricios

Pulmonary sequestration is a rare congenital abnormality. Most of them are asymptomatic but they can appear as recurrent respiratory infections. Radiological tests bring to light a non functioning mass of lung that receives its arterial blood supply from the systemic circulation. Treatment is made with a surgical resection by bonding the vascular supply

Aneurisma de la arteria pulmonar. A propósito de dos casos / Aneurysm of the pulmonary artery. Two cases

La dilatación aneurismática de la arteria pulmonar es una patología rara y clínicamente inespecífica, por lo que el diagnóstico se basa en pruebas de imagen, como la TC o la angiorresonancia. Puede ser idiopática (menos frecuente) cuando la etiología es indeterminada o secundaria a diversas patologías, muchas de ellas identificables con técnicas de imagen complementarias, como el ecocardiograma. Debido a que la mayoría de los pacientes se diagnostican como hallazgo casual, están asintomáticos o estables, o tienen bajo riesgo de rotura, son muy pocos los que precisan de tratamiento quirúrgico

Aneurysm dilation of pulmonary artery is a very rare disease and the clinic is non-specific. Final diagnosis relies on imaging tests as computed tomography and nuclear magnetic resonance. They can be idiopathic (less frequent, when an indeterminate etiology occurs) or secondary to several pathologies, most of which can be identified with other imaging tests like echocardiogram. As in most patients the disease is a casual finding, are asymptomatic or with haemodynamic stability or have a low risk of rupture, only a few need surgery

[Prostatic syndrome and pleural effusion: are they different diseases?]. / Síndrome prostático y derrame pleural: enfermedades diferentes?

OBJECTIVE: To report an uncommon association of prostate and lung cancer. METHODS: The characteristics of both tumors, their association with tumors in other sites and the time of presentation are analyzed. RESULTS: Both tumors were in the advanced stages. Metastatic carcinoma of the prostate was discarded due to the form of presentation. CONCLUSIONS: Although the association of prostate and lung cancer is uncommon, the possibility of synchronous tumors should be considered in patients with urinary and pulmonary symptoms suggestive of neoplasm. It is important to determine if the lesion is a metastasis, since the prognosis depends on the second tumor.

[Solitary pulmonary nodule in a patient with treated carcinoma of the renal pelvis: metastatic disease?]. / Nódulo pulmonar solitario en paciente con carcinoma de pelvis renal tratado: enfermedad metastásica?

OBJECTIVE: To describe a case of a solitary pulmonary nodule in a patient that had been treated for carcinoma of the renal pelvis. METHODS: A solitary pulmonary nodule was detected on the chest film of a patient that had been treated for carcinoma of the renal pelvis. The characteristics of the nodule are described and its diagnosis, with special reference to metastasis and primary pulmonary carcinoma, is discussed. RESULTS: The anatomopathological study demonstrated a chondroid hamartoma. CONCLUSIONS: A metastatic or a primary tumor is suspected when a solitary pulmonary nodule is detected in a patient that has been previously treated for urothelial carcinoma. However, other types of lesions with a more favourable outcome cannot be discarded, such as chondroid hamartoma as in the case described herein.

Síntomas neurólogicos y tumorrenal: hallazgo casual / Neurologic symptoms and renal neoplasm: casual finding

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