ABSTRACT
OBJECTIVE: To report a successfully treated case of inflammatory aortic aneurysm. MATERIALS AND METHODS: A 57-year-old patient reported low back pain and urinary infections. An abdominal CT scan revealed a large inflammatory aneurysm in the abdominal aorta. An aortic bypass was performed with no complications. RESULTS: Patient course since surgery has been uneventful, and currently has no symptoms. CONCLUSIONS: Contribution of the radiographic team, mainly with the CT scan, is of great value both for differential diagnosis and adequate management and follow-up. Surgery is indicated to prevent aneurysm rupture, but an increased postoperative morbidity and mortality should be assumed.
Subject(s)
Aortic Aneurysm, Abdominal/complications , Aortitis/complications , Aortic Aneurysm, Abdominal/diagnosis , Aortic Aneurysm, Abdominal/surgery , Aortitis/diagnosis , Aortitis/surgery , Humans , Male , Middle AgedABSTRACT
OBJECTIVE: A case of ductal carcinoma of the prostatic utricle is described, previously known as endometrial carcinoma, and literature is reviewed. METHODS: 75-years-old patient who consults for lower urinary tract obstructive symptoms, with a PSA of 8.1 ng/ml., without more symptoms. Digital rectal examination and ultrasound showed a small and stony prostate. Deobstructive transurethral resection of the prostate was performed and the biopsy revealed ductal carcinoma of the utricle. RESULTS: Nine years after diagnosis signs of dissemination are not present. CONCLUSIONS: As incidental finding in the biopsy, ductal carcinoma of the utricle is a rare tumor, the incidence of which among all prostatic carcinomas has been cited as 0.2-0.8%. We report a review about this topic for improving its knowledge. Symptoms, pathological findings and treatment of this carcinoma have been reviewed.
Subject(s)
Carcinoma, Ductal , Prostatic Neoplasms , Aged , Carcinoma, Ductal/diagnosis , Humans , Male , Prostatic Neoplasms/diagnosisABSTRACT
Objetivo: Presentamos un caso de aneurisma aórtico inflamatorio resuelto con éxito. Material y métodos: Paciente de 57 años que consulta por dolor lumbar e infecciones urinarias. Se realiza una angio-TC y se descubre un aneurisma de aorta abdominal inflamatorio de gran tamaño. Se interviene quirúrgicamente, realizando un bypass aorto aórtico, sin complicaciones intraoperatorias. Resultados: El paciente evoluciona favorablemente desde la cirugía; en la actualidad, se encuentra asintomático. Conclusiones: La participación del equipo de radiología, fundamentalmente con el angio-TC, es de gran valor, tanto para el establecimiento de un diagnóstico diferencial, como para un tratamiento y seguimiento correctos. La cirugía está indicada para prevenir la rotura de estos aneurismas, asumiendo un incremento en la morbimortalidad postoperatoria (AU)
Objective: To report a successfully treated case of inflammatory aortic aneurysm. Materials and methods: A 57-year-old patient reported low back pain and urinary infections. An abdominal CT scan revealed a large inflammatory aneurysm in the abdominal aorta. An aortic bypass was performed with no complications. Results: Patient course since surgery has been uneventful, and currently has no symptoms. Conclusions: Contribution of the radiographic team, mainly with the CT scan, is of great value both for differential diagnosis and adequate management and follow-up. Surgery is indicated to prevent aneurysm rupture, but an increased postoperative morbidity and mortality should be assumed (AU)
Subject(s)
Humans , Male , Middle Aged , Aortic Aneurysm, Abdominal/complications , Aortic Aneurysm, Abdominal/surgery , Meniere Disease/diagnosis , Urinary Tract Infections/etiology , Aortic Aneurysm, Abdominal/pathology , Blood Vessel Prosthesis , Angiography , Low Back Pain/etiology , Aortic Rupture/physiopathologyABSTRACT
Objetivo: Se presenta un caso de adenocarcinoma ductal prostático, anteriormente conocido como carcinoma endometrioide y se revisa la literatura. Métodos: Paciente de 75 años que acude a la consulta por sintomatología de obstrucción urinaria, PSA de 8,1 ng/ml., sin otra clínica acompañante. El tacto rectal y la ecografía abdominopélvica evidencian una próstata pequeña y pétrea. Se realiza resección transuretral desobstructiva y la anatomía patológica revela carcinoma ductal del utrículo prostático. Resultados: A los 9 años del diagnóstico no presenta signos de diseminación. Conclusiones: De hallazgo casual en el estudio anatomo-patológico, el adenocarcinoma ductal del utrículo prostático es una rara neoformación, cuya incidencia entre todos los carcinomas prostáticos ha sido citada entre 0,2-0,8%, si bien resulta interesante hacer una revisión sobre el tema para fomentar su estudio. Se revisan la clínica, diagnóstico y tratamiento de dicho carcinoma (AU)
Objective: A case of ductal carcinoma of the prostatic utricle is described, previously known as endometrial carcinoma, and literature is reviewed. Methods: 75 years old patient who consults for lower urinary tract obstructive symptoms, with a PSA of 8.1 ng/ml., without more symptoms. Digital rectal examination and ultrasound showed a small and stony prostate. Deobstructive transurethral resection of the prostate was performed and the biopsy revealed ductal carcinoma of the utricle. Results: Nine years after diagnosis signs of dissemination are not present. Conclusions: As incidental finding in the biopsy, ductal carcinoma of the utricle is a rare tumor, the incidence of which among all prostatic carcinomas has been cited as 0.2-0.8%. We report a review about this topic for improving its knowledge. Symptoms, pathological findings and treatment of this carcinoma have been reviewed (AU)