ABSTRACT
OBJECTIVES: To report the case and iconography of a lymphocele after renal transplantation and to review the literature about the diagnosis and the treatment of this surgical complication. METHODS: 69 year-old woman status post renal transplantation who presents right lower extremity edema and worsening renal function. A liquid collection was demonstrated by ultrasound and computerized tomography, compatible with lymphocele after biochemical study of the liquid obtained by percutaneous puncture. RESULTS: The patient underwent laparoscopic intraperitoneal drainage of the lymphocele, with good surgical outcome. CONCLUSION: Lymphocele is a common pathology after a renal transplantation which needs to be treated depending on its clinical manifestations. There mainly are two therapeutic alternatives depending on the size of the lymphocele: sclerotherapy and surgical intraperitoneal drainage. Apart from very selected cases, laparoscopic approach is currently considered, because of its security and effectiveness, the first choice when a surgical treatment is prescribed.
Subject(s)
Kidney Transplantation/adverse effects , Leg , Lymphocele/etiology , Aged , Female , Humans , Lymphocele/diagnosis , Lymphocele/surgeryABSTRACT
OBJETIVOS: Comunicar el caso y la iconografía de un linfocele postrasplante renal y revisar la literatura sobre diagnóstico y tratamiento de esta complicación quirúrgicaMÉTODOS: Mujer de 69 años sometida a trasplante renal, que se presenta con edema en miembro inferior derecho y deterioro de función renal. Se demostró con ecografía y TAC una colección líquida, compatible con linfocele tras estudio bioquímico del líquido obtenido por punción percutánea. RESULTADOS: Se somete a la paciente a una marsupialización del linfocele por vía laparoscópica, con buenos resultados quirúrgicos.CONCLUSIONES: El linfocele es una entidad frecuente tras el trasplante renal, precisando tratamiento según las manifestaciones clínicas. Existen fundamentalmente dos alternativas terapéuticas, dependiendo del tamaño: escleroterapia y marsupialización quirúgica. Salvo casos muy seleccionados, el abordaje laparoscópico se considera actualmente, por su seguridad y eficacia, de primera elección cuando se indica tratamiento quirúrgico(AU)
OBJECTIVES: To report the case and iconography of a lymphocele after renal transplantation and to review the literature about the diagnosis and the treatment of this surgical complication.METHODS: 69 year-old woman status post renal transplantation who presents right lower extremity edema and worsening renal function. A liquid collection was demonstrated by ultrasound and computerized tomography, compatible with lymphocele after biochemical study of the liquid obtained by percutaneous puncture.RESULTS: The patient underwent laparoscopic intraperitoneal drainage of the lymphocele, with good surgical outcome.CONCLUSION: Lymphocele is a common pathology after a renal transplantation which needs to be treated depending on its clinical manifestations. There mainly are two therapeutic alternatives depending on the size of the lymphocele: sclerotherapy and surgical intraperitoneal drainage. Apart from very selected cases, laparoscopic approach is currently considered, because of its security and effectiveness, the first choice when a surgical treatment is prescribed(AU)
Subject(s)
Humans , Female , Aged , Lymphocele , Lymphocele/diagnosis , Lymphocele/epidemiology , Lymphocele/etiology , Lymphocele/surgery , Lymphocele/therapy , Kidney Transplantation , Kidney Transplantation/methods , Kidney Transplantation/adverse effects , Sclerotherapy , Sclerotherapy/methodsABSTRACT
OBJECTIVE: To report the case and the iconography of a lymphocele after renal transplantation and to review the literature about the diagnosis and treatment of this surgical complication. METHODS: 69 year-old woman who undergone renal transplantation and presented right lower extremity edema and worsening renal function. It was demonstrated by ultrasound and computerized tomography a liquid collection, compatible with lymphocele after biochemical study of the liquid which was obtained by percutaneous puncture. RESULTS: The patient underwent a laparoscopic intraperitoneal drainage of the lymphocele, with good surgical outcomes. CONCLUSION: Lymphocele is a common pathology after a renal transplantation, which needs to be treated depending on its clinical manifestations. There are mainly two therapeutic alternatives, depending on the size of the lymphocele: sclerotherapy and surgical intraperitoneal drainage. Apart from highly selected cases, laparoscopic approach is currently considered first choice when a surgical treatment is prescribed due to its security and effectiveness.
Subject(s)
Kidney Transplantation/adverse effects , Lymphocele/etiology , Aged , Female , Humans , Lymphocele/pathologyABSTRACT
The Mitomycin C is a chemotherapeutic agent used in several types of carcinomas. In the superficial vesical carcinoma comes using since more than a quarter century in the form of endovesical instillations. It is a drug relatively safe, although there have been described adverse effects related to its systemic administration as myelosuppression, anaemia, kidney toxicity and less frequently pulmonary fibrosis. In this article we presented the case of a patient who suffers a respiratory illness compatible with interstitial lung disease that develops a respiratory severe insufficiency finishing with the death, after the administration of endovesical mitomycin C, being this adverse effect exceptional for this route of administration.
Subject(s)
Antibiotics, Antineoplastic/administration & dosage , Antibiotics, Antineoplastic/adverse effects , Mitomycin/administration & dosage , Mitomycin/adverse effects , Pulmonary Fibrosis/chemically induced , Administration, Intravesical , Aged , Fatal Outcome , Humans , Male , Urinary Bladder Neoplasms/drug therapyABSTRACT
La Mitomicina C es un agente quimioterápico usado en varios tipos de carcinomas. En el carcinoma vesical superficial se viene usando desde hace más de un cuarto de siglo en forma de instilaciones endovesicales. Se trata de un fármaco relativamente seguro, aunque se han descritos efectos adversos relacionados con su administración sistémica como la mielosupresión, anemia, toxicidad renal y con menor frecuencia fibrosis pulmonar. En este artículo presentamos el caso de un paciente que sufre un cuadro respiratorio compatible con enfermedad pulmonar intersticial que evolucionó hasta una insuficiencia respiratoria severa y éxitus tras la administración endovesical demitomicina C, siendo este efecto adverso excepcional para esta vía de administración (AU)
The Mitomycin C is a chemotherapeutic agent used in several types of carcinomas. In the superficial vesical carcinoma comes using since more than a quarter century in the form of endovesical instillations. It is a drug relatively safe, although there have been described adverse effects related to its systemic administration asmyelosuppression, anaemia, kidney toxicity and less frequently pulmonary fibrosis. In this article we presented the case of a patient who suffers a respiratory illness compatible with interstitial lung disease that develops a respiratory severe insufficiency finishing with the death, after the administration of endovesical mitomycin C, being this adverse effect exceptional for this route of administration (AU)
Subject(s)
Humans , Male , Middle Aged , Aged , Mitomycin , Mitomycin/administration & dosage , Mitomycin/adverse effects , Mitomycin/pharmacology , Mitomycin/therapeutic use , Lung Diseases, Interstitial , Lung Diseases, Interstitial/chemically induced , Lung Diseases, Interstitial/diagnosis , Lung Diseases, Interstitial/mortality , Urinary Bladder Neoplasms , Urinary Bladder Neoplasms/therapy , Case ReportsSubject(s)
Diverticulum/diagnostic imaging , Kidney Calices , Kidney Diseases/diagnostic imaging , Female , Humans , Middle Aged , RadiographySubject(s)
Humans , Male , Female , Middle Aged , Ureteral Obstruction/therapy , Intestinal Obstruction/therapy , Endoscopy/methods , Instillation, Drug , Cystectomy , Nephrostomy, Percutaneous/methods , Nephrostomy, Percutaneous/trends , Ureteroscopy/methods , Ureteroscopy/trends , Intestines/abnormalities , Ureter/abnormalities , Diagnostic ImagingABSTRACT
OBJETIVO: Comunicar el caso y la iconografía de un linfocele postrasplante renal y revisar la literatura sobre diagnóstico y tratamiento de esta complicación quirúrgicaMÉTODOS: Mujer de 69 años sometida a trasplante renal, que se presenta con edema en miembro inferior derecho y deterioro de función renal. Se demostró con ecografía y TAC una colección líquida, compatible con linfocele tras estudio bioquímico del líquido obtenido por punción percutánea.RESULTADOS: Se somete a la paciente a una marsupialización del linfocele por vía laparoscópica, con buenos resultados quirúrgicos.CONCLUSIONES: El linfocele es una entidad frecuente tras el trasplante renal, precisando tratamiento según las manifestaciones clínicas. Existen fundamentalmente dos alternativas terapéuticas, dependiendo del tamaño: escleroterapia y marsupialización quirúgica. Salvo casos muy seleccionados, el abordaje laparoscópico se considera actualmente, por su seguridad y eficacia, de primera elección cuando se indica tratamiento quirúrgico(AU)
OBJECTIVE: To report the case and the iconography of a lymphocele after renal transplantation and to review the literature about the diagnosis and treatment of this surgical complication.METHODS: 69 year-old woman who undergone renal trans-plantation and presented right lower extremity edema and worsening renal function. It was demonstrated by ultrasound and computerized tomography a liquid collection, compatible with lymphocele after biochemical study of the liquid which was obtained by percutaneous puncture.RESULTS: The patient underwent a laparoscopic intraperito-neal drainage of the lymphocele, with good surgical outco-mes.CONCLUSION: Lymphocele is a common pathology after a renal transplantation, which needs to be treated depending on its clinical manifestations. There are mainly two therapeu-tic alternatives, depending on the size of the lymphocele: sclerotherapy and surgical intraperitoneal drainage. Apart from highly selected cases, laparoscopic approach is currently considered first choice when a surgical treatment is prescribed due to its security and effectiveness(AU)
Subject(s)
Humans , Female , Aged , Lymphocele/diagnosis , Lymphocele/surgery , Lymphocele/therapy , Kidney Transplantation , Laparoscopy , Hypercholesterolemia , HypertensionABSTRACT
Renal atrophy with an ectopic drainage of the ureter is an uncommon malformation. Zinder described in 1914 a cystic dilation of the seminal vesicle in association with an ipsilateral renal agenesis. Usually, these patients present lower urinary tract symptoms with perineal discomfort and fever. The most accurate diagnosis is given by the MRI, while CT and ultrasonography are less precise. We present a case of a patient who goes into hospital because of left lumbar pain and urinary sepsis data, whose CT detects an ectopic drainage of the left uereter in the seminal vesicle. He underwent a successful laparoscopic surgical treatment.
Subject(s)
Abnormalities, Multiple/surgery , Kidney/abnormalities , Kidney/surgery , Laparoscopy , Seminal Vesicles/abnormalities , Seminal Vesicles/surgery , Ureter/abnormalities , Ureter/surgery , Adult , Humans , Male , Urologic Surgical Procedures/methodsSubject(s)
Humans , Male , Middle Aged , Diverticulum/pathology , Kidney Calices/anatomy & histology , Kidney Calices/injuries , Nephrolithiasis/diagnosis , Nephrolithiasis/pathology , Urinary Tract Infections/complications , Urinary Tract Infections/pathology , Radiography, Abdominal , Urography , Nephrectomy/methodsABSTRACT
La atrofia renal con abocamiento ectópico del uréter es una malformación poco frecuente. Zinder describe en 1914 la asociación de una dilatación quística de la vesícula seminal con agenesia renal ipsilateral. Con mayor frecuencia estos pacientes presentan síntomas del tracto urinario inferior con molestias perineales y fiebre. El diagnostico más certero lo aporta la RMN siendo la ecografía y la TAC menos precisas. Presentamos un caso de un paciente que ingresa por dolor lumbar izquierdo y datos de sepsis de origen urinario que en la TAC se detecta una desembocadura ectópica del uréter izquierdo en vesícula seminal. El tratamiento se realizó con éxito mediante cirugía laparoscópica (AU)
Renal atrophy with an ectopic drainage of the ureter is an uncommon malformation. Zinder described in 1914 a cystic dilation of the seminal vesicle in association with an ipsilateral renal agenesis. Usually, these patients present lower urinary tract symptoms with perineal discomfort and fever. The most accurate diagnosis is given by the MRI, while CT and ultrasonography are less precise. We present a case of a patient who goes into hospital because of left lumbar pain and urinary sepsis data, whose CT detects an ectopic drainage of the left uereter in the seminal vesicle. He underwent a successful laparoscopic surgical treatment (AU)
Subject(s)
Humans , Male , Adult , Atrophy/complications , Atrophy/diagnosis , Ureter/abnormalities , Urinary Tract/pathology , Urinary Tract/surgery , Urinary Tract , Seminal Vesicles/abnormalities , Seminal Vesicles/surgery , Seminal Vesicles , Blister/pathology , Ureter/surgery , Ureter , Blister/surgery , Blister , Seminal Vesicles/physiopathology , Low Back Pain/etiology , Low Back Pain , Laparoscopy/methods , LaparoscopyABSTRACT
OBJECTIVE: To report one case of melanoma of the glans penis. METHODS/RESULTS: We present the case of a patient diagnosed and treated in our department describing diagnosis and therapeutic management. CONCLUSIONS: Melanoma of the penis is an uncommon presentation form of this kind of cutaneous tumor. We especially emphasize its diagnosis, clinical presentation and therapeutic management due to its prompt metastatic dissemination requiring early diagnosis and treatment.
