Mullerianosis vesical: una entidad infrecuente / Mullerianosis of the urinary bladder: a rare entity

OBJETIVO: Descripción de un nuevo caso de mullerianosis vesical.MÉTODO: Presentamos el caso de una paciente mujer de 30 años con antecedentes de aborto, que refiere molestias miccionales coincidiendo con las menstruaciones. Una ecografía vaginal demostró la existencia de lesión exofítica vesical, confirmada posteriormente por cistoscopia. Se indicó resección transuretral.RESULTADOS: En el estudio histopatológico de los tejidos obtenidos se objetivó un componente glandular mixto de tipo predominantemente tubárico, con elementos endometriales y endocervicales asociados. No evidencia de recidiva endoscópica tras un año de seguimiento.CONCLUSIONES: Aportamos un nuevo caso de mullerianosis vesical. Destacamos el escaso número de casos publicados. Defendemos la opción quirúrgica endoscópica en estas pacientes(AU)

OBJECTIVES: To report a new case of bladder mullerianosis.METHOD: We present the case of a 30 year old female patient with history of miscarriage, who refers voiding dis-turbances with menstruations. Vaginal ultrasound showed an exophytic bladder lesion, which was confirmed by cistoscopy. Endoscopic resection was indicated.RESULTS: The pathological study of tissues obtained showed mixed glandular structures with predominant tubaric-like type, in association with endometrial- and endocervical-like elements. No evidence of endoscopic relapse after one year of follow-up.CONCLUSIONS: We contribute with a new case of bladder mullerianosis. We emphasize the scarcity of its pu-blished reports. We support the option of an endoscopic surgery for these patients(AU)

[Giant bladder hernia associated with bilateral incipient obstructive uropathy]. / Hernia vesical inguinoescrotal gigante con uropatía obstructiva bilateral incipiente asociada.

OBJECTIVES: To report one case of giant inguinal scrotal bladder hernia associated with incipient bilateral obstructive uropathy. METHODS: We report the case of a 54-year-old male patient presenting with two-time interrupted voiding, with the need of scrotal compression to complete voiding. Physical examination showed a great left inguinal scrotal hernia with significant post void residual before compression. Serum creatinine was 1.7 mg/dl. Voiding cystourethrogram and intravenous urography confirmed the diagnosis of bladder hemia with mild hydronephrosis. Inguinal hernioplasty with bladder hernia reduction was indicated. RESULTS: Morphologically and functionally satisfactory. Clinical and analytical normalization. CONCLUSIONS: We emphasize the rarity of bilateral supravesical obstructive uropathy secondary to bladder hernia. We concur with other authors in the validity of conservative reconstructive surgery in cases such as the one reported.

Hernia vesical inguinoescrotal gigante con uropatía obstructiva bilateral incipiente asociada / Giant bladder hernia associated with bilateral incipient obstructive uropathy

OBJETIVO: Presentación de un caso de herniavesical ínguinoescrotal con uropatía obstructiva bilateralincipiente asociada.MÉTODO: Describimos el caso de un paciente varón de54 años que refiere micción en dos tiempos, con necesidadde compresión escrotal para completar la misma. Laexploración física evidenció una gran hernia ínguinoescrotalizquierda, con resíduo postmiccional ecográfico significativopre-compresión de la misma. Se objetivó creatininasérica= 1,7 mg/ dL. El diagnóstico de hernia vesicalcon discreta hidronefrosis se confirmó con cistouretrografíamiccional y urografía intravenosa. Se indicó reducción herniariamás hernioplastia inguinal asociada.RESULTADOS: Morfofuncionalmente satisfactorios. Normalizaciónclínica y analítica.CONCLUSIONES: Destacamos la infrecuencia de la uropatíaobstructiva supravesical bilateral secundaria a herniavesical. Coincidimos con otros autores en la validez de lacirugía conservadora reconstructiva para casos como eldescrito

OBJECTIVES: To report one case of giant ;;inguinal scrotal bladder hernia associated with incipient ;;bilateral obstructive uropathy. ;;METHODS: We report the case of a 54-year-old male ;;patient presenting with two-time interrupted voiding, with ;;the need of scrotal compression to complete voiding. ;;Physical examination showed a great left inguinal scrotal ;;hernia with significant post void residual before compression. ;;Serum creatinine was 1.7 mg/dl. Voiding cystourethrogram ;;and intravenous urography confirmed the diagnosis ;;of bladder hernia with mild hydronephrosis. Inguinal ;;hernioplasty with bladder hernia reduction was indicated. ;;RESULTS: Morphologically and functionally satisfactory. ;;Clinical and analytical normalization. ;;CONCLUSIONS: We emphasize the rarity of bilateral ;;supravesical obstructive uropathy secondary to bladder ;;hernia. We concur with other authors in the validity of conservative ;;reconstructive surgery in cases such as the one ;;reported