RESUMEN
Any disease or traumatic event that involving the integrity of the urinary tract or of the bowel, may led to an entero-vesical fistula formation. The clinical onset of this pathology, is described on the basis of usual clinical pictures and of some unusual cases mimicking a bladder cancer. Moreover, the guide lines for a gold standard in the diagnosis and treatment of such pathology are described.
Asunto(s)
Fístula Intestinal/cirugía , Fístula de la Vejiga Urinaria/cirugía , Humanos , Fístula Intestinal/diagnóstico , Fístula de la Vejiga Urinaria/diagnósticoRESUMEN
The paper reports the case of a 53-year-old man admitted to hospital with melena. The initial diagnosis was bleeding duodenal ulcer; after 8 weeks of therapy the duodenal ulcer was completely healed, but renewed intestinal bleeding occurred three months later. Angiography of the upper mesenteric artery revealed a clear tumour form. A tumour of the small intestine the size of a fist was found during surgery. An ileal resection was performed. Histopathological tests confirmed the diagnosis of leiomyoma of the small intestine.
Asunto(s)
Neoplasias del Íleon , Leiomioma , Humanos , Neoplasias del Íleon/patología , Neoplasias del Íleon/cirugía , Íleon/patología , Leiomioma/patología , Leiomioma/cirugía , Masculino , Persona de Mediana EdadRESUMEN
The diagnosis of subclinical varicoceles in infertile men is available with thermographic and Eco-Doppler evaluation. In our experience the patients with both positive findings showed a more significant improvement of semen analysis after surgery of the varicocele.