Endometriosis detrusoriana / Bladder detrusor endometriosis

Se presenta un caso de endometriosis detrusoriana en una paciente de 32 años con antecedente de cesárea que consultó por síndrome miccional de larga evolución. Se indagó sobre la posible recurrencia del cuadro y su relación con el ciclo menstrual, lo que permitió orientar inmediatamente el diagnóstico y aplicar de forma temprana el tratamiento adecuado, evitando así un sufrimiento prolongado e innecesario a la paciente. Ante el antecedente de cesárea y síndrome miccional recurrente se debe descartar endometriosis detrusoriana, sobre todo si en la ecografía o en la tomografía computarizada se evidencia un engrosamiento de la pared vesical en contacto con el útero (AU)

A 32-year-old woman with a history of cesarean section presented with longstanding urinary symptoms. The patient was asked about possible symptom recurrence and its relation with her menstrual cycle, leading us to suspect a diagnosis of bladder detrusor endometriosis. Early diagnosis avoided prolonged and unnecessary patient distress. Bladder detrusor endometriosis should be suspected in patients with a history of cesarean section and recurrent urinary symptoms, especially if ultrasound or computed tomography reveals a thickened bladder wall in contact with the anterior uterine wall (AU)

Leiomioma vesical / Bladder leiomyoma. A case report and literature review

OBJETIVO: Aportar un nuevo caso de leiomiomavesical a la literatura española.MÉTODO: Hallazgo casual en un estudio ecográfico pélvicode una tumoración de 20 mm en la cara lateral derechade la vejiga de una mujer de 29 años. El cistogramade la urografía intravenosa mostró la presencia de undefecto de repleción en esa misma localización. Se realizócistoscopia con el hallazgo de una tumoración en lacara lateral derecha de la vejiga, con recubrimiento mucosode aspecto normal.RESULTADO: Con el diagnóstico de sospecha de leiomiomavesical se realizó resección transuretral de la tumoración,con confirmación anatomopatológica de dicho diagnóstico.En el postoperatorio desarrolló una placa calcáreasobre el área de resección previa, que se tratómediante resección transuretral de ésta y de restos leiomiomatososy acidificación urinaria posterior.CONCLUSIÓN: Aunque se trata de un tumor raro, endeterminadas circunstancias es posible establecer el diagnósticoprequirúrgico con un alto índice de sospecha. Porotra parte, dada la benignidad del proceso, la cirugíaconservadora, en esta caso la resección transuretral, ofreceexcelentes resultados

OBJECTIVES: To report a new case of ;;bladder leiomyoma. ;;METHODS: A 20 mm tumor of the right lateral wall of ;;the bladder was incidentally found in a pelvic ultrasound ;;study of a 29-year-old female. The cystogram showed ;;the presence of a filling defect in the same side. ;;Cystoscopy showed a right lateral wall tumor with normal ;;mucosal cover. ;;RESULTS: With the working diagnosis of bladder leiomyoma, ;;transurethral resection of the bladder tumor was performed, ;;and pathology confirmed the diagnosis. ;;Postoperatively, the patient developed a calcareous plaque ;;on the resection area which was treated by transurethral ;;resection of the plaque and leiomyoma remainders and ;;subsequence urine acidification. ;;CONCLUSION: Although it is a rare tumor, in certain ;;circumstances it is possible to establish the working ;;preoperative diagnosis with a high index of suspicion. ;;On the other hand, due to the benign character of the ;;process, conservative surgery (transurethral resection in ;;this case) offers excellent results

[Ureteral pseudodiverticulosis. Case report]. / Pseudodiverticulosis uretral. A propósito de un caso.

OBJECTIVES: To report a new case of bilateral ureteral pseudodiverticulosis associated with a transitional cell carcinoma of the bladder. METHODS: 70 year-old male patient under ambulatory study for hematuria. RESULTS: The intravenous urography (IVU) shows images of addition in relation to bilateral ureteral pseudodiverticulosis. Urine cytology and cystoscopy showed the existence of a concomitant tumor. CONCLUSIONS: The diagnosis of ureteral pseudodiverticulosis is incidentally made on an IVU indicated for other reasons. Although it is a benign pathology, it is necessary to follow these patients because of its association with transitional cell carcinoma.

Pseudodiverticulosis uretral. A propósito de un caso / Ureteral pseudodiverticulosis. Case report

OBJETIVOS: Comunicar un nuevo caso depseudodiverticulosis ureteral bilateral, asociado a tumorvesical de células transicionales.METODOS: Varón de 70 años de edad, estudiado deforma ambulatoria en consulta de Urología por hematuria.RESULTADOS: En la urografía intravenosa (UIV) aparecenimágenes de adición en relación a pseudodiverticulosisureteral bilateral. La citología y cistoscopia demuestran laexistencia de una tumoración concomitante.CONCLUSIONES: El diagnóstico de la pseudodiverticulosisureteral se hace de forma casual durante la realizaciónde una UIV por otros motivos. Si bien es una patologíabenigna, es necesario el seguimiento de los pacientespor la asociación con tumores de células transicionales

OBJECTIVES: To report a new case of bilateral ureteral pseudodiverticulosis associated with a transitional cell carcinoma of the bladder. METHODS: 70-year-old male patient under ambulatory study for hematuria. RESULTS: The intravenous urography (IVU) shows images of addition in relation to bilateral ureteral pseudodiverticulosis. Urine cytology and cystoscopy showed the existence of a concomitant tumor. CONCLUSIONS: The diagnosis of ureteral pseudodiverticulosis is incidentally made on an IVU indicated for other reasons. Although it is a benign pathology, it is necessary to follow these patients because of its association with transitional cell carcinoma

[Bladder leiomyoma. A case report and literature review]. / Leiomioma vesical.

OBJECTIVES: To report a new case of bladder leiomyoma. METHODS: A 20 mm tumor of the right lateral wall of the bladder was incidentally found in a pelvic ultrasound study of a 29-year-old female. The cystogram showed the presence of a filling defect in the same side. Cystoscopy showed a right lateral wall tumor with normal mucosal cover. RESULTS: With the working diagnosis of bladder leiomyoma, transurethral resection of the bladder tumor was performed, and pathology confirmed the diagnosis. Postoperatively, the patient developed a calcareous plaque on the resection area which was treated by transurethral resection of the plaque and leiomyoma remainders and subsequence urine acidification. CONCLUSION: Although it is a rare tumor, in certain circumstances it is possible to establish the working preoperative diagnosis with a high index of suspicion. On the other hand, due to the benign character of the process, conservative surgery (transurethral resection in this case) offers excellent results.

'Patrón reticular' en mamografía, una forma infrecuente de presentación de carcinoma ductal 'in situ' extenso / 'Reticular' mammographic pattern, an unusual presentation of extensive in situ ductal carcinoma

Presentamos un caso de carcinoma ductal 'in situ' (CDIS) extenso, en una mujer de 59 años de edad, que se desarrolló a lo largo de cuatro años. Manifestándose mamográficamente como un 'patrón reticular'.Se realizó estudio mamográfico, galactografía y punción con aguja gruesa mediante estereotaxia (AU)