[Urosepsis due to emphysematous cystitis]. / Sepsis urológica secundaria a cistitis enfisematosa.

Emphysematous cystitis is a rare infectious disease which diagnosis requires a high grade of suspicion in patients with compatible clinical symptoms, risk factors that make them susceptible, and a radiographic examination that confirm the suspicion. Patients usually have a favorable evolution with an early diagnosis and an appropriate management. We present a 75 years old diabetic patient with emphysematous cystitis that develops into an urosepsis treated in a conservative management.

Sepsis urológica secundaria a cistitis enfisematosa / Urosepsis due to emphysematous cystitis

La cistitis enfisematosa es una patología infecciosa rara cuyo diagnóstico requiere un alto grado de sospecha ante una clínica compatible en pacientes con factores de riesgo que le hagan susceptible, y unos datos radiográficos que confirmen dicha sospecha. Habitualmente evolucionan bien con un diagnóstico precoz y un manejo adecuado. Presentamos un caso de cistitis enfisematosa en un paciente de 75 años, diabético, que evoluciona a un estado séptico tratado de forma conservadora (AU)

Emphysematous cystitis is a rare infectious disease which diagnosis requires a high grade of suspicion in patients with compatible clinical symptoms, risk factors that make them susceptible, and a radiographic examination that confirm the suspicion. Patients usually have a favorable evolution with an early diagnosis and an appropriate management. We present a 75 years old diabetic patient with emphysematous cystitis that develops into an urosepsis treated in a conservative management (AU)

[Non-venereal sclerosing lymphangitis of the penis. Report of two clinical cases]. / Linfangitis esclerosante no venérea del pene. Presentación de dos casos clínicos.

Nonvenereal sclerosing lymphangitis of the penis is a rare condition that preferably affects men aged between 20 and 40 years, and it is appeared like a hard cord or a nodular lesion in the sulcus coronarius penis. It is believed that it has origin in lymph vessels of the penis. Usually it is resolved in a self-limited way, so the initial treatment is conservative. We report two cases, and some etiopathogenic, diagnosis and therapeutic aspects are discussed.

Linfangitis esclerosante no venérea del pene. Presentación de dos casos clínicos / Non-venereal sclerosing lymphangitis of the penis. Two case reports

La linfangitis esclerosante no venérea del pene se trata de una patología poco frecuente, que afecta preferentemente a varones entre 20 y 40 años, y que se presenta como un nódulo o cordón indurado a nivel del surco coronario. Parece tener su origen en los vasos linfáticos del pene. Evoluciona habitualmente de manera autolimitada, por lo que el tratamiento inicial es conservador. Presentamos dos casos clínicos, comentando algunos aspectos etiopatogénicos, diagnósticos y terapéuticos (AU)

Adenocarcinoma vesical primario de células en anillo de sello. Aportación de un caso clínico / Signet-ring cell's primary bladder adenocarcinoma. A case is reported

El adenocarcinoma de células en anillo de sello primario de vejiga es una neoplasia muy poco frecuente y de alta agresividad. Sus aspectos clínicos y diagnósticos no se diferencian mucho del resto de las neoplasias vesicales, siendo importante el diagnóstico diferencial con un posible origen primario extravesical. Sólo responde a cirugía radical, siendo el pronóstico infausto. Presentamos un caso clínico (AU)

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Fractura de pene. Revisión de la literatura y presentación de dos casos / Fracture of the penis. Literature review and contribution of two cases

Presentamos dos casos de una patología poco frecuente como es la rotura de cuerpo cavernoso de pene, sometidos a tratamiento quirúrgico precoz con buenos resultados. Revisamos así mismo, los aspectos etiológicos, clínicos, diagnósticos y el tratamiento más apropiado (AU)

[Cystic ureteritis: importance of chronic infection-inflammation as etiologic factor. Report of a clinical case]. / Ureteritis quística: importancia de la infección-inflamación crónica como factor etiológico. Aportación de un caso clínico.

Cystic Ureteritis is a very rare disease. It is more commun in elderly patients. This pathology is characterized by the formation of several submucous cystic in ureter, pelvis and/or bladder. We project the importance of the infectious and inflammatory factors as the disease etiology. We report a case of a woman with recurrent urinary tract infection, coral lithiasis and left ureteritis cystica. It is included a literature review and we explain the main clinical, diagnostic and therapeutic aspects.

[Giant inguinoscrotal bladder hernia]. / Hernia vesical inguinoescrotal gigante.

Inguinoscrotal bladder hernia occur in 0.4 to 3% of general poblation, though massive hernia are much rare. We present a new case of a giant inguinoscrotal bladder hernia, which was solved by surgery. It includes a clinical, diagnostic and therapeutic aspects, and a review of the relative literature.

Ureteritis quística: importancia de la infección-inflamación crónica como factor etiológico. Aportación de un caso clínico / Cystiic ureteritis: the importance of the cronic infection-inflammation as an etiologic factor. A case is reported

La Ureteritis Quística es una enfermedad poco frecuente, característica de la edad adulta, en la que se producen múltiples quistes en el interior del uréter, pelvis y/o vejiga, recubiertos por el urotelio. Resaltamos la importancia del factor infeccioso-inflamatorio como causa de la enfermedad. Presentamos un caso clínico de una mujer con infecciones urinarias de repetición, litiasis coraliforme y ureteritis quística izquierdas. Realizamos una revisión de la literatura, comentando los principales aspectos clínicos, diagnósticos y terapéuticos (AU)

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Hernia vesical inguinoescrotal gigante / Giant inguinoscrotal bladder hernia

La hernia vesical inguinoescrotal acontece con una frecuencia de 0,4-3 por ciento, aunque la hernia vesical masiva sí es una entidad muy rara.Presentamos un caso de hernia vesical inguinoescrotal gigante que fue resuelto mediante tratamiento quirúrgico.Se realiza una revisión de los aspectos clínicos, diagnósticos y terapéuticos, y una revisión de la literatura al respecto. (AU)

[Primary signet ring cell adenocarcinoma of the bladder. Report of a case]. / Adenocarcinoma vesical primario de células en anillo de sello. Aportación de un caso clínico.

Primary adenocarcinoma of ring cells's bladder is a neoplasm very uncommon and aggressive. Its clinic aspects and diagnosis don't differ too much from the rest of the bladder's neoplasm. It's important the differentiation from a possible primary extravesical origin. Radical surgery is the only treatment with sensitive answer, and the prognosis in awful. We report a case.

[Fracture of the penis. Review of the literature and presentation of 2 cases]. / Fractura de pene. Revisión de la literatura y presentación de dos casos.

We report two cases of a very uncommon pathology as is the rupture of the corpus cavernosum of the penis, undergoing early surgical management with good results. We also review the diagnostic, clinical and etiological aspects, and the most appropriate treatment.

[A congenital diverticulum of the bulbar urethra]. / Divertículo de uretra bulbar congénito.

OBJECTIVE: To describe an additional case of congenital bulbous urethra. The incidence, etiopathogenesis, symptoms, diagnosis and treatment of this condition are discussed. METHODS: A 16-year-old male consulted at the emergency services for urinary retention and a perineal lesion. Patient evaluation included ultrasound, retrograde and voiding urethrocystography. Treatment was by open surgery. RESULTS: The patient was evaluated at 3, 6 and 12 months. He remains asymptomatic and control urethrograms are normal. CONCLUSIONS: Open surgery is advocated as the treatment of choice for symptomatic diverticulum of a considerable size.

[Bladder leiomyoma: review of the literature and report of 3 clinical cases]. / Leiomioma vesical: revisión de la literatura y presentación de tres casos clínicos.

Presentation of three cases of bladder leiomyoma in women. All cases were characterized for the unspecific clinical presentation and a difficult pre-operative diagnosis, where ultrasound, cystoscopies, CAT and PAAF were used as complementary methods. The certainty diagnosis was only obtained after the histological study of the surgical piece. Treatment was in all three cases surgical, and the pathoanatomical diagnosis was bladder leiomyoma.

[Bilaterally synchronous mixed germ cell testicular tumor]. / Tumor testicular de células germinales mixto de aparición bilateral sincrónico.

OBJECTIVE: To report an uncommon case of bilateral synchronous mixed testicular germ cell tumor. METHODS: A young male had consulted at our urological services for a unilateral enlarged testis. A testicular tumor was suspected; scrotal US was performed, testicular tumor markers were determined and complementary studies to determine tumor extension were performed. RESULTS: The US findings suggested a chronic inflammatory condition with bilateral diffuse infiltration, tuberculosis was discarded and bilateral testicular tumor was suspected, which was confirmed by bilateral intraoperative biopsy. A bilateral radical orchidectomy was performed. Adjuvant chemotherapy with cisplatin, VP-16 and bleomycin was administered after bilateral radical orchidectomy due to the attending risk factors for tumor recurrence. The patient is disease-free one year postoperatively. CONCLUSIONS: Bilateral synchronous testicular germ cell tumors are rare. Scrotal US is a simple, noninvasive and efficient diagnostic imaging method; however, it does not provide pathognomonic images that could indicate the histological nature of the tumor.

[Leydig cell tumor]. / Tumor de células de Leydig.

OBJECTIVE: To describe a case of Leydig cell tumor of the testis, discuss the criteria for determining its benign or malignant nature and the clinical features according to patient age and the hormone profile. METHODS/RESULTS: Scrotal US evaluation for an associated pathology incidentally detected a hypoechoic, homogeneous mass with preserved borders. Biological testicular tumor markers were determined and the suspicion of a Leydig cell tumor prompted a hormone study. The diagnosis of Leydig cell tumor was confirmed by intraoperative biopsy and radical orchidectomy was performed. CONCLUSION: In the case described, the ultrasound findings prompted the etiological diagnosis given the characteristics of the lesion. The definitive diagnosis was based on the pathological findings. Although classified as benign Leydig cell tumor, radical orchidectomy is advocated.