[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.

[Giant retroperitoneal cystic lymphangioma in adults]. / Unfangioma quístico retroperitoneal gigante en adulto.

OBJECTIVES: To report one case of retroperitoneal cystic lymphangioma in an adult patient. METHODS: We describe the case of a 70 year-old female patient who complained of periumbilical pain and progressive increases of abdominal perimeter over a few months. Physical examination showed a great abdominal mass; CT scan confirmed its cystic nature. The indication of surgery was established. RESULTS: complete lesion excision. Pathology report showed the definitive diagnosis of cystic lymphangioma. No evidence of disease after one year. CONCLUSIONS: We emphasize that it is an unfrequent type of retroperitoneal neoplasias in the adult age. We concur with other authors in the importance of complete excision.

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

Linfangioma quístico retroperitoneal gigante en adulto / Giant retroperitoneal cystic lymphangioma in adults

OBJETIVO: Presentación de un caso de linfangiomaquístico retroperitoneal en adulto.METODO: Describimos el caso de una paciente mujer de70 años que refiere en los últimos meses dolor periumbilicaly sensación de aumento progresivo del perímetroabdominal. La exploración física evidenció una gran masaabdominal, confirmándose su carácter quístico en la tomografíaaxial computerizada. Se indicó cirugía.RESULTADOS: Extirpación completa de la lesión. El estudioanatomopatológico permitió un diagnóstico definitivocompatible con linfangioma quístico. No evidencia derecidiva tras un año de la intervención.CONCLUSIONES: Destacamos la infrecuencia de estetipo de neoplasias retroperitoneales en la edad adulta.Coincidimos con otros autores en la importancia de la exéresiscompleta en este tipo de entidades

OBJECTIVES: To report one case of ;;retroperitoneal cystic lymphangioma in an adult patient. ;;METHODS: We describe the case of a 70-year-old female ;;patient who complained of periumbilical pain and ;;progressive increases of abdominal perimeter over a few ;;months. Physical examination showed a great abdominal ;;mass; CT scan confirmed its cystic nature. The indication ;;of surgery was established. ;;RESULTS: complete lesion excision. Pathology report ;;showed the definitive diagnosis of cystic lymphangioma. ;;No evidence of disease after one year. ;;CONCLUSIONS: We emphasize that it is an unfrequent ;;type of retroperitoneal neoplasias in the adult age. We ;;concur with other authors in the importance of complete ;;excision