RESUMO
Despite its infrequent occurrence, testicular schistosomiasis forming pseudo-tumors can be considered in the differential diagnosis of testicular tumors, especially in areas where the parasitic disease is endemic. In this report, we present a case of testicular schistosomiasis caused by Schistosoma mansoni and mimicking a testicular neoplasm. We describe the patterns of a testicular nodule on ultrasonography and magnetic resonance images in a 46-year-old man. The nodule was removed after a pre-operative diagnosis of a non-malignant lesion. Histology demonstrated granulomas with epithelioid macrophages and eosinophils around S. mansoni eggs within a fibrous tissue that formed a nodular structure.
Assuntos
Schistosoma mansoni/isolamento & purificação , Esquistossomose mansoni/diagnóstico , Doenças Testiculares/parasitologia , Animais , Doença Crônica , Diagnóstico Diferencial , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Testiculares/diagnóstico , Neoplasias Testiculares/diagnósticoRESUMO
Despite its infrequent occurrence, testicular schistosomiasis forming pseudo-tumors can be considered in the differential diagnosis of testicular tumors, especially in areas where the parasitic disease is endemic. In this report, we present a case of testicular schistosomiasis caused by
Assuntos
Animais , Humanos , Masculino , Pessoa de Meia-Idade , Schistosoma mansoni/isolamento & purificação , Esquistossomose mansoni/diagnóstico , Doenças Testiculares/parasitologia , Doença Crônica , Diagnóstico Diferencial , Doenças Testiculares/diagnóstico , Neoplasias Testiculares/diagnósticoRESUMO
Fístula bronquiobiliar (FBB) é uma afecção rara, de alta morbidade e mortalidade, decorrente da comunicação anormal entre a árvore brônquica e a via biliar, sendo a bilioptise um sinal clínico patognomônico. Normalmente está associada a doenças hepatobiliares, mas principalmente ao trauma e complicações de cirurgias hepatobiliares. Devido à gravidade e à complexidade, associadas à baixa incidência, seu manejo é desafiador, não havendo um consenso na literatura. Este trabalho identifica os métodos diagnósticos e terapêuticos mais utilizados, e propõe um fluxograma do manejo da FBB com intuito de auxiliar a conduta de novos casos.
Bronchobiliary fistula is a rare clinical finding, with a high morbidity and mortality rate, characterized by abnormal communication between the biliary tract and the bronchial tree, having bilioptysis as a pathognomonic sign. It is usually associated to hepatobiliary diseases, but mostly related to trauma and as a complication of hepatobiliary surgery. Due to the low incidence, complexity and gravity, its management is a challenge, and little consensus on its diagnosis and treatment exists. We identified the most used diagnostic and therapeutic procedures, and propose a flowchart that could assist in the management of news cases.