RESUMO
INTRODUCTION: A great variety of foreign bodies in the lower urinary tract have been described; many of them are self-inflicted by the patient with masturbatory purposes. Depending on the nature of the foreign body the diagnostic and management might be challenging. AIMS: We report a case of an unusual magnetic self-inserted foreign body into the bladder for autoerotism and briefly discuss the diagnostic and therapeutic implications in this challenging situation. METHODS: We describe all the steps we have used to adequately diagnose the problem, describe the foreign body and treatments for the patient. Related articles were found by utilizing the PubMed database and are summarized in this study. RESULTS: The management approach must be planned according to the nature of the foreign body and should minimize bladder and urethral trauma. However, most of cases can be managed endoscopically. CONCLUSION: Removal of magnetic foreign body may be quite challenging, requiring high-level surgical skills and minimally invasive techniques resulting in fast recovery and low complication rate.
Assuntos
Literatura Erótica , Migração de Corpo Estranho/etiologia , Imãs/efeitos adversos , Masturbação , Uretra , Bexiga Urinária , Endoscopia/instrumentação , Migração de Corpo Estranho/diagnóstico , Migração de Corpo Estranho/cirurgia , Humanos , Masculino , Radiografia , Equipamentos Cirúrgicos , Resultado do Tratamento , Uretra/diagnóstico por imagem , Bexiga Urinária/diagnóstico por imagem , Bexiga Urinária/cirurgia , Adulto JovemRESUMO
The authors report a case of a 60 years old male patient submitted to transurethral resection of the prostate, who had intravesical explosion with bladder rupture, an extremely unusual event, corrected by suture and vesical drainage. The early as well as the late follow up had show absence of complication. The literature of this rare complication is reviewed and considerations are made rgarding the management
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Próstata/cirurgia , Ruptura Espontânea , Bexiga UrináriaRESUMO
Os autores revisam os aspectos clínicos, a avaliação diagnóstica e o tratamento de colangiocarcinoma hilar. São discutidos os exames indispensáveis para o estadiamento e escolha da melhor terapêutica. Com o avanço no conhecimento sobre a patologia surgiram novas técnicas curativas e paliativas que são apresentadas nesta revisão.
Assuntos
Humanos , Masculino , Feminino , Neoplasias dos Ductos Biliares/diagnóstico , Neoplasias dos Ductos Biliares/cirurgia , Colangiocarcinoma/diagnóstico , Colangiocarcinoma/cirurgia , Colestase , Ductos Biliares Extra-HepáticosRESUMO
The best approach for esophageal cancer is still under discussion. We describe a modification in the technique of the transdiafragmatic esophagectomy for esophageal neoplasm, with the help of a video-camera. This method is specially useful in tumours localized in the thoracic segment of the esophagus. In this study we found no increase in morbidity or operative time, with elimination of the "blind angle" during traditional dissection
