Belén Coronel Sánchez

Publications (2)0 Total impact

• Article: [Ureteral actinomycosis. Case report].

  Ignacio Rubio Tortosa, Manuel Sánchez Sanchis, Belén Coronel Sánchez, Diego García Serrado, Marta García Torrelles, Aleixandre Vergés Prosper, Carlos San Juan De LaOrden
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  ABSTRACT: To report one case of pseudotumoral lesion of the iliac ureter with obstructive uropathy leading to loss of function of the renal unit. 66-year-old male being studied for BPH who presents with a self-limited monosymptomatic hematuria. Renal ultrasound detected grade II pyelocaliectasis of the right kidney. IVU showed absence of function of the right kidney. Urine cytology was consistent with low-grade transitional cell carcinoma. Percutaneous nephrostomy was performed confirming irreversible function loss. Antegrade pyelography showed a filling defect in the right iliac ureter. Radical nephroureterectomy with bladder cuff was carried out with good results. Pathology reported chronic pyelonephritis and parietal inflammatory lesion of the ureter obliterating the lumen with inflammatory infiltrates, urothelial erosion and presence of actinomyces. Actinomycosis is a chronic bacterial infection, with A. israeli being the most common pathogen. It is part of the normal flora of the oral cavity and GI tract, and cervical-facial region is the most frequent clinical involvement (60% of the cases). Urinary tract infection is exceptional. No other focus was found in the long-term follow-up.
  Archivos españoles de urología 06/2005; 58(4):351-3.
• Article: [Migration of an intrauterine contraceptive device into the urinary bladder: report of one case].

  Belén Coronel Sánchez, Manuel J Sánchez Sanchis, Víctor Carrascosa Lloret, José Ramón Beltrán Armada, Vicente Rodrigo Guanter, Miguel Tarín Planes, Carlos San Juan de Laorden
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  ABSTRACT: To report one case of uterine perforation and migration into the urinary bladder of an intrauterine contraceptive device. 42-year-old female patient who presents with lower urinary tract irritative syndrome in association to recurrent urinary tract infection. Ultrasound revealed apart of an intrauterine device inside the bladder, device which was inserted years before and was supposed to have come out spontaneously. Urethrocystoscopy with extraction of the intravesical segment and hysteroscopy with extraction of the intrauterine segment were carried out. The postoperative period was satisfactory and patient is currently asymptomatic. Radiological or ultrasound controls should be performed in the follow-up of patients with intrauterine contraceptive devices. The inability to locate an intrauterine contraceptive device in a patient who did not realize it coming out should be considered an uterine perforation until proved otherwise.
  Archivos españoles de urología 57(1):75-8.