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ABSTRACT: To report one case of renal brucelloma, an extraordinarily rare pathology in our environment.
51-year-old completely asymptomatic patient who was referred from his primary care physician for the study of a calcified image on the right renal area discovered in a x-ray control.
Radiological studies (US + CT scan + IVU) showed an irregular calcified mass in the lower pole of a non-functional right kidney. Microbiological diagnosis was negative. Radical nephrectomy was performed. Purulent material came out from the kidney during the operation, which cultured (+) to Brucella Melitensis. Pathologic study was compatible with renal brucelloma.
Genitourinary involvement by Brucella is second in frequency after osteoarticular, being orchyoepididymitis the most common clinical presentation, followed by prostatitis. Renal involvement is exceptional.
Archivos españoles de urología 01/2005; 57(10):1130-3.
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ABSTRACT: Approximately 15% of cases of renal cell carcinoma present cystic configuration on radiologic and pathologic examination. These lesions are often difficult to differentiate from the multiloculated renal cyst or other benign cystic lesions such as hemorrhagic cyst and so on. We report a case of multilocular cyst of the right kidney complicated with clear cell type renal cell carcinoma in which MRI suggested benign cyst. The diagnosis of complicated benign cyst must be proposed very cautiously and the persistence of doubtful images justifies surgical exploration.
Actas urologicas españolas 10/2004; 28(8):610-3. · 0.46 Impact Factor
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ABSTRACT: Bladder hernia is a very uncommon but not exceptional condition. It tends to occur in adult patients over 50, and is favoured by a cervical-urethral obstruction. It is often diagnosed during inguinal hernia surgery, although in other cases pre-operative diagnosis can be achieved through radiological studies (filling cystography), in patients with urinary signs and symptoms associated to inguinal hernia. Treatment involves the association of herniography and deobstructive surgery at the cervical-urethroprostatic level. The use of a polypropylene mesh [correction of stent] to reinforce a damaged abdominal wall is evaluated and it presents an improved result over the traditional techniques. The excellence acceptance by the body should also be taken into account, as no rejection or infection problems were reported the present cases.
Actas urologicas españolas 23(7):625-8. · 0.46 Impact Factor
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ABSTRACT: Endometriosis affecting the urinary tract is very rare and the most common site of involvement is urinary bladder. The clinical features are urgency and frequency, hipogastric pain and hematuria. Cistoscopic examination is the most valuable diagnostic test but definitive diagnosis requires histologic confirmation. We report 2 cases of endometriosis in 2 young women, one with previously cesarean section, in which surgical treatment was effective. After 1 and 3 years of follow-up respectively the patients remain assymptomatic.
Actas urologicas españolas 28(10):789-91. · 0.46 Impact Factor
