[Bladder paraganglioma. Apropos of a case].
A case of non-secreting bladder paraganglioma whose clinical manifestation was that of painless hematuria is described herein. Treatment was by partial cystectomy.
Adult↗
Biomedical subjects
A López de Alda
Publications and source records attributed to A López de Alda.
[Testicular adrenal rests tumor: a difficult diagnosis].
This paper presents the case of a 19 year old patient with a well defined under palpation testicular tumor where surgical examination allowed a simple enucleation. Histological analysis during the operation reported it as a Leydig cells tumor but definitive analysis indicated tumor by adrenal residues. This histological argument illustrates the difficulty of making a differential diagnosis between both tumors, difficulty that goes beyond morphological and even clinical appreciation.
Adrenal Glands↗
[Penile metastasis of prostatic carcinoma. Apropos of a case].
This paper present the case of a man 72 year old with secondary penis cancer, as a late manifestation of a earlier well differentiated prostate focus, identified by P.A.A.F., which determined the rarity of the presentation and the choice of diagnostic method by puncture-aspiration with a thin needle. Treatment is very complex and neither radiotherapy nor estrogens therapy produced satisfactory results, leaving de choice of total penectomy only for those cases with intractable pain and if there is no pelvic extension.
Adenocarcinoma↗
[Scrotal vasculitis simulating recurrent epididymitis].
We present a case of scrotal vasculitis, of difficult diagnosis despite the patient's history, where it was necessary to resort to surgery in order to establish definitely its diagnostic differentiation with a specific epididymitis. Taking advantage of this uncommon form of presentation of scrotal vasculitis, in this case an evolved Schonlein-Henoch syndrome in a 35-year-old patient, we analyse the different forms of gonad, epididymis and scrotal affectation recognised in cases of vasculitis, with special reference to the forms of acute presentation, simulating testicle torsion.
Adult↗
[Psoas abscess: considerations on 6 cases].
We present six cases of psoas abscess, three primary and three secondary. The etiologic, pathogenic and therapeutic considerations are outlined. Staphylococcal infections prevail in the primary abscesses. The diagnostic difficulties are considerable but nowadays are facilitated by echography and TAC. In the secondary ones, the psoas abscess is an epiphenomenon of a more easily recognised clinical syndrome. It is surprising how these septic processes are increasingly placed in the hands of urologists in recognition of their mastery of retroperitoneal surgery.
Abscess↗
[Spontaneous rupture of the ureter caused by an impacted stone].
We report a case of spontaneous rupture of the ureter from an impacted calculus, paradigm of diagnostic and therapeutic difficulties of these uncommon pathologic conditions. Spontaneous rupture of the ureter from an impacted calculus should be considered in cases of persistent renal colic and atypical presentation. Diagnosis is based on urographic evidence of urinary extravasation. This should be differentiated from nephric colic from urinary extravasation arising from the renal fornices which is relatively common in nephric colic. Treatment must always include drainage of the urinoma, ureteroraphy, and urinary diversion. However, a controversy exists on the advantages and disadvantages of nephrostomy versus ureteral splinting.
Female↗