Biomedical subjects

A Sampietro Crespo

Publications and source records attributed to A Sampietro Crespo.

10 recordsLinked to original sources

PubMed2000

[Perirenal spontaneous hematoma in HIV(+)-patient in pelvic kidney].

OBJECTIVE: A case of spontaneous perirenal hematoma in pelvic kidney in an HIV(+) patient is described. METHODS: The literature on the etiology of spontaneous perirenal hematoma in pelvic kidney is reviewed, with special reference to the three cases reported in HIV(+) patients. RESULTS/CONCLUSION: The patient presented none of the features described in the literature. The "watchful waiting" approach was adopted and the outcome was favourable.

Adult↗

PubMed1999

[Priapism secondary to a bilateral abscess of the corpora cavernosa].

Presentation of an exceptional case of priapism in an 82-year-old male, secondary to primary bilateral abscess corpus cavernosum. Diagnosis was reached through aspiration puncture and pus drainage, which also allowed the resolution of the condition. After a literature review, no similar case was found. This was a painful, long-lasting erection that resulted from corpus cavernosum repletion with purulent material instead of blood.

Abscess↗

PubMed1999

[Penile cutaneous horn. Report of a case and review of the literature].

OBJECTIVE: To describe an additional case of cutaneous penile horn, an uncommon lesion that has been associated with penile neoplasia, particularly epidermoid carcinoma. METHODS/RESULTS: Herein we describe a patient with cutaneous horn of the penis that had presented several years earlier. The patient underwent wide resection and biopsy of the tumor site. To date, no signs of tumor recurrence have been observed. The literature is reviewed. CONCLUSIONS: Cutaneous horn of the penis is an uncommon lesion, but it must be emphasized that it can progress to squamous cell carcinoma. Biopsy of the tumor site should be performed carefully and patients should undergo regular control evaluation.

Aged↗

PubMed1996

[Bladder carcinosarcoma. A new case].

Vesical carcinosarcoma is a very poor prognosis, infrequent tumour normally presenting with haematuria and for which the only treatment available is radical cystectomy. Here we present a new case of this tumour in a 61 year-old male with a brisk evolution to death.

Carcinosarcoma↗

PubMed1995

[Segment resection of the ureter in transitional cell carcinoma].

OBJECTIVE: Although it is not the treatment of choice, conservative surgery by segmental resection of the ureter has achieved very good results in a patient with transitional cell carcinoma of the ureter. These results prompted us to report on the present case. METHODS/RESULTS: Diagnosis was fundamentally by IVP. Treatment by partial resection of the ureter achieved good results as shown by the postoperative control evaluation and follow up. CONCLUSIONS: Although nephroureterectomy continues to be the treatment of choice in transitional cell carcinoma of the urinary tract, conservative treatment (endoscopic resection of the tumor) may achieve good results in some selected cases. If conservative surgery is performed, the patient must be followed very closely using urine cytology, IVP or ureteroscopy.

Carcinoma, Transitional Cell↗

PubMed1995

[Major outpatient surgery in urology: our experience].

OBJECTIVES: This paper describes our MAS (major ambulatory surgery) unit and its application in urology. METHODS: We reviewed our series of 415 patients seen over a period of 14 months; of these, 71 (17%) did not meet the criteria and the remaining 344 patients (83%), with ages ranging from 6 months to 78 years, were treated in our MAS unit. Surgery was performed for circumcision, cryptorchidism, PVCP and hydrocele. RESULTS: Only 2 (0.5%) of the patients were hospitalized and 5 (1.4%) were reoperated. The degree of patient satisfaction was over 90%. CONCLUSIONS: 1. MAS is efficacious in providing care and efficiently resolves difficult urological cases. 2. Patient satisfaction is very high and there were only a few complications in the patients treated in this unit.

Adolescent↗

PubMed1995

[Wilm's tumor: review and up-date based on our experience].

Wilms' tumour represents 8% of tumours appearing during childhood, and it is the more frequent malignant tumour of the urinary tract in children. A review of 7 tumours occurring in our Hospital Area over the last 11 years is made, evaluating their incidence, clinical presentation, diagnosis as well as therapeutical approaches and complications. We also conducted a review of the most recent related literature, paying special attention to the new lines of research in the field of the genetics. Likewise, we contribute the latest guidelines and suggestions by the NWTS with regard to diagnosis and treatment of Wilms' tumour.

Female↗

PubMed1995

[Bladder endometriosis: a new case and review of the literature].

OBJECTIVES: The diagnostic and therapeutic aspects of endometriosis of the bladder is reviewed. Although it is relatively uncommon, it should be taken into account when making the differential diagnosis in young females presenting with dysuria. METHODS/RESULTS: A young female patient with dysuria and hypogastric pain caused by endometriosis of the bladder is described. CONCLUSIONS: Diagnosis is basically by cystoscopic exploration and histological analyses of the specimens obtained by electrofulguration. Hormone therapy with Danazol may be effective in some cases. The most effective treatment is excision of the lesion by TUR or conventional surgery. Furthermore, laser could be useful in the treatment of this pathology.

Adult↗

PubMed1993

[The percutaneous management of stenosis in uretero-intestinal diversions].

Five patients with a stenotic uretero-intestinal diversion were submitted to percutaneous balloon dilatation. The stricture was successfully dilated without complications in all cases. One case, however, required another dilatation procedure due to restenosis 30 days later. The low cost, short hospital stay, absence of important complications and low recurrence rate make percutaneous balloon dilatation the procedure of choice in these patients.

Aged↗

PubMed1991

[Suprarenal hemangioma. Presentation of a case and review of the literature].

Hemangiomas are benign vascular tumors that may present at any site and rarely in the adrenal gland. Twenty-four cases, all but one had been treated surgically, have been reported in the world literature. An additional case that had been diagnosed post-operatively is presented. The patient was submitted to surgery with the diagnosis of malignant neoplasm of the adrenal gland. This rare, benign tumor must be taken into account when making the differential diagnosis of adrenal masses. For this reason, it is necessary to be familiar with its clinical and radiologic features.

Adrenal Gland Neoplasms↗