Biomedical subjects
Publications and source records attributed to C de Soto Arranz.
We report a case of vesicovaginal fistula in an 8-year-old girl caused by a foreign body in the vagina. The foregoing condition was associated with vesical lithiasis. Correction of the fistula was performed during the same surgical procedure for stone removal, without waiting for 3-6 months to elapse as advocated by most of the authors. A review of the literature revealed only one such case has been reported earlier.
A retrospective study was undertaken on 147 cases of bladder tumors T1 GI-II that were treated over the period 1984-1987. Of these, 9 (6.1%) were tumors in patients under 40 years of age. All the foregoing 9 cases, and only 97 of the remaining 138 cases could be evaluated and compared. The male to female ratio was 8:1. Both patient groups were similar with respect to tumor grade, number, and size. All patients were treated by TUR and received chemotherapy post-operatively. Of the 9 patients under 40 years of age, 2 (22.2%) patients classed as GII had tumor recurrence and total cystectomy was performed in one (11.1%) due to tumor upgrading; whereas for the remaining patient group tumor recurrence was 37.7% and tumor progression was 6.6%. This finding shows that the choice of treatment or the decision to follow patients more or less closely cannot be based on patient age. Treatment should be based on patient overall condition and tumor grade and stage.
We present two cases of thromboses of the left renal artery out of a total of 74 kidney traumatisms observed up to 1978. In one of them, accompanied by arterial hypertension, the tension readings returned to normal after a nephrectomy. Following a review of the literature, in which we observe the infrequency of this pathology (38 cases compiled by R. Fay and S. Brosman up to 1974), we comment upon the etiopathogeny, clinical characteristics, specific radiological signs and other means of exploration which enable the diagnosis to be reached. We point out the importance of an early diagnosis and the conservative and radical forms of surgery.
Explore the source record for details and available documents.