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Biomedical subjects

E Camacho Martínez

Publications and source records attributed to E Camacho Martínez.

At least 19 recordsLinked to original sources

[Benign presacral schwannoma producing obstructive uropathy. Clinical case and review of the literature].

We report a case of a presacral benign schwannoma which causes right hydroureteronephrosis without other clinical findings. After a fine-needle aspiration (FNA) biopsy under computed tomography (CT) guidance, a fusocellular tumour without athypia was demonstrated. With the initial diagnosis of benign schwannoma the patient was operated on, removing the tumour, and with the immunohistochemical examination (reactivity for S-100) this diagnosis was confirmed.

Aged↗

[Cystine calculi. Prevention with captopril. Clinical case].

Contribution of a case report of multiple cystine lithiasis with underlying homozygous cystinuria in a 5-year old male child. Following surgical management of the lithiasic episode the patient was followed-up with super-hydration, urine alkalinization and captopril prophylaxis. After three and a half years evolution, the patient has not developed new lithiasic episodes and maintains normal dibasic amino acids values in 24 h urine.

Angiotensin-Converting Enzyme Inhibitors↗

[Cystic dysplasia in the seminal vesicle. Case report and literature review].

Contribution of one case report of cystic dysplasia of the seminal vesicle with ipsilateral renal agenesis in a 32 year-old male presenting with primary infertility. The seminograms showed moderate astenoteratospermia while in the abdominal-pelvic ultrasound there were changes in the right seminal vesicle and right renal agenesis, which was confirmed with further complementary tests: UIV, transrectal ultrasound, urethrocystoscopy, arteriography and renal scan.

Adult↗

[Posttraumatic high-flow priapism in prepubertal age].

High flow priapism is an infrequent entity, generally following traumatic injuries in the genito-perineal area. Anamnesis, cavernous bodies blood gasometry and Doppler are the basic diagnostic tools for these condition. Therapeutical management is considerably different from that used for low flow venous priapism. Selective arteriography of the internal pudendal artery allows to locate the arterial lesion and, at the same time, to perform supraselective embolization of the lacerated cavernous artery which is currently considered the choice treatment. This paper presents the case report of a ten-year old patient successfully resolved through application of angioradiologic procedures.

Bicycling↗

[Eosinophilic cystitis. Study of the clinical course in 6 new cases and review of the recent literature].

Presentation of a series of 6 cases of eosinophilic cystitis diagnosed in our hospital and recorded in 1988-1993, with an average follow-up of 2 years from time of diagnosis. The actual trend with regard to this particular form of chronic cystitis is to abandon the idea of considering it a "benign" disease, basically due to its increasingly less uncommon association to bladder and/or prostate tumoral pathology (in the recent literature and most particular in the present series). Also, a relative increase in the frequency of occurrence of this disease is noted, because of chemoprophylaxis of surface bladder tumour with Mitomycin-C, an association which is increasingly frequent. Based on these 6 cases, a review of the most recent literature on this topic is made.

Aged↗

[Conservative treatment of Wünderlich syndrome in a functional monorenal patient].

Presentation of one case of Wünderlich's syndrome secondary to spontaneous mesorenal fracture due to renal angiomyolipoma. In our case, the therapeutical approach is based in the need to preserve the functional renal unit. Wünderlich's syndrome or spontaneous perirenal haematoma can occur for a variety of causes, the most frequent ones being renal adenocarcinoma and renal angiomyolipoma. The latter is a hamartoma made up of three different tissue lines: smooth muscle cells, blood vessels and adipose tissue. Based on our case, we discuss the clinical, prognostic and therapeutical aspects related to renal angiomyolipomes.

Aged↗

[Liposarcoma of spermatic cord. A rare urologic tumor].

Malignant paratesticular tumors are uncommon. Of these, liposarcoma of the spermatic cord constitutes a rare tumor type with a good prognosis. It has a high rate of survival over 5 years. Inguinal orchiectomy generally suffices, although patients should be followed closely since local recurrence is not uncommon. The present study briefly reviews the literature on spermatic cord liposarcoma and reports an additional case that was treated exclusively by radical orchiectomy. Four years postoperatively the patient continues to be tumor-free.

Genital Neoplasms, Male↗

[Ureteral lithiasis. Analysis of 3 series].

Presentation of our experience on 1000 cases of ureteral lithiasis treated over the last five years with ESWL, ureteroscopy and ureterolitotomy, distributed in three series of 396, 265 and 339 cases respectively. In the first series (396 cases), lumbar ureter calculi were treated with ESWL (dornier HM3) and iliopelvian calculi with ureteroscopy. In the second series (265 cases), all calculi were treated with ESWL (Siemens Lithostar). The third series was in turn subdivided in three groups: in the first group, comprising simple ureteral calculi, 'in situ' ESWL was performed; in the second group, of lumbar ureter complex calculi, ESWL was performed assisted by simple endourological techniques; ureteroscopy was performed in the third group, iliopelvian ureter complex calculi. Calculi characteristics (site, size, consistency and number), excretory tract and renal function, designated as CEP/LTS-X were assessed. These parameters allow us to grade ureteral lithiasis in Types I, II and III. A comparative study of the results in the three series was made reaching an overall conclusion that simple or Type I ureteral lithiasis can be treated with 'in situ' ESWL as first choice; in Type II or lumbar ureter complex lithiasis, 'in situ' ESWL is insufficient and other endoeurological support techniques are required, while in Type III, iliopelvian ureter complex lithiasis, ureteroscopy should be recommended.

Endoscopy↗

[Distal tubular renal acidosis with nephrocalcinosis].

Nephrocalcinosis and distal tubular acidosis are two infrequent processes caused by several etiologies which can present in association. This paper describes a clinical case of tubular acidosis and explains the differential diagnosis of both entities.

Acidosis, Renal Tubular↗

[Chronic obstructive renal lithiasis. Extracorporeal lithotripsy or percutaneous renal surgery? Analysis of 2 series].

Experience has demonstrated that obstructive renal calculi with inferior infundibulocaliceal dilatation is not an indication for extracorporeal shock wave lithotripsy due to a high incidence of residual fragments in the lower calyx. These fragments are generally not spontaneously passed and become compact and form a new stone. We analyzed two groups of patients: 56 had been submitted to ESWL, and 53 to PCN. The results show that for obstructive renal lithiasis with dilatation of the lower calyx treatment is by percutaneous renal surgery first. This approach permits doing an ESWL procedure if stone fragments are observed in the early post-PCN radiologic work up. Similarly, if ESWL as monotherapy fails, we can resort to PCN.

Chronic Disease↗

[Squamous cell carcinoma of the renal pelvis. A clinical case].

Squamous cell carcinoma of the renal pelvis is uncommon, accounting for approximately 10% of all renal pelvic tumours. It's often associated with chronic renal calculi or infection and it usually presents at an advanced stage with pain or a palpable mass. We report an incidental case of squamous cell carcinoma of the renal pelvis, associated with chronic renal calculi and infection, and weight loss. The prognosis of patients with advanced squamous cell carcinoma of genitourinary origin is poor. In patients with chronic stones or infection squamous cell carcinoma of renal pelvis must be suspected if survival is to be affected.

Carcinoma, Squamous Cell↗

[Treatment of calculi not easily seen with radiology using extracorporeal shockwave lithotripsy. Value of contrast media].

Currently, most calculi can be treated with shockwave extracorporeal lithotrity regardless their location within the urinary apparatus or their physico-chemical features. In order to optimize results only medical criteria for patient's selection should be taken into account. Certain type of calculi can obstruct adequate radioscopic viewing by not allowing correct centring for shockwave emission. The problem can be overcome by using echography or other contrast procedures. Of a total 514 patients treated in our Unit with ESWL, execution of contrast procedures was necessary in 18 cases (3.5%) in order to allow adequate viewing of the calculi. Calculi in 10 patients were midly radiopacque, uric acid in 4, and bone-superimposed in the remaining 4. This technical manoeuvre allowed in all cases a good centring of the calculi. After a two months follow-up. lithiasis is absent in 15 patients and only 2 present expellable lithiatic fragments. It can therefore be concluded that the use of contrast procedures, both through i.v. or a catheter, is a simple, safe and well tolerated procedure allowing convenient viewing of those calculi, also followed by good results after ESWL treatment.

Adult↗

[Double-J ureteral catheter: its application in patients with complex renal lithiasis as a support measure during extracorporeal lithotripsy. Analysis of 441 consecutive cases].

Between August, 1986 and February, 1988, double J ureteral catheters were placed in 441 renal units of 419 patients (22 were bilateral) with complex renal stones prior to ESWL. Catheter placement was achieved in all but 3.8% of the cases using several techniques, mainly via the retrograde route. Placement of the double J catheter was indicated in almost 75% of cases with a large stone mass (staghorn or pseudo staghorn). Only 11% of post-ESWL "Steinstrasse" were obstructive; of these, 80% resolved spontaneously. The complication rate was 21%. Most of these cases were mild complications. All cases were resolved satisfactorily. We believe that the double J catheter is useful in patients with complex renal stones. Placement of a double J catheter involves a simple maneuver with a low morbidity. It aids ESWL, reduces complications, and avoids more important endourologic maneuvers.

Adult↗

[Scleroderma as a paraneoplastic syndrome of ductal carcinoma of the prostate].

We report on a patient with ductal carcinoma of the prostate. A few months earlier, the patient had presented with disabling scleroderma that progressed rapidly and compromised multiple organs. The findings that led us to suspect a paraneoplastic syndrome are discussed and the recent literature on scleroderma and cancer is briefly reviewed.

Aged↗