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J Cabello Padial

Publications and source records attributed to J Cabello Padial.

14 recordsLinked to original sources

[Cystic ureteritis: importance of chronic infection-inflammation as etiologic factor. Report of a clinical case].

Cystic Ureteritis is a very rare disease. It is more commun in elderly patients. This pathology is characterized by the formation of several submucous cystic in ureter, pelvis and/or bladder. We project the importance of the infectious and inflammatory factors as the disease etiology. We report a case of a woman with recurrent urinary tract infection, coral lithiasis and left ureteritis cystica. It is included a literature review and we explain the main clinical, diagnostic and therapeutic aspects.

Aged↗

[Giant inguinoscrotal bladder hernia].

Inguinoscrotal bladder hernia occur in 0.4 to 3% of general poblation, though massive hernia are much rare. We present a new case of a giant inguinoscrotal bladder hernia, which was solved by surgery. It includes a clinical, diagnostic and therapeutic aspects, and a review of the relative literature.

Hernia, Inguinal↗

[Hemangioma of the glans penis].

The haemangiomas are benign vascular tumors of frequent apparition in infant, but not very much described in penis glans in the literature. We present a case with location in penis glans, in a short age male, that it was treated through conventional surgery with good results. We accomplish a review of this pathology and we make reference to the different ways of treatment today.

Child↗

[Obstructive uropathy secondary to retrovesical hydatid cyst].

The genitourinary affectation by the hydatidosis, is the third in frequency after the hepatic and pulmonary affectation. The finding of an obstructive uropathy by a retrovesical hydatid cyst is uncommon, but it must be in account in high incidence zones. We present a case of this pathology, accomplishing a review of their etiopathogenic mechanisms, as well as of their arrival way, diagnostic approach and treatment.

Adult↗

[A congenital diverticulum of the bulbar urethra].

OBJECTIVE: To describe an additional case of congenital bulbous urethra. The incidence, etiopathogenesis, symptoms, diagnosis and treatment of this condition are discussed. METHODS: A 16-year-old male consulted at the emergency services for urinary retention and a perineal lesion. Patient evaluation included ultrasound, retrograde and voiding urethrocystography. Treatment was by open surgery. RESULTS: The patient was evaluated at 3, 6 and 12 months. He remains asymptomatic and control urethrograms are normal. CONCLUSIONS: Open surgery is advocated as the treatment of choice for symptomatic diverticulum of a considerable size.

Acute Disease↗

[Bilaterally synchronous mixed germ cell testicular tumor].

OBJECTIVE: To report an uncommon case of bilateral synchronous mixed testicular germ cell tumor. METHODS: A young male had consulted at our urological services for a unilateral enlarged testis. A testicular tumor was suspected; scrotal US was performed, testicular tumor markers were determined and complementary studies to determine tumor extension were performed. RESULTS: The US findings suggested a chronic inflammatory condition with bilateral diffuse infiltration, tuberculosis was discarded and bilateral testicular tumor was suspected, which was confirmed by bilateral intraoperative biopsy. A bilateral radical orchidectomy was performed. Adjuvant chemotherapy with cisplatin, VP-16 and bleomycin was administered after bilateral radical orchidectomy due to the attending risk factors for tumor recurrence. The patient is disease-free one year postoperatively. CONCLUSIONS: Bilateral synchronous testicular germ cell tumors are rare. Scrotal US is a simple, noninvasive and efficient diagnostic imaging method; however, it does not provide pathognomonic images that could indicate the histological nature of the tumor.

Adult↗

[Leydig cell tumor].

OBJECTIVE: To describe a case of Leydig cell tumor of the testis, discuss the criteria for determining its benign or malignant nature and the clinical features according to patient age and the hormone profile. METHODS/RESULTS: Scrotal US evaluation for an associated pathology incidentally detected a hypoechoic, homogeneous mass with preserved borders. Biological testicular tumor markers were determined and the suspicion of a Leydig cell tumor prompted a hormone study. The diagnosis of Leydig cell tumor was confirmed by intraoperative biopsy and radical orchidectomy was performed. CONCLUSION: In the case described, the ultrasound findings prompted the etiological diagnosis given the characteristics of the lesion. The definitive diagnosis was based on the pathological findings. Although classified as benign Leydig cell tumor, radical orchidectomy is advocated.

Adult↗

[Congenital renal arteriovenous fistula treated with embolization].

We report on a patient with congenital renal arteriovenous fistula whose only clinical manifestation was hematuria. The diagnosis was confirmed by arteriography and treatment was by percutaneous embolization. Hematuria resolved immediately after treatment and most of the renal parenchyma was preserved. The patient has moderate arterial hypertension as a sequela, although it is currently controlled by drug therapy.

Adult↗

[Abdomino-scrotal hydrocele, an unusual disease, review of the literature, and report of a new case].

Abdominal-scrotal hydrocele is an uncommon lesion, most specially during childhood. It is an entity, though, that should be included in the differential diagnosis of abdominal masses in children, and also considered as a likely cause of ureterohydronephrosis. Diagnosis is arrived at through ultrasound, CAT and occasional excretory urography. Radical surgical excision using inguinal access is the recommended approach, but sometimes the inguinoabdominal or pure abdominal approaches can be performed. Following surgical ablation the cure is complete, and includes remission of the ureterohydronephrosis when present. This paper reviews the literature, presents one case and discusses both the diagnostic possibilities and therapeutic alternatives.

Abdomen↗

[Metastatic hypernephroma of the stomach].

We report a case of renal cell adenocarcinoma (T2-G3) metastatic to the stomach in a patient who underwent a left radical nephrectomy and presented hematemesis and melena two weeks postoperatively. We were prompted to report this case because metastasis to the stomach is rare and the literature is scant. Despite treatment by radical surgery, the short disease-free period following nephrectomy, the high histological grade (G3) and the aggressive nature of the tumor have resulted in a short survival.

Carcinoma, Renal Cell↗

[Seminal vesicle cyst and ipsilateral renal agenesis: frequent association].

Presentation of a new case of cyst of the seminal vesicle in one patient with ipsilateral renal agenesis, stressing the frequency of this association. The cyst become evident following confirmation of renal agenesis, and presented an unusual communication to the bladder due to previous surgery (transurethral resection). This diagnosis was only suspected in the computerized tomography and cystoscopy and later confirmed by deferentovesiculography. The relevance of exploring any possible dysplasia of the seminal tract in the presence of renal agenesis is stressed. From an embryological point of view, the close relationship during development of both urinary and reproductive systems appear to explain the coexistence of these two anomalies. The primary symptoms of the condition, including the unspecific ones, as in the present cases, are discussed. Differential diagnosis from other deep pelvic cysts is referred. Following a literature review and based in our personal experience, already published, our views on the different embryological, clinical, diagnostic and therapeutic considerations are established.

Congenital Abnormalities↗

[Retrocaval ureter: report of a case].

OBJECTIVES: An additional case of retrocaval ureter is described, with special reference to the diagnosis and treatment of this uncommon condition. METHODS/RESULTS: We report a case of retrocaval ureter in a patient who had consulted for urological infection. Patient data and clinical history are presented and discussed. CONCLUSIONS: The clinical and pathological significance of retrocval ureter depend on the degree of urinary flow obstruction and the associated complications. CT with iv contrast medium is useful in confirming the diagnosis in most of the cases. When indicated, treatment by surgery and urinary tract maneuvers generally achieve good results.

Humans↗

[Spontaneous rupture of hydrocele: an unusual complication].

Description of a case report of a male patient with a long standing pressure hydrocele that underwent spontaneous rupture while doing farm work although there was no previous trauma. The clinical signs were minimal scrotal discomfort, disappearance of turgescence and late ecchymosis and localized edema in penis and scrotum.

Humans↗