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Biomedical subjects

J Gallmetzer

Publications and source records attributed to J Gallmetzer.

9 recordsLinked to original sources

[Solitary synchronous bladder metastasis from renal cell carcinoma treated by transurethral resection].

Metastases to the bladder from renal cell carcinoma are extremely rare. The prognosis is poor and seems not related to the type of treatment. Most patients die within 1 year of diagnosis. The treatment should be therefore as conservative as possible. We report a case of solitary, synchronous bladder metastasis treated by transurethral resection. At 24 months the patient is free of recurrence.

Aged↗

[Residual ovarian syndrome with ureteral stenosis].

The development of a cystic pelvic mass after hysterectomy with preservation of ovaries can be the cause of chronic pelvic pain. This entity is called "the residual ovary syndrome". To our knowledge there are no cases reported in the literature with associated ureteral obstruction. A case in which the formation of the pelvic mass contributed at least to the formation of the ureteral stenosis is presented. The pelvic pain and stenosis resolved after treatment with GnRH-analogues and with temporary ureteral stent.

Adult↗

Vesicocutaneous fistula 23 years after hip arthroplasty. A case report.

Vesicocutaneous fistula after total hip replacement is a very rare but severe complication, which can appear months or years after operation. Intrapelvic cement (methylmethacrilate) spilling, loosening and dislocation of the prosthesis and infection are believed to be the cause of fistula formation. Only 4 cases of this kind of fistula have been reported in the literature. A new case of vesicocutaneous fistula is presented. The fistula developed 23 years after arthroplasty mainly because of hip-joint infection. Urinary tract symptoms caused by urinary infection appeared only few months earlier.

Arthroplasty, Replacement, Hip↗

[Symptomatic angiomyolipoma of the kidney: report of 2 cases].

Renal angiomyolipoma is an uncommon benign tumor composed of adipose tissue, dysplastic blood vessels and smooth muscle. The tumor may occur as a distinct entity or in association with tuberous sclerosis. The diagnosis is usually easy but a malignant neoplasm can not always be excluded. Tumors smaller than 4 cm are mostly asymptomatic and usually do not need to be treated. For larger lesions a treatment is advisable especially in case of symptoms because of the risk of a severe hemorrhage. The treatment should be as conservative as possible and nephrectomy preformed only when a malignant tumor can not be excluded or in cases of life-threatening hemorrhage or widespread infiltration or complete destruction of the kidney. Today the treatment of choice should be embolisation and on second line resection of the lesion. Two cases of symptomatic angiomyolipoma are presented. Both cases are treated by radical nephrectomy.

Angiomyolipoma↗

[Seminal vesicle cysts (and ejaculatory duct cysts) with ipsilateral renal agenesis. Report of five cases and review of the literature].

Cystic malformations of the pelvic seminal tract associated with ipsilateral renal agenesis are rare. The cause of this malformation is a maldevelopment of the mesonephric duct between the 4th and 13th weeks of gestation. Usually the disease is discovered in the late second and in the third decade of life, at a time of great sexual activity. Accumulation of fluid in the seminal tract with insufficient drainage leads to complaints like chronic prostatitis, to perineal discomfort and to disturbances of sexual sphere. For the diagnostic evaluation, ultrasound studies (suprapubic and transrectal) are very useful. Treatment should be restricted to symptomatic cases only. The treatment modality ranges from conservative medical treatment to surgical excision. Five cases are presented. Four are treated conservatively and one is treated by transurethral aspiration and alcohol injection.

Adult↗

[Mullerian duct cysts. Description of two cases with a minimally invasive therapeutic approach].

Among cystic lesions of the male pelvis, the müllerian duct cyst represents the most commonly recognized abnormality. These lesions are midline in location and should not be confused with the big or cystic utricle because of its different embryologic development. The cysts are usually small and asymptomatic. Two cases of big and symptomatic müllerian cysts treated by minimal invasive approach consisting of aspiration and endoscopic marsupalization are presented.

Adult↗

[Erectile dysfunction of arterial origin as possible primary manifestation of atherosclerosis].

The incidence of risk factors atherosclerosis and of vasculogenic importance in a group of patients with erectile failure is presented. As a single risk factor only arterial hypertension is associated significantly with arteriogenic importance. Myocardial ischemia and peripheric arteriopathy are also often associated with arteriogenic impotence. In a high percentage vasculogenic impotence can be the first sign of a generalized arteriopathy. The diagnosis of arteriogenic impotence can therefore have implications which are not only related to erectile failure.

Adult↗

[Non-Hodgkin's lymphoma with primary localization in the bladder and prostate region. Description of a case].

The primary involvement of bladder and prostate by a non-Hodgkin lymphoma is extremely rare. Hematuria is the most common symptom in bladder lymphoma, outlet obstruction in prostate lymphoma. The histological diagnosis has to be confirmed by immunohistochemical methods. The treatment of choice is a combination of chemo-and/or radiotherapy. With this report we present a case of non-Hodgkin lymphoma with primary involvement of bladder and prostate.

Antineoplastic Combined Chemotherapy Protocols↗

[Megapolycalicosis. A case report].

Megapolycalicosis is defined as a congenital dilatation of calices without evidence of obstruction. In absence of complications such as infection and stones, megapolycalicosis would not have a particular clinical relevance if not for the possible misinterpretation as hydronephrosis. A case of megapolycalicosis is presented.

Child↗