Asunto(s)
Humanos , Masculino , Escroto , Litiasis/diagnóstico , Escroto , Hidrocele Testicular/diagnósticoAsunto(s)
Uréter/irrigación sanguínea , Várices/diagnóstico , Adulto , Femenino , Hematuria/etiología , Humanos , Várices/complicacionesRESUMEN
PURPOSE: To present a case of recurrent neobladder rupture treated in a conservative fashion. To review the articles on conservative management of cases like this one published from 1985. RESULTS: Nineteen articles have been published since 1985 on spontaneous neobladder rupture, 4 of which describe the possibility of a successful conservative management, provided that the patients are carefully selected. CONCLUSIONS: Faced to abdominal pain in patients with neobladder, it is essential to suspect spontaneous perforation and, if possible, to confirm such suspicions by means of cystography or CT. An exploratory laparotomy may be necessary in many instances, sometimes due to lack of a diagnosis and sometimes because the patient's status rules out any other procedure, but in selected and precisely diagnosed cases a conservative management can be resolvent.
Asunto(s)
Complicaciones Posoperatorias/terapia , Reservorios Urinarios Continentes , Humanos , Masculino , Persona de Mediana Edad , Recurrencia , Rotura EspontáneaRESUMEN
Objetivo. Exposición de un caso de rotura recurrente de neovejiga tratada de forma conservadora. Revisión de los artículos publicados desde 1985 sobre tratamiento conservador en estos casos. Resultados. Desde 1985 se han publicado 19 artículos sobre rotura espontánea de neovejigas, de los cuales, 4 hablan de la posibilidad de tratamiento conservador con éxito, siempre que los paciente sean bien seleccionados. Conclusiones. En pacientes con neovejiga es fundamental sospechar una perforación espontánea ante dolor abdominal, y, si es posible, confirmarlo mediante cistografía o TC. En muchas ocasiones, será necesaria una laparotomía exploradora, bien por la falta de diagnóstico, bien porque el estado del paciente no permite otra actitud, pero en casos seleccionados y con un diagnóstico preciso, el tratamiento conservador puede ser resolutivo
Purpose. To present a case of recurrent neobladder rupture treated in a conservative fashion. To review the articles on conservative management of cases like this one published from 1985. Results. Nineteen articles have been published since 1985 on spontaneous neobladder rupture, 4 of which describe the possibility of a successful conservative management, provided that the patients are carefully selected. Conclusions. Faced to abdominal pain in patients with neobladder, it is essential to suspect spontaneous perforation and, if possible, to confirm such suspicions by means of cystography or CT. An exploratory laparotomy may be necessary in many instances, sometimes due to lack of a diagnosis and sometimes because the patients status rules out any other procedure, but in selected and precisely diagnosed cases a conservative management can be resolvent