RESUMEN
We report eight cases of cystic lesions of the adrenal glands. Benign cysts or pseudocysts are the predominant tumors of the adrenal glands. However, neither tumor size, gross aspect, presence of calcified walls, color, cyst contents nor routine laboratory tests can exclude a malignant or hormone secreting lesion. We discuss the role of therapeutics, transparietal puncture and simple radiographic surveillance in the management of patients with cystic tumors of the adrenal glands. Surgery is often indicated or recommended.
Asunto(s)
Neoplasias de las Glándulas Suprarrenales , Quistes , Neoplasias de las Glándulas Suprarrenales/clasificación , Neoplasias de las Glándulas Suprarrenales/patología , Neoplasias de las Glándulas Suprarrenales/cirugía , Adulto , Anciano , Quistes/clasificación , Quistes/patología , Quistes/cirugía , Femenino , Humanos , Masculino , Persona de Mediana Edad , PuncionesRESUMEN
After observing a benign tumour of the small bowel which led to ileo-ileal invagination in an adult we recalled the main data on the epidemiology, aetiology and diagnosis. In infants, the diagnosis is usually made but in adults, the situation is much rarer and the clinical and radiographic signs are not specific. Echotomography of the abdomen is the most reliable examination. In the adult, surgery is always indicated because invagination is caused by an organic cause in 9 out of 10 cases.
Asunto(s)
Enfermedades del Íleon/diagnóstico por imagen , Intususcepción/diagnóstico por imagen , Abdomen Agudo/diagnóstico por imagen , Abdomen Agudo/etiología , Abdomen Agudo/cirugía , Urgencias Médicas , Humanos , Enfermedades del Íleon/cirugía , Intususcepción/cirugía , Laparotomía , Masculino , Persona de Mediana Edad , UltrasonografíaRESUMEN
Pulmonary actinomycosis, a rare bacterial disease, is characterized by focal suppuration and an expansile fibrogranulomatous process that has a pseudotumoral evolution. On radioclinical examinations, it often mimicks an advanced or even inextractable primary bronchial tumor, thus leading to extensive surgery or even to give up the treatment. The effectiveness of antibiotic therapy leads the authors to discuss the role and limitations of surgery.
Asunto(s)
Actinomicosis/complicaciones , Enfermedades Torácicas/etiología , Actinomicosis/diagnóstico , Actinomicosis/terapia , Carcinoma Broncogénico/diagnóstico , Diagnóstico Diferencial , Humanos , Neoplasias Pulmonares/diagnóstico , Masculino , Persona de Mediana Edad , Enfermedades Torácicas/diagnóstico , Enfermedades Torácicas/terapia , Tomografía Computarizada por Rayos XRESUMEN
The authors report a case of bilateral uretero-hydronephrosis following aorto-bifemoral prosthesis for termino-aortic aneurysm due, on one side, to stenosis of incorrect repair of an operative injury to the ureter and, on the other side, to a syndrome of ureteric compression due to its retroprosthetic course, which is the central feature of this aetiological, pathophysiological and therapeutic discussion. Although the objective of treatment is to preserve the kidney, the risk of treatment is dominated by the threat to the future of the vascular prosthesis. The usual technical problem can be summarised by the question: should one cut the ureter or the prosthesis? and it would appear that a urinary problem does not necessarily imply a urological solution.