Asunto(s)
Humanos , Masculino , Anciano de 80 o más Años , Escroto/diagnóstico por imagen , Obstrucción Ureteral/etiología , Obstrucción Ureteral/diagnóstico por imagen , Hernia Inguinal/complicaciones , Hernia Inguinal/diagnóstico por imagen , Escroto/cirugía , Obstrucción Ureteral/cirugía , Tomografía Computarizada por Rayos X , Resultado del Tratamiento , Hernia Inguinal , Hernia Inguinal/cirugía , Hidronefrosis/cirugía , Hidronefrosis/etiología , Hidronefrosis/diagnóstico por imagenAsunto(s)
Hernia Inguinal/complicaciones , Hernia Inguinal/diagnóstico por imagen , Escroto/diagnóstico por imagen , Obstrucción Ureteral/diagnóstico por imagen , Obstrucción Ureteral/etiología , Anciano de 80 o más Años , Hernia Inguinal/cirugía , Herniorrafia/métodos , Humanos , Hidronefrosis/diagnóstico por imagen , Hidronefrosis/etiología , Hidronefrosis/cirugía , Masculino , Escroto/cirugía , Tomografía Computarizada por Rayos X , Resultado del Tratamiento , Obstrucción Ureteral/cirugíaRESUMEN
Bladder cancer is a common cancer that may present as superficial, invasive, or metastatic disease. Non-muscle-invasive bladder cancer (NMIBC) represents the majority of bladder cancer diagnoses, but represents a spectrum of disease with a variable clinical course, notably for significant risk of recurrence and potential for progression. NMIBC metastasis to distant organs without local invasion or regional metastasis is a very rare occurrence, so there are limi-ted case reports about early metastasis in the literature.
Asunto(s)
Carcinoma/secundario , Neoplasias de Cabeza y Cuello/patología , Metástasis Linfática/patología , Neoplasias de la Vejiga Urinaria/patología , Anciano , Carcinoma/diagnóstico por imagen , Resultado Fatal , Neoplasias de Cabeza y Cuello/diagnóstico por imagen , Humanos , Metástasis Linfática/diagnóstico por imagen , Masculino , Tomografía Computarizada por Rayos X , Ultrasonografía , Neoplasias de la Vejiga Urinaria/diagnóstico por imagenRESUMEN
ABSTRACT Bladder cancer is a common cancer that may present as superficial, invasive, or metastatic disease. Non-muscle-invasive bladder cancer (NMIBC) represents the majority of bladder cancer diagnoses, but represents a spectrum of disease with a variable clinical course, notably for significant risk of recurrence and potential for progression. NMIBC metastasis to distant organs without local invasion or regional metastasis is a very rare occurrence, so there are limited case reports about early metastasis in the literature.
Asunto(s)
Humanos , Masculino , Anciano , Neoplasias de la Vejiga Urinaria/patología , Carcinoma/secundario , Neoplasias de Cabeza y Cuello/patología , Metástasis Linfática/patología , Neoplasias de la Vejiga Urinaria/diagnóstico por imagen , Carcinoma/diagnóstico por imagen , Tomografía Computarizada por Rayos X , Ultrasonografía , Resultado Fatal , Neoplasias de Cabeza y Cuello/diagnóstico por imagen , Metástasis Linfática/diagnóstico por imagenRESUMEN
Tertiary peritonitis is an intraabdominal infection that arises in some patients with secondary peritonitis, despite receiving appropriate treatment. Recently described, it is a syndrome of late peritonitis and we are still lacking a precise and widely adopted definition. Diagnosis is difficult and treatment is complex. Among other therapeutic efforts, this entity requires early and repeated surgical treatment, either on demand or scheduled laparotomy, or even laparostomy. Prognosis is poor, and mortality can reach up to 60% of patients. We present the most interesting aspects of this disease.
Asunto(s)
Peritonitis , Humanos , Peritonitis/clasificación , Peritonitis/diagnóstico , Peritonitis/etiología , Peritonitis/fisiopatología , Peritonitis/terapia , Factores de Riesgo , Terminología como AsuntoRESUMEN
We report a case of splenic hydatid cyst, an unfrequent localization of hydatid disease that usually presents with hydatid cysts in other organs (but not in this case). Primary spleen infestation generally occurs trough arterial blood supply, after the oncosphere of Echinococcus granulosus travels from host's digestive tube to the left atrium, passing trhough hepatic and pulmonar filters; other routes are also possible. Migration of an abdominal hydatid cyst into the thoracic cavity (phenomena called abdominal thoracic hydatid transit) occurs in 3.5% to 5% of liver cysts, and is quite exceptional in splenic cysts. Clinical manifestations are mainly thoracic, the diagnosis is based on serological tests and imaging studies, and surgical treatment is always required. Taking advantage of this unusual case, we remember the pathogenesis of splenic hydatid disease as well as the pathophysiology of transdiaphragmatic transit of abdominal hydatid disease.
Asunto(s)
Equinococosis/complicaciones , Enfermedades del Bazo/parasitología , Tórax/parasitología , Femenino , Humanos , Persona de Mediana EdadRESUMEN
Geriatric surgery has experienced a great development over the past decades, not only because of the aging of the population, but also because of the better understanding of the aging process and technical progress. All these circumstances have expanded surgical supply to the elderly, as well as similar results to those earned in younger patients. In this paper, we review the concept of elderly, population aging, pathophysiology of aging, the peculiarities of illness in the elderly and the impact of aging on surgical practice. After considering the concept of surgical risk, we discuss preoperative evaluation of the old patient, plus aspects related to the surgery itself and postoperative recommendations. Finally, we conclude with some ethical considerations about surgery in the elderly.
Asunto(s)
Anciano , Envejecimiento/fisiología , Cirugía General , Evaluación Geriátrica , Adulto , Factores de Edad , Anciano de 80 o más Años , Cirugía General/ética , Humanos , Esperanza de Vida , Persona de Mediana Edad , Cuidados Posoperatorios , Factores de RiesgoRESUMEN
Several hereditary syndromes with multiple digestive hamartomatous polyps are described; they are produced by germline mutations. All of them are associated to an increased risk of colorectal cancer and other neoplasms, by the suppressor class of the mutated gens probably. The Peutz-Jeghers syndrome, the Juvenile plyposys syndrome, the PTEN hamartomatous tumor syndrome, and other less frequent hamartomatous syndroms are described.