RESUMO
Small cell bladder cancer (SCBC) is found in 0.5-1.2% of all bladder tumors. Ureteroceles are dilatation of the distal portion of an ectopic ureter, which association with tumors are rare. This article reports the first case described of an SCBC developed into a ureterocele, beyond a literature review.
Assuntos
Cistoscopia/métodos , Divertículo/cirurgia , Laparoscopia/métodos , Transiluminação/métodos , Doenças da Bexiga Urinária/cirurgia , Adulto , Divertículo/sangue , Feminino , Humanos , Duração da Cirurgia , Resultado do Tratamento , Doenças da Bexiga Urinária/complicações , Infecções Urinárias/etiologiaAssuntos
Adulto , Feminino , Humanos , Cistoscopia/métodos , Divertículo/cirurgia , Laparoscopia/métodos , Transiluminação/métodos , Doenças da Bexiga Urinária/cirurgia , Divertículo/sangue , Duração da Cirurgia , Resultado do Tratamento , Doenças da Bexiga Urinária/complicações , Infecções Urinárias/etiologiaRESUMO
INTRODUCTION: Guillain-Barre syndrome is an acute neuropathy that rarely compromises bladder function. Conservative management including clean intermittent catheterization and pharmacotherapy is the primary approach for hypocompliant contracted bladder. Surgical treatment may be used in refractory cases to improve bladder compliance and capacity in order to protect the upper urinary tract. We describe a case of pure laparoscopic augmentation ileocystoplasty in a patient affected by Guillain-Barre syndrome. PRESENTATION: A 15-year-old female, complaining of voiding dysfunction, recurrent urinary tract infection and worsening renal function for three months. A previous history of Guillain-Barre syndrome on childhood was related. A voiding cystourethrography showed a pine-cone bladder with moderate post-void residual urine. The urodynamic demonstrated a hypocompliant bladder and small bladder capacity (190 mL) with high detrusor pressure (54 cmH2O). Nonsurgical treatments were attempted, however unsuccessfully.