RESUMO
OBJECTIVES: To report a rare case of left renal cell carcinoma causing simultaneous acute left varicocele. We also performed a bibliographic review. METHODS: We present the case of a male adult who was diagnosed as having a left varicocele during a medical exam at his work center and referred to the urology clinic. On physical examination a left flank and hypochondrium mass was found. We analyze the diagnostic tests performed and possible therapies. RESULTS: With the diagnosis of left hypernephroma the patient underwent surgery. A big lower pole and medial portion kidney tumor displacing neighbor structures was found, and left radical nephrectomy was performed. CONCLUSIONS: Although it was easy to diagnose a hypernephroma with the diagnostic tests performed, the clinical presentation is not frequent, neither is the sudden onset of left varicocele. Currently, after 8 years of follow-up, the patient has normal blood-ultrasound tests.
Assuntos
Carcinoma de Células Renais/complicações , Neoplasias Renais/complicações , Varicocele/etiologia , Carcinoma de Células Renais/diagnóstico por imagem , Humanos , Neoplasias Renais/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Radiografia , Varicocele/diagnóstico por imagemRESUMO
OBJECTIVES: To report this case of bladder leiomyoma, benign tumor of the bladder, due to its low frequency (0.43%) and to perform a bibliographic review. METHODS AND RESULTS: Case of a 46 year old female who refers a history of voiding symptoms, macroscopic haematuria with clots, asthenia, anorexia and right flank pain for 15 days prior to consultation. After blood tests, X ray tests, ultrasound and CT scan she underwent hysterectomy, anexectomy, radical cystectomy and ureteral reimplantation to a Mainz II sigmoid pouch. Currently, 44 months after surgery her outcome has been satisfactory. CONCLUSION: Bladder leiomyoma, a disease without specific symptoms, is occasionally found in pathological evaluation; biopsy is the confirmative diagnostic test. They are rarely found outside the uterus and gastrointestinal tract.