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《Cirugía espa?ola》2023,101(8):574-576
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Á. García-Escudero López A. Arruza Echevarría J. Leunda Saizar R. Infante Riaño J. Padilla Nieva E. Ortiz Barredo 《Actas urologicas espa?olas》2010,34(1):111-115
ObjectiveTo report four additional cases of secondary amyloidosis of the bladder, an extremely rare condition, as shown by the cases reported in the literature.Materials and methodsFour clinical cases are reported, all of them occurring as hematuria, which was massive and fulminant and resulted in death in three patients.ResultsSecondary amyloidosis of the bladder is of the AA type, which is more common in females and mainly secondary to rheumatoid arthritis, but also to ankylosing spondylitis and long-standing chronic inflammatory conditions. Hematuria is the main and virtually only symptom. A pathological and immunohistochemical study confirmed diagnosis. All three patients who experienced massiva, fatal hematuria had an intercurrent condition requiring urethral catheterization, which was the triggering factor.ConclusionsDespite its rarity, as shown by the few cases reported, secondary amyloidosis of the bladder should be considered in patients already diagnosed with systemic amylodosis and/or the conditions reported who require simple urethral catheterization. 相似文献
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Inmaculada Ortiz Tarín Carlos Domingo del Pozo Aleix Martínez Pérez Juan Carlos Sebastián Tomás Carmen Payá Llorente Amparo Martínez Blasco Carmen Castro García 《Cirugía espa?ola》2019,97(3):162-168
Introduction
Laparoscopic left-sided pancreatectomy (LLP) is an increasingly used surgical technique for the treatment of benign and malignant lesions of the left side of the pancreas. The results of LLP as a treatment for primary pancreatic lesions of the head and tail of the pancreas were evaluated.Methods
From November 2011 to November 2017, 18 patients underwent surgery for primary lesions of the pancreas by means of a laparoscopic distal pancreatectomy. An intra-abdominal drain tube was used in all cases, and the recommendations of the International Study Group for Pancreatic Fistula (ISGPF) were followed.Results
The mean age was 66.5 years (IQR 46-74). Among the 18 left pancreatectomies performed, four were with splenic preservation, and one was a central pancreatectomy. There were two conversions. The median surgical time was 247.5 minutes (IQR 242-275). The median postoperative hospital stay was 7 days (IQR 6-8). After 90 days, complications were detected in five patients: three grade II, one grade III and one grade V according to the modified Clavien-Dindo classification. There was one grade B pancreatic fistula, and four patients had to be readmitted to hospital because of peripancreatic collections. The anatomic pathology diagnosis was malignant neoplasm in 38.9% of cases, all of them with negative resection margins.Conclusions
LLP can be considered the technique of choice in the treatment of primary benign pancreatic lesions and an alternative to the open approach in selected patients diagnosed with malignant pancreatic lesions. 相似文献14.
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