de señal tras gadolinio intravenoso es un signo fiable en la detección de estos tumores y lo diferencia de otras estirpes tumorales (2-5). El realce tan marcado se justifica por la intensa vascularización de este tumor y por la cantidad de tejido estromal presente (6).
CONCLUSIONESLa RM testicular ayuda a establecer un diagnóstico preoperatorio preciso del tumor testicular de las células de Leydig y debido a su escasa frecuencia de malignidad, contribuir a realizar una orquiectomía parcial (7).
CISTITIS FOLICULAR. APORTACIÓN DE UN CASO Y REVISIÓN DE LA LITERATURA.
An increased incidence of germ cell testicular tumors have been verified over last years, mainly NSGCT Nevertheless, the diagnosis of advanced stages of the disease has diminished in favour of initial stages, which have a better prognosis for the patient. Oncologycal treatment protocols have high cure rates, although a long-term follow-up is needed due to the natural history of these tumors.
Presentamos el caso de una mujer joven que acudió a urgencias con un cuadro de hematuria macroscópica anemizante. A su vez confirmamos que ante la sospecha de encontrarnos ante una fístula arteriovenosa, la arteriografía es la prueba diagnóstica de elección y la embolización selectiva, la mejor opción terapéutica.
Emphysematous cystitis is a rare infectious disease which diagnosis requires a high grade of suspicion in patients with compatible clinical symptoms, risk factors that make them susceptible, and a radiographic examination that confirm the suspicion. Patients usually have a favorable evolution with an early diagnosis and an appropriate management. We present a 75 years old diabetic patient with emphysematous cystitis that develops into an urosepsis treated in a conservative management.
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