Publications by authors named "Antonio Javier Marquez-Moreno"
Objective: We report three cases of high-flow priapism in three young patients who presented erectile dysfunction after perineal trauma.
Methods: Complete clinical evaluation, blood tests, color Doppler ultrasonography (US), arteriography and selective embolization were performed.
Results: The clinical history and physical assessment were compatible with high-flow priapism.
Objective: To describe a case of adrenal cavernous hemangioma in a 67 year old man who presented left lumbar pain.
Methods: Abdominal ultrasound, contrast enhanced ultrasound of the lesion, abdominal-pelvic CT scan, and then left adrenalectomy and pathology were performed
Results: Imaging studies showed a large solid-cystic mass with 12 × 11 cm diameters in the left adrenal gland, well defined, with calcifications, which showed peripheral arterial globular contrast enhancement on CT and ultrasound. The lesion displaced neighboring structures without other findings in the abdominopelvic study.
Objective: To report one case of bilateral kidney pseudotumor due to sarcoidosis in a 75 year-old man with prostatic carcinoma and hypertrophic pachymeningitis.
Methods: Renal Doppler, body CT, CT-guided renal biopsy, blood analysis including angiotensin converting enzyme (ACE), blood levels and test-treatment (corticosteroid response) were performed.
Results: The radiological studies performed showed bilateral kidney masses and pulmonary calcified hilar adenopathies.
Objective: To describe the clinical and radiological features, and the role of imaging in diagnosis and extension study of testicular lymphoma (TL).
Methods: Testicular and inguinal color Doppler ultrasound, extension-study Multidetector Computed Tomography (MDCT), and Doppler ultrasound and MDCT in an upper extermity metastasis were performed.
Results: Case 1: A 65-year-old man with TL 11 years ago, recurrence in the contralateral testis 5 years later, orbital involvement at 8 years and currently recurrence in the arm with ulnar nerve infiltration.
Objective: To describe the ultrasound characteristics, vascularization pattern (colour Doppler ultrasound) and possible histogenesis of one case of synchronic untesticular seminoma and teratocarcinoma as independent tumor nodules, histologically different, in a 19-year-old patient with testicular mass for eight months.
Methods: Conventional ultrasound, colour Doppler ultrasound, and high resolution Doppler angiogram were performed, analyzing vascular flows. After resection of the tumor, macroscopic and histological sections were related with ultrasound images.
Objective: To report one case of intratesticular varicocele, infrequent pathology (2% of the cases), with a series of ultrasound peculiarities: testicular atrophy and associated parenchymal abnormalities, in a 24-year-old patient with left testicular pain.
Methods: Ultrasound showed severe left varicocele, mixed type, with the regular extratesticular component and dilated subcapsular and mediastinum vessels, with turbulent flows increasing with Valsalva's manoeuvre, as well as an alteration of the ultrasound pattern of the parenchyma, with hypoechoic and hypovascular areas and diminished testicular size.
Discussion/conclusions: Intratesticular varicocele is a rare pathology more frequent in the left testicle, which is frequently associated with extratesticular varicocele.
Objectives: To describe the clinical and radiological (color doppler ultrasound, CT scan and arteriography) features of a case of renal arteriovenous malformation type mixed fistula with pseudoaneurysm in a female patient after extracorporeal shock wave lithotripsy.
Methods/results: We report one case of secondary vascular malformation in a 54-year-old female patient who underwent extracorporeal shockwave lithotripsy, presenting as recurrent hematuria. Ultrasound detected a "cystic" formation newly appeared after lithotripsy, being the diagnostic made by a color doppler study which showed a mixed high speed arteriovenous turbulent flow.
Objectives: To report a new case of bilateral synchronic testicular tumors, and to perform a bibliographic review on the topic, emphasizing the ultrasound characteristics and oddity of these presentation, which accounts for less than 1% of germ cell testicular tumors.
Methods/results: 29-year-old patient consulting because of an increase of the testicular size over one year. Physical examination and ultrasound revealed a synchronic neoplastic involvement of the testicles, suggesting the radiological diagnosis of bilateral "seminomatous tumor", with "non seminomatous" foci in one of them.
Objectives: To report a case of synchronic neoplasia--chromophobe renal cell carcinoma and low grade non Hodgkin lymphoma--in a 38-year-old male patient, because, although association of these two neoplasias is known, the fact of renal neoplasia being a chromophobe carcinoma is rarely referred to in medical bibliography (3 cases described after Med-Line search).
Methods/results: The diagnostic study included ultrasound and CT scan in a patient presenting with in non specific abdominal symptoms and neck adenopathy; patient underwent left radical nephrectomy and excision of neck adenopathy. Histologic and immuno-histochemical studies revealed the coexistence of chromophobe type renal cell carcinoma and diffuse centrocytic lymphoma.
Objective: To describe clinical and pathological findings of a new case of juvenile gangrenous vasculitis of the scrotum, a peculiar and unusual (only 7 cases, approximately, have been previously reported) type of scrotal gangrene described by Piñol in 1973.
Methods: A 24 year-old male presented at the emergency room with a right scrotal necrotising cutaneous lesion and fever. Physical examination, complete blood count, biochemical test, roentgenographic abdominal and thoracic findings, microbiological test and biopsy were performed.
Objectives: Transitional cell carcinoma is the most frequent primary malignant neoplasia obstructive ureteral pathology. Nevertheless, obstructive primary ureteral leiomyosarcoma (stromal tumour) is an unusual disease, diagnosed by histopathological examination of nephroureterectomy surgical specimens.
Methods/results: We report a case of ureteral obstructive uropathy in a 38-year-old woman, with non functional left kidney.