Patologia urologica de origen linfatico.

Autores de IIS La Fe

• Aurora Domenech Moya

  Autor

• Ángel Serrano Aroca

  Autor

• Isabel Forner Cordero

  Autor

• Carlos Dominguez Hinarejos

  Autor

Participantes ajenos a IIS La Fe

• Gomez F
• Maldonado D

Grupos

• Medicina Física y Rehabilitación

  Investigador Principal

  Isabel Vázquez Arce

Abstract

OBJECTIVES: Lymphatic disease is a rarely cause of some very unspecific genitourinary manifestations, assuming a diagnostic challenge in most cases. The aim of this paper is to warn about the possible etiology of these urological lymphatic presentations and discuss its management. METHODS: Retrospective review of clinical data in pediatric patients with urological pathology of lymphatic origin between 2008-2014. Three patients, two boys and a girl, were included. The complaints were: redundant prepuce, inguinal scrotal tumor and urinary incontinence. Clinical, diagnosis and treatment protocol is described. RESULTS: The first case is a male with genital lymphedema presented at birth as a redundant prepuce and the subsequent emergence of lower limb lymphedema, treated with compression bandages. The second case, a groin lymphangioma which debuted as a sudden painless inguinal tumor simulating a cord cyst, it was sclerosed and treated with OK- 432. Finally, a preteen who consulted for involuntary leakage of urine, genital lymphedema likely primary cause (lymphodisplasia) or malformation was diagnosed, which improved with two Lipiodol(R) embolization. CONCLUSIONS: Genitourinary manifestations can be the debut of more complex lymphatic pathology, so it is necessary to consider this cause, uncommon and nonspecific. Its management must be conservative initially by compression bandages, OK-432 or embolization with Lipiodol(R).

Keywords

• Children; Lymphangioma; Lymphedema; Lymphodysplasia