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array:24 [ "pii" => "S0210480609740112" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74011-2" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74011" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Actas Urol Esp. 2009;33:97-100" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1773 "formatos" => array:3 [ "EPUB" => 5 "HTML" => 1029 "PDF" => 739 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480609740124" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74012-4" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74012" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Actas Urol Esp. 2009;33:101-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2165 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 1397 "PDF" => 760 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Síndrome del cascanueces posterior: vena renal retroaórtica asociada a fístula arteriovenosa y carcinoma renal. a propósito de un caso y revisión de la literatura" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "101" "paginaFinal" => "104" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Posterior nutcracker syndrome: retroaortic renal vein associated with arteriovenous fistula and renal cancinoma. report of a case and review of literature" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Carlos Muller arteaga, Sergio Martín martín, José R. Cortiñas gonzález, José A. González fajardo, Ernesto Fernández del busto" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Carlos" "apellidos" => "Muller arteaga" ] 1 => array:2 [ "nombre" => "Sergio" "apellidos" => "Martín martín" ] 2 => array:2 [ "nombre" => "José R." "apellidos" => "Cortiñas gonzález" ] 3 => array:2 [ "nombre" => "José A." "apellidos" => "González fajardo" ] 4 => array:2 [ "nombre" => "Ernesto" "apellidos" => "Fernández del busto" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609740124?idApp=UINPBA00004N" "url" => "/02104806/0000003300000001/v1_201304251919/S0210480609740124/v1_201304251919/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480609740100" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74010-0" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74010" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Actas Urol Esp. 2009;33:93-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1710 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 914 "PDF" => 788 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Actitud expectante en el síndrome del cascanueces" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "93" "paginaFinal" => "96" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Nutcracker syndrome managed by simple surveillance" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Youness El harrech, Hassan Jira, Jaouad Chafiki, Mohamed Ghadouane, Ahmed Ameur, Mohamed Abbar" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Youness" "apellidos" => "El harrech" ] 1 => array:2 [ "nombre" => "Hassan" "apellidos" => "Jira" ] 2 => array:2 [ "nombre" => "Jaouad" "apellidos" => "Chafiki" ] 3 => array:2 [ "nombre" => "Mohamed" "apellidos" => "Ghadouane" ] 4 => array:2 [ "nombre" => "Ahmed" "apellidos" => "Ameur" ] 5 => array:2 [ "nombre" => "Mohamed" "apellidos" => "Abbar" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609740100?idApp=UINPBA00004N" "url" => "/02104806/0000003300000001/v1_201304251919/S0210480609740100/v1_201304251919/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Transuretero-ureterostomía espontánea después de estenosis completa de un conducto ileal, con cuatro años de seguimiento conservador" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "97" "paginaFinal" => "100" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Luis A. Fariña pérez, Daniel Pesqueira santiago" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Luis A." "apellidos" => "Fariña pérez" "email" => array:1 [ 0 => "luisfarina@yahoo.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Daniel" "apellidos" => "Pesqueira santiago" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Urología. Hospital POVISA. Vigo. Pontevedra" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. Luis A. Fariña Servicio de Urologia. Hospital POVISA Salamanca, 5 - 36211 Vigo (Pontevedra). Tel.: 986 413 144" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Spontaneous transuretero-ureterostomy after complete stenosis of an ileal conduit, with four years of conservative follow-up" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-04-01" "fechaAceptado" => "2007-05-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88767" "palabras" => array:2 [ 0 => "Conducto ileal" 1 => "Complicaciones" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec88768" "palabras" => array:2 [ 0 => "Ileal conduit" 1 => "Complications" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La estenosis del conducto ileal es una complicación infrecuente de esta derivación urinaria. En el caso que describimos pasó durante un tiempo inadvertida y llevó al paciente a una situación de riesgo. Después de implantar una nefrostomía bilateral, se encontró una transuretero-ureterostomia espontánea.</p> <span class="elsevierStyleSectionTitle">Caso Clínico</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Un varón de 70 años con un conducto ileal realizado 15 años antes por tener tumor vesical, ingresó con signos de infección intraabdominal grave y oliguria. Los estudios radiológicos mostraron absceso intraabdominal, y se encontró estenosis casi completa del conducto ileal, que se trató conservadoramente mediante una nefrostomia bilateral. Después de ser dado de alta ocurrió la caída accidental de la nefrostomía derecha, recogiendo cantidades normales de orina por la única nefrostomía izquierda. Se comprobó la existencia de una transuretero-ureterostomía espontánea, con estenosis de la porción distal del conducto ileal. Desde entonces permanece con la nefrostomía, que se cambia periódicamente y en cuatro años de seguimiento no ha tenido deterioro renal significativo.</p> <span class="elsevierStyleSectionTitle">Comentario</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El origen de esta estenosis se atribuye a los cambios inflamatorios o inmunológicos en la pared del segmento intestinal, inducidos por la presencia crónica de la orina. Nuestro caso es singular por el curioso resultado de una transuretero- ureterostomía in situ y por el largo seguimiento conservador que se hizo, en un paciente que mantiene una calidad de vida buena.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introductio</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Stenosis of an ileal conduit is a rare complication of this urinary diversion. In the case here described, such a complication was neglected for some weeks and left the patient in a high risk situation. After implantation of a bilateral nephrostomy, a spontaneous transuretero-ureterostomy was found.</p> <span class="elsevierStyleSectionTitle">Clinical case</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A 70-year-old man with an ileal conduit performed 15 years before because of bladder tumour, was admitted with signs of severe intraabdominal infection and oliguria. The image studies shown intraabdominal abscess, and an almost complete stenosis of the ileal conduit, that was conservatively treated with a bilateral percutaneous nephostomy. After discharged, he reported an accidental falling-out of the right nephrostomy, collecting normal diuresis from the only left nephrostomy. The spontaneous appearance of a transuretero-ureterostomy was demonstrated. The patient refused surgery and remained with a nephrostomy that is periodically changed, and after four years of follow-up he has neither significant kidney dysfunction nor other incidences.</p> <span class="elsevierStyleSectionTitle">Comment</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The origin of this ileal conduit stenosis is related to the inflammatory or immunologic changes induced by the chronic presence of the urine on the wall of the intestinal segment. This case is singular because of the curious result of an in situ transuretero-ureterostomy, and because of the long conservative follow-up, without significant complications, in a patient that keeps a good quality of life.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ileal loop stenosis: a late complication of urinary diversion" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.E. Mitchell" 1 => "I.C. Yoder" 2 => "R.C. Pfister" 3 => "J. Daly" 4 => "A. Althausen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Urol" "fecha" => "1977" "volumen" => "118" "numero" => "6" "paginaInicial" => "957" "paginaFinal" => "961" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/926274" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Estenosis de asa ileal en paciente con derivación urinaria tipo Bricker" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.L. Guate" 1 => "J. 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