<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852022000500006</article-id>
<article-id pub-id-type="doi">10.48193/revistamexicanadeurologa.v82i5.902</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Afectación metastásica de la orbitaria por carcinoma de vejiga simulando una celulitis periorbitaria: reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Metastatic involvement of the orbital due to bladder carcinoma simulating periorbital cellulitis: case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bobadilla-Romero]]></surname>
<given-names><![CDATA[Emny Rochell]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Artés-Artés]]></surname>
<given-names><![CDATA[Miriam]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Porcel]]></surname>
<given-names><![CDATA[Víctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alcón-Cerro]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guzmán-Martínez-Valls]]></surname>
<given-names><![CDATA[Pablo Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez-Parra]]></surname>
<given-names><![CDATA[José David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Universitario Reina Sofía  ]]></institution>
<addr-line><![CDATA[Murcia ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2022</year>
</pub-date>
<volume>82</volume>
<numero>5</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852022000500006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852022000500006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852022000500006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Descripción del caso clínico: Varón de 67 años con antecedente de cistectomía radical por tumor vesical músculo invasivo, presenta un cuadro agudo de edema y eritema periorbitario izquierdo acompañado de dolor y disminución de la motilidad ocular, inicialmente se sospechó una celulitis periorbitaria por lo que se inició tratamiento empírico con antibiótico. Al no presentar mejoría clínica tras completar correctamente el tratamiento se decide biopsiar la lesión, siendo los resultados de la biopsia compatibles con metástasis de carcinoma vesical.  Relevancia: El carcinoma de vejiga representa unos de los tumores urológicos más frecuente, afectando con mayor frecuencia al sexo masculino; los sitos más frecuentes de metástasis son los ganglios linfáticos, pulmones y huesos, sin embargo, la afectación metastásica de la órbita es rara.  Implicaciones clínicas: A pesar de que la afectación metastásica de la órbita por tumores uroteliales es muy infrecuente, es importante conocer las características de la lesión para poder realizar un diagnóstico oportuno y de esta manera brindar un tratamiento adecuado.  Conclusión: En pacientes con antecedentes de cáncer vesical que presenten celulitis periorbitaria sin mejoría clínica a pesar de un tratamiento antibiótico adecuado, se debe sospechar la afectación orbitaria por metástasis del tumor vesical.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Description of the clinical case: A 67-year-old man with history of radical cystectomy due to a muscle-invasive bladder tumor presented with an acute erythema and swelling in the left periorbital region accompanied by tenderness and decreased ocular motility. Initially, a periorbital cellulitis was suspected and empirical antibiotics treatment with initiated. As there was no improvement with the antibiotic regimen, it was decided to biopsy the lesion. The biopsy results were consistent with metastasis of bladder carcinoma.  Relevance: Bladder carcinoma represents one of the most common urological tumors, affecting predominantly males. The most frequent sites of metastasis are the lymph nodes, lungs, and bones; metastatic involvement of the orbit by bladder carcinoma is rare.  Clinical implications: Although metastatic involvement of the orbit by urothelial tumors is very rare, it is important to know the characteristics of the lesion in order to make a timely diagnosis and thus provide adequate treatment.  Conclusion: In patients with a history of bladder cancer who present periorbital cellulitis without improvement of symptoms despite adequate antibiotic treatment, orbital involvement due to bladder tumor metastasis should be suspected.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Bladder cancer]]></kwd>
<kwd lng="en"><![CDATA[carcinoma in situ]]></kwd>
<kwd lng="en"><![CDATA[metastasis]]></kwd>
<kwd lng="en"><![CDATA[urothelial tumors]]></kwd>
<kwd lng="en"><![CDATA[orbital cellulitis]]></kwd>
<kwd lng="es"><![CDATA[cáncer de vejiga]]></kwd>
<kwd lng="es"><![CDATA[carcinoma in situ]]></kwd>
<kwd lng="es"><![CDATA[carcinoma urotelial]]></kwd>
<kwd lng="es"><![CDATA[celulitis periorbitaria]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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