Surgical treatment of idiopathic megaoesophagus

About an analysis of 15 cas of mecaoesophagus, the authors underline it's clinical latency. The clinical features become clear when the megaoesophagus is already constitued after a certain delay. Heller's myotomy is the operation of choice that gives fonctionnals and anatomical results

Choledocal cyst in adult. Report of 2 cases

The congenital choledocal cyst is a rare but not exceptional affection. The diagnosis is rather easy, thanks of the clinical symptoms, the echography and the intravenous cholangiogram. The evolution with complication compulse a surgical treatment just after the diagnosis. The most complete removal of the cyst with choledocojejunostomy is the favorite technic for most authors

Thyphic acute cholecystis

The acute typhoid cholecystis is a rare complication of typhoid fever in childhood. The authors report the observation of a 7 year old child operated of a perforation of a mortified gall bladder. The authors review the pathological aspects, the clinical features and the treatment of this affection

Analytic study of 1481 appendicular syndrome

Our work consists of a retrospective study of 1.481 appendicular syndromes collected in the service of surgical emergencies from June 1980 to December 1984. Summarizing the date count, it emphasizes from our study: The acute appendicitis is the most frequent of abdominal surgical emergencies, it attacks both sexes with a light male predominance, the clinical is very polymorphic, and the confrontation anatomo-clinical, trial shows the absence of paralylism between the clinic, the operatory explorations and the histology

Huge neurofibroma of intrathoracic vagus

A case of neurofibroma of the left vagus nerve associated with a Recklinghausen's disease is reported. The review of the literature shows how rare is this type of localisation, only 62 cases are reported since 1926. The authors remind us the absence of specific signs of vagal involvement and mildness of postoperative course of surgical excision

Hydatid cyst of adrenal gland. A case report

The authors report a case of hydatic cyst of the adrenal left gland in a 35 year-old woman. They give a clinical and paraclinical description. Such lesions are uncommon and only detected fortuitously or in case of hardly definable pains. Their diagnosis has largely profited by the contribution of echotomo-graphy and tomodensitometry. The removal of a cyst with conservation of the adrenal gland is the best approach of such lesions

Surgical treatment of oesophageal stenosis secondary to reflux oesophagitis. About 18 cases

Eighteen peptic oesophagitis have been treated in the University Hospital of Casablanca mainly by conservative surgery. The results obtained show that the surgical procedure should discharge always the oesophagus, distend the stenosis by candling and end by an anti-surging back method