[Place of percutaneous nephrolithotomy in the treatment of kidney stones]

This is a minimally invasive surgical technique, which has its place as a first intention treatment of urolithiasis. Our object is to insist on the importance of this technique within the therapeutic arsenal of renal lithasis. This is a retrospective study of 300 cases of percutaneous nephrolithotomiers practiced in 270 patients in our department through a period of 23 years [1985-2008]: It concerned includes x 157 males and 113 females, the average age is 46 years old [17 years-75] - The calulus was pelvic in 188 cases [62.7%], lawer calyceal in 52 cases [17.3%] and a staghorn in 40 cases [13,3%]. All our patients were treated by the sawe technique. Our success rate was of 68,7%, the complications concerned zo cases that is a rate of 6.7%, without any deaths. The operation duration average was 188 minutes, and the postoperative hospitalisation period was seven days. The percutaneous ne phrolithotomy restes a recommended firts intention in the treatment of complex calculus in association with the complementary extracorporal lithority. The classical surgery has its place in the percutaneous nephrolithotomi failure cases, the residual calculus are the prerogative of extractor poreal lithoripsy

[Acute transverse myelitis - about a case report]

The acute transverse myelitis is characterized by motor, sensor and autonomic dysfunction. The causes are multiple requiring a rigorous diagnostic investigation. The idiopathic forms are rare. The imagery by magnetic resonance easily makes it possible to make the diagnosis of myelitis but also to follow the evolution under treatment. We report a clinical case of an acute transverse myelitis whose assessment etiologic was negative with a fatal resulting

Acute oedema of the lung and pre-eclampsia about 15 cases

Our aim is to point out the relation between acute oedema of lung and pre-eclampsia and guidelines of care. All the patients were hospitalized in the intensive care unit of the university hospital center of Hassan II of Fez, for pre-eclampsia and eclampsia from January 2003 to March 2006. The authors report 15 cases of acute oedema of the lung [AOL] associated with pre-eclampsia. The average age was of 24 +/- 9 years. We noted 9 primipars, 6 cases of AOL occurred in delivery period. 10 cases of preeclampsia were detected, whereas it was associated to a cardiomyopathy of the peripartum and three rheumatic valvulopathies. The childbirth took place by Caesarean at 8 patients and 7 were confined by low way. 9 patientes required artificial ventilation and the haemodialysis was carried out in 3 patientes. The evolution was favourable in 12 patientes. We deplored three maternal deaths and 4 newborn deaths. The acute oedema of the lung during the preeclampsia is a serious pathology; its mechanism of appearance is complex. The materno-foetal forecast depends on how the treatment was prompt, of the severity of the EP and the age of the pregnancy. The prevention is based on the antenatal consultation and the monitoring of any EP in order to propose in time a possible ending of pregnancy