[Role of transesophageal echocardiography in the diagnosis of aortic dissection. Report of 5 cases]. / Apport de l'echocardiographie transoesophagienne dans le diagnostic de la dissection de l'aorte. A propos de 5 observations sénégalaises.

Aortic dissection is medical and surgical emergency. About 5 cases, the authors emphasized the role of transesophageal echocardiography in the diagnosis of aortic dissection. For all patients we realized a clinical examination, electrocardiogram, chest X ray, thoracic and transesophageal echocardiography and laboratory studies. Echocardiography were performed by an apparatus Hewlett Packard sonos 1000 with colour doppler and multiplanar transesophageal. Transesophageal echocardiography made the diagnosis by showing dilatation of aorta, intimal flap, false channel; this exam also allow to classify the aortic dissection.

[Endo-lumen vaterian diverticulas of the duodenum]. / Les diverticules vatériens endo-luminaux du duodénum

The authors report an unusual personal case of a diverticulum of Vater projecting into the lumen of the duodenum. The authors comment on the clinical, pathological and pathogenic findings of this embryological abnormality. Finally, they recall a few rules to avoid operative complications by a routine search for the ratios between the diverticulum of the duodenum and the papilla or the bile and pancreatic ducts.