[Upper femoral epiphysiolysis in French Polynesia. Hip pain with serious consequences]. / L'épiphysiolyse fémorale supérieure en Polynésie Française. Une douleur de hanche aux conséquences lourdes.

High femoral epiphysiolysis is a frequent disability in French Polynesia, occurring more in obese young people that being a morphotype quite frequent in this geographical area. It is often at the stage of acute epiphysiolysis or fixed coxa vara these patients are examined. At such stage, sequellae are major and evolving to precocious coxarthrosis. It is at a stage of progressive coxarthrosis at the beginning that treatment and recovery are possible without sequellae. Any practitioner has to think about it when confronted to any pain in a hip of teenager, so a surgical treatment, in good conditions could be performed.

[A case of ureteral bilharziasis followed for 22 years]. / A propos d'une bilharziose uretérale suivie pendant 22 ans.

The authors report on one case of urinary schistosomiasis monitored for 22 years. It illustrated the problems posed by the "bilharzial uretero-hydronephrosis". They analyse the different therapy problems which have to have been successively solved: Low double ureteral stenosis. The difficulty to be certain of such a stenosis is recalled. The possibility of a reflux or an ureteral atony must be eliminated. True stenosis must be operated without delay; Kidney cancer revealed 20 years later through chronic renal failure by vesico-ureteric reflux caused by the first surgical intervention (latero-lateral vesico-ureteric anastomosis); Iatrogenic vesico-ureteral reflux, treated by uretero-vesical implantation on "psoic" bladder with anti-reflux submucous path. The future of such a chronic renal failure is linked to the capability of the remaining ureter to ensure an acceptable passage of urine, and to the rehabilitation possibility of the kidney. Finally, the authors recalled the difficult therapeutic indications in case of ureteral attack due to bilharziosis.

[Detection and treatment of renovascular syndromes of pregnancy excluding their progressive complications]. / Dépistage et traitement des syndromes vasculo-rénaux de la grossesse en dehors de leurs accidents évolutifs.

Three symptoms define the renovascular syndromes during pregnancy: hypertension, edemas and proteinuria. It is essential to detect them as soon as possible during the antepartal examinations. The directions for treatment consist in simple acts which are easy to perform in overseas conditions. They intend to prevent very serious disorders such as abruptio placentae and eclampsia which should not be found any longer.