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2.
Ann Chir ; 128(3): 180-4, 2003 Apr.
Article in French | MEDLINE | ID: mdl-12821087

ABSTRACT

Duodenal cystic dystrophy due to ectopic pancreas deposit is an uncommon pathology. Diagnosis is made by modern imaging techniques, mainly endoscopic ultrasound which localizes precisely cysts in duodenal wall. The most frequent clinical symptoms are pain, duodenal obstruction, and weight loss. We report the case of a 40 year-old man with cystic dystrophy of the 2nd part of the duodenum, without chronic pancreatitis, treated by a conservative surgical procedure including segmental duodenal resection. This original approach is an alternative to the Whipple procedure.


Subject(s)
Choristoma/diagnosis , Choristoma/surgery , Duodenal Diseases/diagnosis , Duodenal Diseases/surgery , Pancreas , Pancreatic Cyst/diagnosis , Pancreatic Cyst/surgery , Pancreatitis/diagnosis , Pancreatitis/surgery , Adult , Anastomosis, Roux-en-Y , Cholangiography , Choristoma/complications , Duodenal Diseases/complications , Duodenostomy , Duodenum/surgery , Endosonography , Gastroscopy , Humans , Jejunum/surgery , Magnetic Resonance Angiography , Male , Pancreatic Cyst/complications , Pancreatitis/complications , Suture Techniques , Treatment Outcome
3.
Ann Chir ; 127(10): 783-5, 2002 Dec.
Article in French | MEDLINE | ID: mdl-12538101

ABSTRACT

Liver metastasis of carcinoid tumors from the digestive tract are rare entities, with characteristic symptoms and slow evolution. Symptomatic metastases may justify surgical resection. Herein, we report a series of nine patients, who underwent 14 hepatic resections (6 major and 8 minor), which was radically operated in 71%. The postoperative mortality was zero and the morbidity was 7%. Mean follow-up was 82 month (median 75 months) and global survival rate was 89%. Two patients are in complete remission. Our experience suggest that surgical hepatic resection, when feasible, is efficient and associated with prolonged survival despite a high recurrence rate.


Subject(s)
Carcinoid Tumor/secondary , Carcinoid Tumor/surgery , Gastrointestinal Neoplasms/pathology , Liver Neoplasms/secondary , Liver Neoplasms/surgery , Postoperative Complications , Adult , Aged , Female , Humans , Male , Middle Aged , Morbidity , Prognosis
5.
Ann Pathol ; 18(2): 125-9, 1998 Apr.
Article in French | MEDLINE | ID: mdl-9608865

ABSTRACT

Congenital hepatic fibrosis (CHF), is an autosomal recessive disease, presenting principally in childhood with portal hypertension and/or cholangitis, and often associated with renal malformations. The forms presenting later in adults are rare, and illustrated herein by 4 cases with dominant cholangitis, and one latent form. Biological tests and radiological imaging are often normal. The histopathologic diagnosis, sometimes difficult on liver needle biopsy is based on fibrous enlargement of portal areas, with numerous and tortuous bile ducts, lined by regular, cuboidal epithelium. Interportal fibrosis can mimic cirrhosis. In CHF, cholangitis are favoured by intrahepatic biliary dilatation, sometimes related to Caroli's disease, associated in 25% of cases. Suppurative complications, sometimes fatal explain the severity of cholangitis forms of CHF, contraindicating inopportune cholangiography and biliary surgery.


Subject(s)
Genes, Recessive , Liver Cirrhosis/congenital , Age of Onset , Aged , Aged, 80 and over , Biopsy, Needle , Female , Humans , Liver Cirrhosis/genetics , Liver Cirrhosis/pathology , Male , Middle Aged
7.
J R Coll Surg Edinb ; 40(5): 324-6, 1995 Oct.
Article in English | MEDLINE | ID: mdl-8523312

ABSTRACT

Atherosclerotic aneurysms involving only infrapopliteal arteries are extremely rare. The present report describes a patient with two completely separate aneurysmal dilatations involving the tibioperoneal trunk and the anterior tibial artery. To our knowledge, this condition has not been previously described. An international bibliographic review was also made, collecting four patients affected by atherosclerotic infrapopliteal aneurysms. Clinical presentation, radiographic findings, and surgical management are discussed.


Subject(s)
Aneurysm , Arteriosclerosis , Popliteal Artery , Aged , Aneurysm/pathology , Aneurysm/surgery , Arteriosclerosis/pathology , Arteriosclerosis/surgery , Humans , Male , Tibial Arteries
8.
J Chir (Paris) ; 131(12): 554-7, 1994 Dec.
Article in French | MEDLINE | ID: mdl-7738128

ABSTRACT

The authors report two cases of colonic endoscopic perforation with peritonitis treated by minimal lateral colostomy. The evolution was favorable in this two cases with spontaneous closure of colostomy. We intended to remind the usefulness of this old and simple technique sometimes omitted in the therapeutic armentorium of the iatrogenic colic perforation, especially from endoscopic origin. Thus the risk of complications of an ideal surgery or the necessity of a second-time anastomosis after the initial colostomy can be avoided.


Subject(s)
Colonic Diseases/surgery , Colostomy/methods , Endoscopy, Gastrointestinal/adverse effects , Intestinal Perforation/surgery , Peritonitis/etiology , Adult , Aged , Colonic Diseases/complications , Colonic Polyps/surgery , Female , Humans , Intestinal Perforation/complications , Male , Postoperative Complications
9.
J Chir (Paris) ; 131(8-9): 351-4, 1994.
Article in French | MEDLINE | ID: mdl-7844193

ABSTRACT

Treatment of 27 large abdominal eventrations by intra-peritoneal prothesis fixed by staples is reported. Only one recurrence (3.5%) in the post-operative period, the good results observed, absence of grave complication, and great simplicity of this procedure lead the authors to recommend the use of intraperitoneal prosthesis in the treatment of post-operative eventration with major loss of parietal substance.


Subject(s)
Hernia, Ventral/surgery , Peritoneum/surgery , Prostheses and Implants , Surgical Staplers , Adult , Aged , Female , Follow-Up Studies , Humans , Male , Middle Aged , Postoperative Complications , Recurrence
10.
J Vasc Surg ; 13(3): 434-8, 1991 Mar.
Article in English | MEDLINE | ID: mdl-1999865

ABSTRACT

The authors present a new diagnostic procedure to quickly and noninvasively diagnose the popliteal artery entrapment syndrome. A large personal experience on the surgical treatment of such a disease (29 cases in 22 patients) allowed us to focus on the optimal diagnostic procedure useful to detect this problem at an early stage. The technique is based on continuous-wave Doppler and duplex scanning studies done both in the resting state and during active contraction of the calf muscles. If compression of the popliteal artery occurs with contraction of the calf muscles, it will be detected by a decrease in flow. This finding will also direct the radiologist to obtain films when the maneuver is repeated. This makes it unlikely that the diagnosis will be missed. Since July 1988 a total of 1212 patients were evaluated with continuous-wave Doppler for suspected chronic ischemia. From this group 41 patients were selected to be studied again with the combined continuous-wave Doppler and duplex scanning method for possible popliteal artery entrapment syndrome. Two cases were discovered and verified by dynamic angiography guided by continuous-wave Doppler and treated surgically.


Subject(s)
Popliteal Artery , Ultrasonography/methods , Adult , Constriction, Pathologic/diagnostic imaging , Humans , Leg/blood supply , Male , Muscle Contraction , Ultrasonics
11.
J Clin Psychol ; 31(3): 465-8, 1975 Jul.
Article in English | MEDLINE | ID: mdl-1165272

ABSTRACT

Correlations between Bender-Gestalt scores and WISC IQs were obtained for three ethnic groups of 123 Puerto Rican, 82 white, and 61 Negro children in the first grade. The Bender-Gestalt test did not show any significant relationship with the WISC scores of the Puerto Rican children. Significant correlations (p less than .01) between the Bender and all the WISC scores were found for the Negro group. For the white Ss, the WISC-Bender relationship was significant (p less than .01) only for the Performance and Full Scale scores. The absence of a significant correlation between the Bender and the WISC Verbal IQ in these children was attributed to the relative superiority of their Verbal scores.


Subject(s)
Bender-Gestalt Test , Ethnicity , Intelligence Tests , Wechsler Scales , Black or African American , Child , Humans , New York City , Puerto Rico/ethnology , Social Class
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