[Spontaneous esophageal perforation. Radiological diagnosis]. / Perforation oesophagienne spontanée. Diagnostic radiologique.

Esophageal perforations are rare and usually occur after instrumentation. We relate here a case unsuspected spontaneous esophageal perforation. Computed chest tomography firstly showed signs of mediastinal abscess. Secondary barium meal confirmed the diagnosis.

[A case of VIP and somatostatin-secreting phaeochromocytoma (author's transl)]. / Phéochromocytome sécrétant du vaso-active intestinal peptide et de la somatostatine. Une observation.

A man with watery diarrhoea was found to have adrenal tumour. Pre-operative examinations located the tumour in the right adrenal gland and revealed that it secreted an excess of vasoactive intestinal peptide (VIP). All symptoms disappeared after excision of the phaeochromocytoma; they have not recurred after a 3 years' follow-up period. Histological examination of the tumour confirmed that it was the site of a triple hormonal secretion (VIP somatostatin and catecholamines).

[Early syphilitic hepatitis. Two cases]. / Hépatites de la syphilis preécoce. Deux observations.

Two patients are presented as cases of secondary syphilitic hepatitis. Clinical and biological signs coincided with usual description of this affection. Syphilitic serological tests were all very positive. These two patients were homosexual men. In one case, we have found treponema in hepatic biopsy, underelectron microscope only, which confirmed the diagnosis. Evolution of both patients was improved by anti-syphilitic penicillin the rapy. Thus, this is an important diagnosis, which should not missed, because of the good prognosis of this affection with specific treatment, and because of the increasing frequency of syphilis for 20 years.

[Rectocolic lymph node appearance in adults (author's transl)]. / Aspect nodulaire lymphoïde rectocolique chez l'adulte.

A very characteristic rectocolic "lymph follicle appearance" was observed on radiological examination by double contrast enemas in 3.5 p. cent of 480 cases explored. The usual typical appearance is that of small lacunae of 1 to 3 mm in diameter, with indistinct borders, extending through several colon segments. The frequency with which these images are observed is probably a function of the double contrast technique employed, particularly the adherence of the barium. In most cases, the "lymph follicle appearance" is a variation of the normal, but several rare forms could result from a partial immunity deficiency. Differential diagnosis includes colon wall oedema and most polyposis disorders in their initial stages. Coloscopy with biopsy is necessary when diagnosis is uncertain.

[Malignant non-secreting cortico-adrenalomas. Four cases (author's transl)]. / Cortico-surrénalomes malins non-sécrétants révélés par une fièvre prolongée. Quatre cas.

In three of these four cases of malignant tumour of the adrenal cortex, a prolonged fever and a major inflammatory syndrome were the presenting features. The precise diagnosis was made before surgery only once. In two cases, it was a surgical discovery (one patient operated upon with a false diagnosis and another with no precise diagnosis). In the last case, the malignant tumour of the cortex was discovered at autopsy. The chief characteristics of these tumours are reviewed: rare ; presenting with chest pain, a mass in the hypochondrium, metastases, or general symptoms, possibly high and prolonged fever. The prognosis is gloomy, the majority of patients dying the six months which follow the operation.