A huge abdominal mass revealing a depressive syndrome.

Trichobezoar is a rare condition that occurs mostly in young women with psychiatric disorders such as trichotillomania and trichophagia. We report the case of a giant gastric trichobezoar in a 21-year-old woman who presented with chronic abdominal pain, vomiting and weight loss. Abdominal examination revealed a large epigastric mass. Endoscopic and imaging findings were highly suggestive of a gastric trichobezoar. Surgical extraction of the huge hair mass was successfully performed through an open gastrotomy. Postoperatively, history of a neglected chronic depression with suicidal ideation was diagnosed. Consequently, the patient was referred to the psychiatric department for mental healthcare, to prevent trichobezoar recurrences.

[Neuro-imaging of tuberous sclerosis]. / Neuro-imagerie de la sclérose tubéreuse de Bourneville.

Tuberous sclerosis is a phakomatosis with central nervous system manifestations characterized by 4 lesions detectable on neuro-imaging: tubers, white matter abnormalities, subependymal nodules and subependymal astrocytomas. The first three are benign lesions composed of by identical cytological lesions varying only in size and location. At CT, enhancement of subependymal nodules is usually considered as evidence of transformation to subependymal giant cell astrocytoma. This latter poses the problem of its relative benignity: hydrocephalus source of morbidity or even mortality. From a series of 22 cases, the authors review the characteristics of these abnormalities.

[A rare cause of hematuria: rupture of a renal artery aneurysm. A case report]. / Une cause rare d'hématurie: rupture d'anévrisme de l'artère rénale. A propos d'un cas.

The authors report a case of ruptured renal artery aneurysm in a 78 year old patient presenting with macroscopic hematuria. The rare occurrence of this entity and the value of imaging for diagnosis are discussed.

[A new case of abdominal pregnancy]. / Un nouveau cas de grossesse abdominale.

The authors report a case of abdominal pregnancy that reached term. This type of pregnancy is now rare except in developing countries due to lack of early diagnosis. Ultrasonography is useful to confirm a clinically suspected diagnosis. MRI is helpful to further characterize the relation between placental tissue and intra-abdominal organs. Prognosis for the fetus is usually poor, and risks to the mother are non-negligible. Management is typically surgical and placental resection is the main concern. In this case, surgical delivery of an otherwise normal appearing infant was performed.