[Digestive endometriosis of the caecum and intussusception: about one case]. / Endométriose digestive de localisation caecale et invagination intestinale aiguë: à propos d'un cas.

We report the case of a 40-years-old woman who had a caeco-colic intussusception on a digestive endometriosis. Such exceptional association can be life-threatening, requiring urgent surgery.

[Laparoscopic surgery of deep endometriosis. About 118 cases]. / Traitement coelioscopique de l'endométriose profonde. A propos de 118 cas.

OBJECTIVE: To evaluate risks and benefits of laparoscopic surgery of deep endometriosis, especially with bowel involvement with the aim of improve the inform consent of patients and choice of adequate management. PATIENTS AND METHODS: Observational continuous study on 118 patients suffering from deep endometriosis (48 with bowel endometriosis) treated by laparoscopic surgery. RESULTS: 95.6% of the patients improved their symptoms (93.7% for dyspareunia). Upon the 29 infertile patients, 21 (72%) got pregnant, including 14 (66%) spontaneously. During operative time, 3 laparotomies occurred, two of them for haemorrhage. During postoperative time, 4 major complications (2 rectal fistulas and 2 ureteral necrosis) and minor complications occurred. DISCUSSION AND CONCLUSIONS: Those data confirm the efficiency of laparoscopic treatment of deep endometriosis especially for pain relief and fertility. Nevertheless, few but severe complications may occur. Therefore, it is imperative to deliver clear, loyal and appropriate information before to proceed to such a treatment.

[Epidermoid cyst of the spleen]. / Kyste épidermoïde splénique.

Epidermoid cysts rarely occur in the spleen and are often found fortuitously. Epidermoid cyst of the spleen is an inclusion of epidermoid elements within a mesodermic structure. Treatment is partial conservative splenectomy followed by ultrasound surveillance.