[Diagnostic traps in abdominal emergencies in para- and tetraplegics. Apropos of 4 cases]. / Les pièges du diagnostic des urgences abdominales chez les para et tétraplégiques. A propos de quatre observations.

Four cases of acute abdomen in para- and tetraplegic patients are reported. One patient had a perforated duodenal ulcer without clinical symptoms, while another had abdominal contracture of neurological origin. Two cases of occlusive syndrome associated with faecaloma and with volvulus of the small bowel are also described. The absence or alteration of classical symptoms makes the diagnosis of abdominal emergencies particularly difficult in paraplegic patients. A better knowledge of the clinical pictures encountered in such cases, close supervision of the patients and carefully selected complementary examinations should help to avoid these problems and result in an early surgical decision.

[Resection of the ischium in paraplegics (author's transl)]. / L'ischiectomie chez le paraplégique.

A technique of resection of the ischium in paraplegics is described. It aims to avoid pressure sores arising from the development of hygromata in active paraplegics. The resection must be complete, subperiosteal and bilateral when necessary. A muscular plasty must be made by suturing the hamstrings to the pyriformis and gluteus medius.