[Pain during peritoneum pinching, a pathognomonic sign of peritoneal disease. Clinical research. Semiological value]. / La douleur au pincement du péritoine, signe pathognomonique d'affection péritonéale. Recherche clinique. Valeur séméiologique.

Pain induced by pinching the peritoneum betrays a pathology of that membrane. It is absent when the peritoneum is perfectly healthy. Pain is elicited by a special palpation technique. Clinically and statistically, the presence of this pain is pathognomonic, but it does not inform on the aetiology. In the present study the most frequent causes of positive abdominal peritoneal pinching test were peritoneal tuberculosis, followed by portal hypertension with or without liver cirrhosis.

[Stopping persistent hiccups in the adult by endoscopic maneuver]. / Arrêt du hoquet persistant de l'adulte par manoeuvres endoscopiques.

Thirty-four patients with persistent hiccups (median duration 10 days) were treated by gentle endoscopic massage of the region of the cardia. Hiccups stopped in all cases. Its early recurrence in one patient only required a second massage, which was also effective. This simple technique is recommended for the treatment of persistent hiccups.

[Gastro-duodenal perforating ulcers. Therapeutic trend in African patients (a study of 80 cases recorded in Abidjan) (author's transl)]. / Perforation des ulcères gastro-duodénaux. A propos de 80 cas observés a Abidjan.

80 perforating ulcers recorded during 7 years (1970-1976) in Abidjan hospitals are reviewed. The therapeutic tactic is discussed according to the traditional and socio-economic living patterns of african patients: the authors propose a complete surgical treatment carried out either directly or after some delay but without discharging the patient who, in most cases, would no more report to the hospital. Suture may be an emergency treatment in patients with poor condition but it must be completed later during the same confinement.