[Granular cell tumors of the esophagus. Apropos of a case combined with an epidermoid carcinoma of the esophagus]. / Les tumeurs à cellules granuleuses de l'oesophage. A propos d'un cas associé à un cancer épidermoïde de l'oesophage.

A 51-year-old man had epidermoid carcinoma in the middle third of the esophagus. The esophagus was resected. On histologic examination there was a granular cell tumor in the lower third of the esophagus. The patient died 4 months after surgery from pulmonary failure. Granular cell tumors are generally benign. There have been 86 cases involving the esophagus discussed in the literature; 7 cases were associated with bronchial [3], esophageal [2], gastric [1] or otolaryngeal [1] carcinoma and 1 with a lymphoma. Our case emphasizes the need to evaluate the entire esophagus when a lesion is identified. The occurrence of granular cell tumor of the esophagus justifies prolonged surveillance in order not to neglect an associated tumor.

[Intestinal complications of the IUD]. / Complications intestinales du sterilet.

PIP: A case of intestinal stenosis due to uterine infection from an immured Lippes loop is presented. The woman was a 32-year-old mother of 3 with a normal gynecologic history. She had a painful swollen abdomen, a football-sized mass anterior to the rectum, and a hypertrophied cervix. Biopsy by rectoscopy revealed an atrophied rectal mucosa. Barium emema showed rectal stenosis at the beginning of the sigmoid, and an elongated IUD, which the patient had worn for 3 years but had failed to mention (along with her metrorrhagia of 3 weeks' duration). After 2 days the patient had become oliguric, feverish (40.5 degrees C.), with a tender pelvis and a purulent cervix, so antibiotics (gentalline and terramycin with ice) were prescribed. 2 days later a celioscopy showed congested uterus and tubes, pelvoperitonitis, but no neoplasm. The IUD could not be removed. Antibiotics (flabelline) and antiinflammatory drugs (tanderil and solupred) were continued until the infection subsided.^ieng