[Thoracic sympathectomy: treatment for hyperhidrosis]. / Sympathectomie thoracique: un traitement de l'hyperhidrose.

Hyperhidrosis is a benign functional anomaly which is highly stressful for the patient. Active management is required. Several medical options are available but are often ineffective. The thoracic sympathic system plays a fundamental role in propagating stimulation of sudoral gland secretion. Endoscopic thoracic sympatecomy thus provides a radical treatment for severe palmar and axillary hyperhidrosis. We describe the technique used in our unit and present results and possible complications. This method has been used by many teams for several Years and despite some differences, most confirm major patient benefit. Phenomena of transferred sudation are frequent by are usually not invalidating. Patients should however be informed of this possibility because the effect is often irreversible.

[Hematic pseudocysts of the adrenal gland. Apropos of a case]. / Les pseudokystes hématiques de la surrénale. A propos d'une observation.

We report an adrenal pseudocyst fortuitously discovered in a 30-year-old young woman. Diagnostic of this uncommon pathology is characterized by absence of specific clinical signs and the importance of recent radiologic examinations, echography and NMR. Percutaneous aspiration appears to be warranted prior to or instead of surgery in patients with symptomatic cysts or cystic lesions that do not fulfill the imaging criteria for simple cysts. Treatment is based on adrenal gland resection owing to the seriousness of the potential complications.