[An unusual cause of generalized peritonitis: intraperitoneal rupture of an infected urachal cyst. A case and review of the literature]. / Une cause inhabituelle de péritonite généralisée: la rupture intrapéritonéale d'un kyste infecté de l'ouraque. Une observation et revue de la littérature.

The authors report a case of acute peritonitis due to intraperitoneal perforation of an infected urachal cyst. A review of the literature found only 15 similar cases. The presence of a lower midline mass, an umbilical discharge together with ultrasound examination should suggest the possibility of urachal pathology, especially and urachal cyst, with subsequent surgical treatment.

[Leiomyoma of the rectum]. / Les léïomyomes du rectum.

Most of the 150 leiomyomas of the rectum reported since 1872 were no larger than 5 cm. The authors report 3 new observations of leiomyomas of the rectum measuring more than 5 cm. The diagnosis of leiomyoma is difficult. The physical examination and rectoscopy suggest a submucal tumour of the rectum and endoendoscopy helps, describe the relations with the urogenital tract and the sphincters. Due to the lack of distinctive pathology features of malignancy, a leiomyosarcoma cannot be totally eliminated. The prognosis is uncertain due to the rate of relapse and the short follow-up (less than one year) in the previously reported cases. A slow spontaneous clinical course is however possible. The treatment goal is complete surgical removal. While local exeresis is indicated in tumours less than 5 cm in size, echo-guided endorectal protectomy with or without amputation of the sphincter should be discussed for larger tumours.

[Tertiary hyperparathyroidism after renal transplantation in man. Treatment by parathyroidectomy and auto-graft. Eight cases (author's transl)]. / Hyperparathyroïdisme tertiaire après transplantation rénale chez l'homme. Traitement par parathyroïdectomie et auto-greffe de parathyroïde. A propos de 8 cas.

In a series of 76 functional renal transplantations we noted 8 cases of hyperparthyroidism occurring in periods ranging from 2 months to 4 years. Hypercalcaemia was the most constant manifestation. PTH was raised in the 7 subjects in whom it was measured. Eight patients underwent total parathyroidectomy followed in 7 of them by auto-graft of a fragment of parathyroid into a forearm muscle according to the technique of Wells. The operation was followed in all cases by normalisation in blood calcium levels after the 1st month. Serum PTH levels also returned to normal apart from in one case where renal function was impaired because of rejection of the renal graft. Comparative estimations of PTH in venous blood from the side of the auto-graft and the opposite side showed that the parathyroid graft was functioning.

[Tertiary hyperparathyroidism following kidney transplants in man treated by parathyroidectomy and parathyroid autografts. A report on 8 cases (author's transl)]. / Hykperparathyroïdisme tertiaire après transplantation rénale chez l'homme. Traitement par parathyroïdectomie et auto-greffe de Parathyroïde. A propos du 8 cas.

Hyperparathyroidism developed in 8 of 76 patients two months to 4 years after functional Kidney transplants, the most constant manifestation being a hypercalcemia. Raised PTH levels were present in all 7 patients in whom they were measured. The 8 patients were treated by total parathyroidectomy, followed in 7 cases by an autograft of a parathyroid fragment into the muscle off one forearm, according to the technique described by wells. Blood calcium levels became normal in all cases after one month. PTH levels also returned to normal except in one case where rejection of the Kidney graft caused a reduction in renal function. Comparing PTH levels in the venous blood on the side of the autograft with that on the opposite side demonstrated that the parathyroid graft was actively secreting.

[Intraneural synovial cyst in the peroneal nerve. Case report (author's transl)]. / Kyste synovial intraneural du sciatique poplite externe. A propos d'un cas.

The authors report one case of paralysis of the peroneal nerve due to an intraneural synovial cyst, in connection with the superior tibio-fibular joint. After an anatomic work and a complete revue of the literature, etiopathogenic and diagnostic problems seem to be resolved, and this justifies their terminologic choice.