[Bilateral pneumothorax; a rare complication of gynecological laparoscopy (author's transl)]. / Pneumothorax bilatéral, complication exceptionnele d'une laparoscopie gynécologique.

A case with bilateral pneumothorax in association with laparoscopy is described. Several hypotheses could explain this rare complication. 1. It could be an association of the induced pneumoperitoneum and a bilateral pneumothorax due to rupture of both mediastinal pleurae or emphysematous bullae secondary to positive pressure ventilation during anesthesia. 2. The pneumoperitoneum could be directly related to the pneumothorax by subperitoneal air extension to both pleurae with secondary rupture. Less likely is the hypothesis in which a pleuro-peritoneal communication exists, whether congenital or acquired, on both halfs of the diaphragm.

[Superficial femoral vein ligation and distal venous thrombectomy as surgical therapy for recent thrombophlebitis of the lower extremities. A clinical study (author's transl)]. / Traitement chirurgical de la phlébite récente des membres inférieurs par ligature de la veine fémorale superficielle associée à une thrombectomie d'aval. Aspects cliniques.

Three hundred and eighty-three patients underwent superficial femoral vein ligation and distal venous thrombectomy in the treatment of deep venous thrombosis of the lower extremities. Two hundred and forty-eight patients were reviewed clinically. The results are quite satisfactory; no surgical mortality and no fatal pulmonary embolism. On long term follow-up the clinical symptoms such as pain, swelling, varicosities and ulceration are much less marked in the operated group when compared with the post-phlebitis syndrome which develops when the deep venous thrombosis is allowed to extend into the deep pelvic veins.

[Secreting tumors of the testis (author's transl)]. / Les tumeurs sécrétantes du testicule.

We have observed a secreting tumor of the testis classified as an intermediate malignant teratoma type A. This hormone secreting tumor was associated to bilateral gynecomasty. Surgery with radiotherapy were followed by disappearance of all symptoms for two years. Hormone levels, that were abnormal, returned to normal. Next to seminomas, testis teratomas are grouped in different types according to their differentiation, from well organized tissues to totally anaplastic cells. Clinical manifestations of these lesions are essentially dependent on their secretory capacity. Gynecomasty secondary to oestrogenic production of chorionic gonadotrophins or pituitary hormones, is the usual symptom; one may encounter hyperthyroidism or hypercortisolism. Generally, resection of the tumor is followed by a return to normal hormone values; recurrence of pathological values is often a sign of metastatic evolution. The treatment is orchidectomy with radiotherapy or eventually with chemotherapy.