[Diagnostic and therapeutic problems of aorto-enteric fistulas caused by aortic prostheses. 5 surgical cases of which 4 were successful]. / Problèmes diagnostiques et thérapeutiques des fistules aorto-digestives par prothèse aortique. A propos de 5 cas opérés dont 4 avec succès.

The clinical characteristics, surgical treatment and therapeutic results, were surveyed in 5 cases of aorto-enteric fistulas observed in 650 abdominal aortic reconstructive operations in ten years. The fistula concerned the duodenum in two cases, the jejunum in one and the ileum in two cases. Two patients were treated by removal of the prosthesis and an axillofemoral bypass, one by an axillofemoral shunt only and the two others by repair of the graft. One patient died a few days after the operation, another eighteen months later. The prognosis of aorto-enteric fistulas after aortic reconstructive surgery is often bleak. It should be improved by an early diagnosis, supported by anamnestic history and an upper endoscopy. An aggressive surgery, whose modalities are discussed, gives maximum chances of success.

[False aneurysm of the superior mesenteric artery complicating a pancreatic pseudocyst. Report of a case and review of the literature]. / Faux anévrysme de l'artère mésentérique supérieure compliquant un pseudo-kyste pancrétique. Rapport d'un cas et revue de la littérature.

The authors report a case of a pancreatic pseudocyst complicated by a false aneurysm of the superior mesenteric artery. The diagnosis was made possible thanks to the evocative images of echography and C.T. scanning permitting to perform on time the arteriography. The surgical treatment consisted on the exclusion of the false aneurysm, which necessitated a distal bypass to revascularise the intestinal tract, and the drainage of the pseudocyst by a Roux-en-Y loop. A review of literature is made.

[False aneurysm of the superior mesenteric artery complicating a pancreatic pseudocyst]. / Faux-anévrisme de l'artère mésentérique supérieure compliquant un pseudokyste pancréatique.

The authors report a case of false aneurysm of the superior mesenteric artery, complicating acute pancreatitis. They insist on the sonographic signs of "the cyst within a cyst"; the presence of a cystic lesion located within a larger mass an US Scanning is highly suggestive of a false aneurysm included in a pseudocyst. They demonstrate the correlation between US Scanning, CT Scan and arteriogram.

[Value of ceftriaxone (Rocephine) within the framework of preventive antibiotic therapy in digestive surgery]. / Valeur de la ceftriaxone (Rocéphine) dans le cadre de l'antibioprophylaxie en chirurgie digestive.

The authors report their experience with prophylactic antibiotic therapy by Ceftriaxone in 30 cases of digestive surgery, the advantage of this new 3rd generation cephalosporin is that only one injection every 24 hours is quite efficient.

[Suction drainage in general and digestive surgery. Apropos of the use of Reliavac material]. / Le drainage aspiratif en chirurgie générale et digestive. A propos de l'emploi du matériel "Reliavac".

The authors studied fifty cases of suction drainage by a new "Reliavac" procedure in general and digestive surgery. They stress its autonomy of function, the absence of inoculation of bacteria and its effectiveness.