[Fetal thoracopagus. Echographic diagnosis at 26 weeks]. / Foetus thoracopages. Diagnostic échographique à 26 semaines.

The authors report on one case of thoracopagus discovered by echography carried out after 26 weeks of amenorrhoea. The pregnancy was terminated therapeutically by hysterotomy when common viscera were identified (heart and liver). Echographic diagnosis during the first part of pregnancy allows evacuation to be carried out by the vaginal approach. The authors summarize the criteria for echographic diagnosis and also the epidemiological and embryological data required for assessing the prognosis.

[Chlamydia trachomatis perihepatitis (Fitz Hugh-Curtis syndrome). Apropos of 20 cases]. / Périhépatites à Chlamydia trachomatis (syndrome de Fitz-Hugh et Curtis). A propos de 20 cas.

We report a retrospective series of 20 cases of peri-hepatitis diagnosed using the laparoscope. They were all young women who were nulliparous or primiparous. In eight cases, the dominant clinical picture was of acute cholecystitis. In the other cases, asymptomatic peri-hepatitis was discovered when the laparoscope had been used to try to diagnose acute salpingitis. Chlamydia trachomatis is the principal aetiological agent (in 18 cases) and it has overtaken the gonococcus which was the common one in early publications but here was responsible for only one case. Treatment with tetracyclines or quinolones always brings about a cure. Whenever a young woman complains of pain in the right hypochondrium, one has to think of this infection as well as diagnosing and treating the associated salpingitis early.