[Malignant transformation of abdominal wall endometriosis: a new case report]. / Transformation maligne d'une endométriose pariétale.

Cancer arising in abdominal wall endometriosis is a rare event, hindering diagnosis and making management uncertain. A cesarean section scar is generally at the origin of the disease. We report the case of a 45-year-old woman, with a past medical history of cesarean deliveries, complaining of a repeat abdominal wall endometriosis which transformed into a clear-cell carcinoma. Outcome was rapidly fatal. Compared with endometriosis-associated ovarian carcinoma, the prognosis of this abdominal scar complication is poor. In the literature, survival rate reaches only 57% after a short follow-up of 20 months. Clear-cell carcinoma is the most common histological subtype, followed by endometrioid carcinoma. Radical surgery is the main treatment. Good technique and proper care during cesarean section may help in preventing this endometriosis complication.

[Laparoscopic cornual excision with an automatic stapler for ruptured interstitial pregnancies]. / Excision cornuale coelioscopique à la pince automatique des grossesses interstitielles rompues.

OBJECTIVE: Because they are difficult to diagnose, interstitial pregnancies remain dangerous. Rupture is a frequent mode of revelation for this type of ectopic pregnancy. In case of rupture, the classic medical treatment of ectopic pregnancy is unsuitable. Surgery is necessary but laparoscopic treatment not always possible. The objective of this article is to describe an original surgical technique which facilitates laparoscopic management of ruptured interstitial pregnancy. MATERIAL AND METHOD: This laparoscopic procedure is based on the use of a disposable stapler which simultaneously excises and stitches the uterine cornua. RESULTS: This procedure was used three times successfully. CONCLUSION: Laparoscopic treatment of ruptured interstitial pregnancy is feasible if it can be performed rapidly and easily in a patient with a compatible hemodynamic status. The automatic stapler provides an effective easily reproducible means of cornual excision enabling rapid laparoscopic management of ruptured interstitial pregnancy.

[Demonstration of a regenerating activity in the rhynchobdellid leech Helobdella stagnalis]. / Mise en évidence d'un pouvoir régénérateur chez l'hirudinée rhynchobdelle Helobdella stagnalis.

After amputation of the posterior region of the body, Hirudinea Helobdella stagnalis is able to regenerate. This faculty, which involves the whole posterior part in the young, still persists in adults but is limited to the posterior ventouse and depends on the presence of the terminal nerve ganglion on the surface of the transsection area. Histologic study in young and adults demonstrates that morphogenesis activity restriction, in this body region, is due to irreparable loss of neuroblastic potentialities of healing epidermal cells.

[Thyroiditis : diagnostic and therapeutic features (excluding Graves disease and myxedema) : 13 case-reports (author's transl)]. / Thyroïdes: aspects diagnostiques et thérapeutiques (en dehors du Basedow et du myxoedème) : treize observations.

The incidence of De Quervain's thyroiditis is probably underestimated, since a radioiodine uptake study is not performed in all cases. An isolated cold nodule can reveal Hashimoto's thyroiditis. In other cases, the diagnosis is suggested by otalgia and positive tests for antimicrosomial antibodies. Surgery is often necessary because of the possible association with cancer ; the procedure should be extensive since spontaneously the outcome is often thyroid insufficiency.

[Esophagotracheal fistula after tracheotomy and assisted ventilation (author's transl)]. / Les fistules oeso-trachéales après trachéotomie et ventilaltion assistée.

On the basis of 12 cases of oesophagotracheal fistula after tracheotomy and assisted ventilation, the authors discuss the etiopathogenesis and the diagnosis of this grave condition, emphasizing its inevitably surgical treatment, and the major value of prophylaxis which is nevertheless difficult to apply.

[On 30 cases of naso-pharyngeal fibromas (author's transl)]. / A propos de 30 fibromes naso-pharyngiens.

The authors report their experiments in the diagnosis and treatment of naso-pharyngeal fibromas. They point out:--the usefulness of tomo-densitometric and arteriographic examinations; but they are concerned by the neurological dangers of embolization;--the usefulness of surgical treatment in this condition, usually done by the infralabial route, in the Rouge-Denker technique.