[Adrenal cystic tumors. Apropos of 8 cases]. / Tumeurs kystiques surrénaliennes. A propos de 8 observations.

We report eight cases of cystic lesions of the adrenal glands. Benign cysts or pseudocysts are the predominant tumors of the adrenal glands. However, neither tumor size, gross aspect, presence of calcified walls, color, cyst contents nor routine laboratory tests can exclude a malignant or hormone secreting lesion. We discuss the role of therapeutics, transparietal puncture and simple radiographic surveillance in the management of patients with cystic tumors of the adrenal glands. Surgery is often indicated or recommended.

[Intestinal intussusception in adults: contribution of ultrasonography]. / Invagination intestinale de l'adulte: apport de l'échographie.

After observing a benign tumour of the small bowel which led to ileo-ileal invagination in an adult we recalled the main data on the epidemiology, aetiology and diagnosis. In infants, the diagnosis is usually made but in adults, the situation is much rarer and the clinical and radiographic signs are not specific. Echotomography of the abdomen is the most reliable examination. In the adult, surgery is always indicated because invagination is caused by an organic cause in 9 out of 10 cases.

[Pseudo-neoplastic aspects of thoracic actinomycosis]. / Aspects pseudo-néoplasiques de l'actinomycose thoracique.

Pulmonary actinomycosis, a rare bacterial disease, is characterized by focal suppuration and an expansile fibrogranulomatous process that has a pseudotumoral evolution. On radioclinical examinations, it often mimicks an advanced or even inextractable primary bronchial tumor, thus leading to extensive surgery or even to give up the treatment. The effectiveness of antibiotic therapy leads the authors to discuss the role and limitations of surgery.

[Ureteral risk of aorto-iliac surgery. Apropos of a case report of bilateral lesion of the ureters]. / Le risque urétéral de la chirurgie aorto-iliaque. A propos d'une observation de lésion bilatérale des uretères.

The authors report a case of bilateral uretero-hydronephrosis following aorto-bifemoral prosthesis for termino-aortic aneurysm due, on one side, to stenosis of incorrect repair of an operative injury to the ureter and, on the other side, to a syndrome of ureteric compression due to its retroprosthetic course, which is the central feature of this aetiological, pathophysiological and therapeutic discussion. Although the objective of treatment is to preserve the kidney, the risk of treatment is dominated by the threat to the future of the vascular prosthesis. The usual technical problem can be summarised by the question: should one cut the ureter or the prosthesis? and it would appear that a urinary problem does not necessarily imply a urological solution.