[Intravenous leiomyomatosis of the inferior vena cava and the right heart atrium. Apropos of a case and review of the literature]. / Léiomyomatose intra-veineuse cave inférieure et cardiaque droite. A propos d'un cas et revue de la littérature.

The authors report a case of intravenous leiomyomatosis, a rare uterine tumor, extending to the inferior vena cava and to the right atrium. It seems to be the first case described in France. The wrong diagnosis of massive pulmonary embolism and the distance from a cardiac surgery unit led to emergency tumorectomy without cardiopulmonary bypass. A review of the literature studied the 24 cases with cardiac extension already reported, 19 operated and 5 autopsy reports. Right cardiac failure or syncopes are the most frequent clinical signs. Sometimes histologic examination after hysterectomy leads to the diagnosis. Echocardiography diagnoses an intra-atrial mass. Abdominal ultrasonography and phlebocavography show the iliocaval portion of the tumor. Cardiac angiography and computed tomography are also contributive. Surgical treatment except in extreme conditions should be performed by a cardiac surgical team. If the diagnosis of intra-venoux leiomyomatosis has been made preoperatively a one-stage cardiac and abdominal treatment should be preferred. In the other cases, cardiac surgery should be done first, allowing a precise histologic diagnosis and subsequent treatment of the iliocaval and uterine lesions.

[Burgeoning form of cancer of the superior biliary bifurcation Nosological, diagnostic and therapeutic aspects. Apropos of a case]. / Cancer du confluent biliaire supérieur à forme bourgeonnante. Particularités nosologiques, diagnostiques et thérapeutiques. A propos d'un cas.

The authors report a case of fungating cholangiocarcinoma of the porta hepatis, revealed by jaundice in a 73-year-old cholecystectomized female. The diagnosis of obstruction of the hepatic duct junction suspected by ultrasonography and computed tomography was confirmed intraoperatively. Disobstruction was followed by laterolateral choledocoduodenostomy. An early recurrence required a second disobstruction with surgical then endoscopic insertion of a drain, with 23 months of satisfactory survival. The discussion is focused on hilar fungating cholangiocarcinoma. The extrahepatic (Klatskin tumor) or intrahepatic origin of these lesions, the circumstances and morphological investigations for the diagnosis are discussed. Particularities of the treatment are mentioned, with emphasis on the possible participation of the endoscopist for choledocho or hepaticoduodenostomy.

[Cancer at confluence of the superior bile ducts with proliferating form. Nosologic, diagnostic and therapeutic aspects. Apropos of a case]. / Cancer du confluent biliaire supérieur à forme bourgeonnante. Particularités nosologiques, diagnostiques et thérapeutiques. A propos d'un cas.

The authors report a case of fungating cholangiocarcinoma of the porta hepatis, revealed by jaundice in a 73-year- old cholecystectomized female. The diagnosis of obstruction of the hepatic duct junction suspected by ultrasonography and computed tomography was confirmed intraoperatively. Disobstruction was followed by laterolateral choledocoduodenostomy. An early recurrence required a second disobstruction with surgical then endoscopic insertion of a drain, with 23 months of satisfactory survival. The discussion is focused on hilar fungating cholangiocarcinoma. The extrahepatic (Klatskin tumor) or intrahepatic origin of these lesions, the circumstances and morphological investigations for the diagnosis are discussed. Particularities of the treatment are mentioned, with emphasis on the possible participation of the endoscopist for choledocho or hepaticoduodenostomy.

[Adenocarcinoma of the kidney of a pseudocystic form. Apropos of a case]. / Adénocarcinome du rein de forme pseudo-kystique. A propos d'une observation.

Sometimes, the adenocarcinoma of the kidney appears like a particular cystic mass. In rare cases, as the one described, pre-operative diagnosis can be difficult despite the association of imaging techniques like sonography and CT, and requires necessarily a guided biopsy.

[Gallstone duodenal obstruction or Bouveret's syndrome. Apropos of two cases]. / Obstruction duodénale lithiasique ou syndrome de Bouveret. A propos de deux observations.

Bouveret's syndrome is a rare form of Gallstone Ileus, characterized by its duodenal site after migration through a cholecysto-duodenal fistula in almost all cases. The two cases reported emphasize the interest of endoscopy in its early diagnosis. A therapeutic schema is proposed, based upon a systematic initial endoscopic extraction trial. The surgical treatment when needed is discussed in its modalities, and adapted to a reasonable evaluation of general and local conditions.

[Pseudocystic kidney adenocarcinoma. Apropos of a case]. / Adénocarcinome du rein de forme pseudo-kystique. A propos d'une observation.

Sometimes, the adenocarcinoma of the kidney appears like a particular cystic mass. In rare cases, as the one described, pre-operative diagnosis can be difficult despite the association of imaging techniques like sonography and CT, and requires necessarily a guided biopsy.

[Mesenteric cystic lymphangioma in children. Report of a case manifested by anemia]. / Les lymphangiomes kystiques mésentériques chez l'enfant. A propos d'un cas révélé par une anémie.

A case of mesenteric cystic lymphangioma revealed by hypochromic anemia and abdominal pain, secondary to an intracystic hemorrhage is reported in a 4-year old child. Etiology, pathology, diagnosis, treatment and prognosis of mesenteric lymphangioma in children are reviewed.

[Mesenteric cystic lymphangioma in children. Apropos of a case revealed by anemia]. / Les lymphangiomes kystiques mésentériques chez l'enfant. A propos d'un cas révélé par une anémie.

A case of mesenteric cystic lymphangioma revealed by hypochromic anemia and abdominal pain, secondary to an intracystic hemorrhage is reported in a 4-year old child. Etiology, pathology, diagnosis, treatment and prognosis of mesenteric lymphangioma in children are reviewed.