[Mount Fuji sign in postoperative period after surgery for ependymoma of the third ventricle (V3): case report and review of the literature]. / Signe de Mont Fuji en postopératoire d'un épendymome du V3: cas clinique et revue de la literature.

Mount Fuji sign also known as compressive pneumocephalus is a redoubtable postoperative neurosurgical complication. We report the clinical case of a 10 months-old patient, hospitalized in reanimation for postoperative management following surgery for ependymoma of the third ventricle. The evolution was marked by the occurrence of early postoperative compressive pneumocephalus, responsible for neurological and hemodynamic worsening. This study highlights the possibility of occurrence of such an adverse event, as well as the therapeutic and especially preventive measures for this complication.

[Retroperitoneal hematoma revealing a tumor of the inferior vena cava: about a case]. / Hématome rétro-péritonéal révélant une tumeur de la veine cave inférieure: à propos d'un cas.

Tumors of the inferior vena cava are rare, their most common histology is represented by leiomyosarcoma. They have few specific clinical features, however, the literature does not report hemorrhagic manifestations. Preoperative diagnosis is based on tomodensitometry and magnetic resonance imaging (MRI); it is confirmed by histology. We report a case with retroperitoneal hematoma revealing a tumor of the inferior vena cava. The diagnosis was made on the basis of clinical and radiological findings.

[Atractylis gummifera poisoning in a pregnant woman]. / Intoxication par le chardon à glu chez une femme enceinte.

BACKGROUND: Atractylis gummifera is poisonous and its ingestion causes illness, characterized principally by hepatorenal injury, often fatal. The toxicity of this plant to the fetus is not known. We report a case of poisoning during pregnancy. CASE REPORT: A 28 year-old woman was admitted to our intensive care unit for Atractylis gummifera poisoning during her 24th week of pregnancy. She showed gastrointestinal symptoms, impaired consciousness, hypoglycemia, hepatic cytolysis and decreased factor V blood levels. The mother recovered after symptomatic treatment. A healthy boy was delivered vaginally at 39 weeks and his clinical findings and laboratory results were normal at birth and a week later. DISCUSSION: Poisoning by Atractylis gummifera has not previously been reported during pregnancy. The favorable course of our patient and her infant do not rule out possible fetal damage from which he recovered, as his mother did.