[Ultrasonographic appearances in three cases of pancreas divisum (author's transl)]. / Aspects échographiques observés dans trois cas de pancréas divisum.

Pancreas divisum is an embryological malformation resulting from imperfect fusion of the dorsal and ventral parts of the gland. In this not infrequently observed anomaly, the excretory systems of the two parts remain independent, secretion being through the principal papilla for the ventral, and the accessory papilla for the dorsal pancreas. The pathogenic role of this malformation is now well established. Ultrasonographic findings in the three cases reported, particularly the intrapancreatic pathway of the superior mesenteric vein, were sufficiently atypical for this congenital malformation to be suspected.

[Post-operative course in tetraplegics after urological surgers (author's transl)]. / A propos des suites opératoires des tétraplégiques en chirurgie urologique

The authors report their experience with 33 tetraplegics undergoing surgery. The operations were varied, endoscopic (resection of the bladder neck, of the prostate or striate sphincter, lithot-itiasis) or surgical (lombotomies, transintentinal cutaneous ureterostomies). The post-operative course may be dramatic or even fatal (acute hypertension with cerebral haemorrhage). Respiratory insufficiency poses no particular problem and can be controlled. Epidural anaesthesia maintained for several days makes it possible to avoid the more serious problems: -- autonomic hyperreflectivity, -- delayed resolution of ileus and digestive complication. The authors hence use epidural anaesthesia routinely and are satisfied with the technique.