[Primary pelvic hydatid cyst: a case report]. / Un cas rare de localisation primitive du kyste hydatique dans le pelvis.

The purpose of this report is to describe a case of primary pelvic hydatid cyst in a 30-year-old man who presented with abdominal symptoms related to compression of the rectum and urinary tract. This unusual location was initially considered as a tumour process. Proper diagnosis can sometimes be based on ultrasound and computerised tomography. However in some cases such as ours surgical exploration may be necessary for definitive diagnosis.

[Peritoneal hydatid cysts. Apropos of 12 cases]. / L'hydatidose péritonéale. A propos de 12 cas.

STUDY AIM: The aim of this retrospective study was to report on 12 cases of peritoneal hydatidosis observed in the same hospital from 1989 to 1998. PATIENTS AND METHODS: Four men and 8 women (mean age: 37 years) were included in the study. Four of them had been operated on for liver hydatidosis, 3 to 9 years before. The peritoneal hydatidosis was asymptomatic (n = 2), revealed by pain and/or fever (n = 9) and by hydatid peritonitis (n = 1). Diagnosis was performed by ultrasonography in seven cases out of 10. Preoperative treatment with albendazole was given to one patient only during 1 month. All patients were operated on. Peritoneal cysts, with different locations, were secondary in 11 patients. Nine patients had concomitant liver hydatidosis and two concomitant retroperitoneal hydatidosis. Hydatid cysts were usually sterilized with oxygen water and treated by resection of the protruding dome. Postoperative treatment with albendazole was given to five patients. RESULTS: Postoperative complications occurred in five patients: intestinal occlusion, abscess in a residual cavity, purulent fistulas, biliary fistulas with a favorable issue. With a mean 38-month follow-up, all patients were alive, with only one recurrence in a liver hydatid cyst. CONCLUSION: Peritoneal hydatidosis was secondary in 11 out of 12 patients. Diagnosis was performed with ultrasonography in seven out of 10 patients. All patients were operated on. With a mean follow-up of 38 months, only one recurrence has been observed.

[Acute appendicitis on crural hernia]. / Appendicite aiguë sur hernie crurale.

INTRODUCTION: Acute appendicitis in femoral hernia is an uncommon condition that can be serious. OBSERVATION: We report the case of a 60 year-old woman presenting with an acute appendicitis in a right femoral hernia. The diagnosis was made at the time of surgery. The appendectomy was performed through the hernial sac, followed by parietal treatment of the hernia. The post-surgical course was uneventful. DISCUSSION: Inflammation of the appendix may arise secondary to constriction in the hernial sac. It occurs most frequently in postmenopausal women and in the right groin. The preoperative diagnosis is difficult, so complications such as abscess have been reported. Appendectomy is performed easily. CONCLUSION: Awareness of this condition may help to avoid the usual delay in diagnosis.