[Ureterovaginal fistula. Apropos of 19 cases].
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Biomedical subjects
Publications and source records attributed to A Benchekroun.
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A new method of urinary diversion using the terminal ileum and the caecum as a reservoir, and an invaginated and sutured ileal segment interposed as a lid for the caecal portion has been experimented in 5 patients. Four of them are now completely continent and use a continence-enxuring device at regular intervals.
Ten cases of hydatid cyst of the kidney are reported. The problem was invariably unilateral and isolated, involving the left kidney in 8 cases and the right kidney in 2 cases. IVP reveals a syndrome of a renal mass, sometimes enormous. Peri-cystic calcifications were visible in 7 cases, very localised in 5 cases and diffuse in 2. In 3 cases the kidney was non-functioning. No communication between the cyst and the excretory pathway could be seen at IVP in the two cases where it existed anatomically. Cystic parietography, partial or total, was visible in 4 cases. The mass was always avascular, without spur sign. The picture is very similar to that of a necrosed carcinoma of the kidney. Arteriography was not felt to be any more helpful than IVP in demonstrating the wall of the cyst. By contrast, changes in the trunk of the renal artery were common. The authors discuss the means avaliable for the radiological exploration of hydatic cysts of the kidney, in relation to the technical possibilities possessed in countries where the problem is endemic.
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Kidney lymphomas are mainly secondary and represent the most frequent localization in the urinary tract. Concerning a cas of kidney lymphoma, the authors propose to study the most suggestive paraclinical data in order to find preoperating diagnosis. The therapeutic principles are discussed.
The authors report a case of bicervical bicornuate uterus with a blind hemivagina associated with Ipsilateral renal agenesis and an ureteral diverticulum with ectopic opening to the vulva and female epispadiat. The embryology and the various aetiopathogenic theories for this rare anomaly are presented and the therapeutic principles are discussed.
Report of two cases. The authors report two observations in what concern the diffused form of the Caroli's disease, one pure, the other mixed associating the congenital dilatation of the intra-hepatic bileducts with lesion of congenital hepatic fibrosis. They emphasize the efficiency of the echographia and computed tomography in diagnosing Caroli's disease. The surgical treatment of these diffused forms often complicated by acute recurrent cholangitis used with some success various methods of biliary drainage. But the radical treatment seems to be obliged to turn itself more likely toward liver transplantation.
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