Biomedical subjects
Publications and source records attributed to D Aubert.
The authors report an aneurysm of the common iliac artery in a 15 month old boy with Fallot's tetralogy. A persistent fever and sacciform type aneurysm emphasized infectious origin although any arterial catheterism. Aneurysm has been resected and the artery was termino-terminal repaired.
In a two year old girl, the authors observed a case of common bile duct dilatation, with jaundice and chronic pancreatitis, in which the common bile duct enters the Wirsung. An Y choledochojejunostomy was performed. The patient was easy recovered. As comment, the authors present a synthesis of knowledges of this malformation, very well studied in Japan, where it is less uncommon. We must try to find it by retrograd catheterism with duodenoscopic or surgical exploration. The systematic research of this low choledochal malformation must demonstrate if most part of congenital choledochal dilations were so explain as in japaneses publications or it is an autonomous illness and an etiology, among others, of congenital common bile duct dilatations.
An axis pedicles fracture is reported on a 11th months old battered child. Authors underline the rarety of child cervical column lesions stating precisely mechanism of this exceptional injury.
The authors relate a neo-natal case of cardiac diverticulum of the right ventricle, reaching the epigastric area and associated with several connected malformations : partial pericardial agenesis, anterior diaphagmatic breach, diastasis of Musc. recti abdominis, skin aplasia in the epigastric area, and, moreover, dextrocardia with Fallot tetralogy. The diverticulum was successful resected in emergency.
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The authors relate the difficulties in management of bilateral congenital diaphragmatic eventration in a new-born. After the surgical correction of the left diaphragmatic eventration, an opacity at the base of the right hemithorax was studied by concomittant pulmonary and hepatic scintigraphy and by pneumoperitoneum. The right diaphragmatic eventration was secondarily treated. The baby was later reoperated twice : on the left side at the age of 7 months for a partial relaps of the left eventration, then at the age of 9 months for a malformative giant lobar emphysema of the right middle lobe, requiring lobectomy.
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We have excised four osteoid osteomas in four children, aided by intraoperative radioactive localization. Here we report these cases and describe the equipment used. Exact detection and elective excision are the two advantages of this technique.
We report two cases of osteoid osteoma of the acetabulum associated with severe chronic synovitis. The diagnosis is difficult and usually delayed because the acetabulum is a rare site for this tumor and clinical signs are nonspecific. Computed tomography (CT) scanning is the best diagnostic technique. An intraarticular surgical approach allows complete resection, but one case required spongy bone grafts. Postoperative results are excellent.