Biomedical subjects
F Cuillier
Publications and source records attributed to F Cuillier.
[Intrauterine device appendicitis: an exceptional complication].
We report a case of migration of an intrauterine contraceptive device to the appendix. In this patient with a clinical presentation suggestive of appendicitis, transvaginal ultrasonography visualized a device located outside the uterus, near the small bowel. The device, which was partially embedded in the appendix, was removed via laparoscopy and laparotomy. Appendicular migration of an intrauterine device is exceptional. A literature review spanning the past years only revealed a few reported cases. Most of the authors recommend removal because of the potential for inflammatory reactions that can cause bowel obstruction and perforation.
[An atypical Demons-Meigs syndrome].
Meigs'syndrome is defined as a hydrothorax with ascites and benign ovarian tumor, both of which resolve on removal of the tumor. Pseudo-Meigs'syndrome or atypical Meigs'syndrome occurs when a pelvic mass other than an ovarian fibroma is present with hydrothorax and ascites. Both these syndromes should be nevertheless considered in women who present hydrothorax and ascites. This case concerns a 50-year-old woman who presented a pseudo-Meigs'syndrome (Hydrothorax and uterine leiomyoma). The distinction between these two syndrome is useless, because tumour removal is the only treatment.
Antenatal diagnosis and management of a vallecular cyst.
Vallecular cysts are rare. It is important to be aware of their presence as they can cause upper airway obstruction. We describe a case of congenital vallecular cyst diagnosed at 28 weeks of gestation. This early diagnosis enabled us to plan careful perinatal management. We believe that, in cases of suspected oropharyngeal tumors, elective delivery should be carried out in a tertiary referral center in which emergency ventilation and tracheostomy are possible.
[Prenatal diagnosis at 25 weeks gestation and neonatal management of a vallecular cyst].
Due to the anatomical location, vallecular cyst is a rare but well-recognized cause of upper airway obstruction and death in newborn. This cyst can be accurately diagnosed by echography in utero and by MR imaging. Prenatal diagnosis allows for early consultation with surgical specialist, so that the time and place of the delivery can be addressed for neonatal preoperative planning. We report the first prenatal diagnosis of a vallecular cyst at 25 weeks of gestation. At birth, the cyst was drained and then marsupialized. We believed that, in cases of oropharyngeal tumors discovered in utero, elective delivery should be realised in a tertiary referral center in which emergency ventilation and tracheostomy are possible.
[Fallopian tube torsion: five cases with no other element].
Isolated Fallopian tube torsion is extremely rare and diagnosis is difficult. Laparoscopy is necessary, but surgery is often performed too late to preserve the tube. Five cases of Fallopian tube torsion with no other element are presented. Diagnostic difficulties, causes, ultrasonographic findings and treatment are discussed. Early diagnosis and surgical intervention is mandatory when exceptional isolated Fallopian tube torsion is suspected particularly in a nulliparous young woman.
[Prenatal diagnosis of omphalopagus conjoined twins at 13 weeks of amenorrhea].
Conjoined twins are a rare occurrence. We present a case of conjoined twins at 13 weeks' gestation. This case demonstrated the possibility of making an accurate diagnosis of conjoined twins and delineating the extent of organ sharing in the first trimester. This analysis and the discover of another anomalies can help the parents with the option for pregnancy termination. Early diagnosis and precise delineation of the shared organs of conjoined twins are essential for optimal obstetric and postnatal management.
[Prenatal diagnosis of exencephaly at 10 weeks gestation, confirmed at 13 weeks gestation].
First trimester diagnosis of the exencephaly anencephaly sequence has been reported since the introduction of transvaginal sonography, the earliest being described at 10 weeks 5 days gestation. We report the discovery of exencephaly at 10 weeks gestation. The diagnosis was confirmed by repeat ultrasonography at 13 weeks.
[Fallopian tube torsion in a 15-year-old adolescent].
UNLABELLED: Isolated Fallopian tube torsion in teenagers is extremely rare and diagnosis is difficult. Coelioscopy is necessary, but surgery often occurs too late for tube conservation. CASE REPORT: A case of Fallopian tube torsion bringing about a cyst is presented. Diagnostic difficulties, echography, treatment and cause are discussed. CONCLUSION: Early diagnosis and surgical intervention is mandatory when isolated Fallopian tube torsion is suspected.
[Ureteral suture by laparoscopy: a new case. Review of the literature].
A wound to the ureter is a possible complication of laparoscopy and is usually repaired by suture requiring laparotomy. We report a case of a laparoscopic stitch and review the pertinent literature.