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Biomedical subjects

H Charleux

Publications and source records attributed to H Charleux.

At least 37 records · Page 2Linked to original sources

[Hemolymphangioma of the pancreas].

The authors report a case of hemo-lymphangioma from the body and the tail of the pancreas. Through a review of the literature, the histological, histogenetical and clinical features of this disease are recalled and the diagnostic and therapeutic modalities are considered. These are benign tumors and their treatment must be surgical and radical. Two operative attitudes are possible: the tumoral enucleation and the partial pancreatectomies.

Adult↗

[Biliary cancer developing on a congenital cystic dilatation of the common bile duct. Apropos of a case].

The authors report a new case of biliary cancer occurring in a 23 year old asiatic girl with congenital cystic dilatation of the common bile duct. After a review of the world literature, the authors recall the principal features of this congenital disease, which is becoming more common in France with the influx of Asian refugees. They stress the risk of malignant degeneration which is related to irritation of the mucosa and biliary stasis. Ideal treatment involves complete excision of the cyst.

Adenocarcinoma↗

[Large non-covered abdominal eviscerations. Secondary parietal repair].

In the technique described, the area of granulation tissue is first separated from the small bowel from which it originates and entirely removed. The internal borders of the rectus abdominis sheath are then brought together after being released by a wide lateral dissection of the skin and by a long counter-incision in the anterior surface of the sheath. The presence of a fistula or an enterostomy does not preclude the operation : indeed, they can be suppressed at the same time. Eight patients were treated by this simple technique which does not require prosthetic material. The results were satisfactory, with a durably strong abdominal wall.

Abdomen↗

[Intraductal papillary adenocarcinoma of the pancreas. Case report and review of the literature].

In 1974, cephalic duodeno-pancreatectomy was performed in a 48-year old patient with papillary adenocarcinoma within the pancreatic duct. The patient is still alive without overt recurrence. The authors emphasize the rarity of such lesions (8 cases published to date), the diagnostic value of retrograde contrast radiography of the main pancreatic duct, the need for wide pancreatectomy, the quality of survival and the possibility of cure.

Adenocarcinoma, Papillary↗

[Rehabilitation of Mikulicz's drain. An irreplaceable procedure in difficult drainage].

Following technical consideration on the use of Mikulicz's drain, with emphasis on introduction and irrigation with hydrogen peroxide, the authors describe its advantages: wide drainage, extraperito-nealization of the septic focus and removal without general anaesthesia. Such advantages clearly overcome the drawbacks which are now reduced by a strict and well codified application of this type of drain: prolonged purulent discharge, fistulae and incisional hernias are rare. Nowadays, the Mikulicz's drain is mainly indicated in diffuse peritonitis (notably post-operative) difficult bleeding control, pelvectomy and hepatectomy.

Drainage↗

[Isolated traumatic rupture of the gallbladder. Apropos of a case].

A case of isolated rupture of the gallbladder following a closed injury to the abdomen is reported. Various anatomical forms of this very rare lesion have been described. The mechanism, diagnosis, and treatment of this traumatic lesion are discussed, based on a review of the published literature.

Abdominal Injuries↗

[The Verner-Morrison syndrome: endocrine cholera or vipoma? (author's transl)].

This syndrome, also known under the initials W.D.H.A., is due to a single or multiple pancreatic tumour or to micropolyadenomatosis consisting of non-beta islet cells. Malignancy is found in about two-thirds of the cases. The other endocrine glands are rarely involved. The syndrome is more frequent in women than in men. It is characterized by liquid diarrhoea, marked hypokalaemia and absence of gastric hyperacidity. The tumour is mainly diagnosed by echotomography, computerized tomography and arteriography. It can also be located by staged collections of blood along the portal system for hormonal assays. The nature of the tumour can only be ascertained by demonstrating the presence of the responsible hormone, usually the "vaso-intestinal peptide". Treatment is primarily surgical. Adjuvant treatments include streptozotocine and embolization by superselective catherization in cases of hepatic matastases. The prognosis is sombre since in spite of the various treatments cure can only be achieved in 50% of the patients.

Adenoma, Islet Cell↗