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Biomedical subjects

H Larrieu

Publications and source records attributed to H Larrieu.

79 records · Page 5Linked to original sources
PubMedDate not supplied

[Perineal hernia of the rectum (author's transl)].

A case of perineal hernia of the rectum is presented; this case has been successfully treated by a fixation of the rectum to the sacrum by analogy with the treatment of the prolapsus of the rectum.

Barium Sulfate↗
PubMedDate not supplied

[Diverticula of the duodenal window. 36 cases (author's transl)].

The authors have studied 36 cases of duodenal diverticula detected during 500 biliary operations. Initial pre-operative diagnosis was based on upper gastrointestinal barium series alone. Fiberopticduodenoscopy was unable to detect the diverticula. Patients were studied by cholangiocinesimetry. This technic demonstrated that oddian activity was satisfactory, with normal sphincter pressures and thus eliminated any suspicion of odditis. In this series, diverticula of the duodenal window lead to no more complications than do cholelithiasis, acute cholecystis or acute pancreatitis. The repercussion of the diverticula seems then to be limited to isolated dilatation of the common bile duct. In treating, the authors conclude that, in case of common bile duct dilatation, external drainage or biliodigestive anastomosis is recommended. Sphincterotomy is not indicated. All direct surgery on the diverticula, responsible for heavy morbidity and mortality rates, is to be avoided.

Bile Duct Diseases↗
PubMedDate not supplied

[Bilio-digestive fistulae of lithiasic origin. A report of seventeen cases (author's transl)].

17 spontaneous bilio-digestive fistulae of lithiasic origin have been regrouped for study. 15 cases underwent operation and represent 1.3% of concomitant biliary diseases treated by surgery. The different symptomatic aspects are considered; biliary disorders have been found in 50% of the cases; concurrently, the frequent occurrence of biological cholestasis along with lithiasis of the common bile duct is emphasized. Preoperative diagnosis is usually established on discovery of aerobilia sometimes revealed only by X rays centred on the upper-right quadrant of the abdomen. These fistulae are in most cases cholecystoduodenal. The serious consequences of surgical treatment of biliary lesions and suture of the digestive tract seem to be related to age, usually advanced. Particular study is devoted to endoscopy both towards diagnosis and, in certain cases, therapeutic.

Aged↗
PubMedDate not supplied

Celiac artery aneurysm.

Aneurysms of the celiac axis are rare, since only 50 cases were reported in 1976, 14 of which were operated on successfully. We report here the 15th case. This celiac aneurysm involved the origin of the splenic left gastric and common hepatic arteries. After controlling the aorta by a thoraco-phrenolaparotomy, the celiac artery was ligated at its origin, the anterior wall of the aneurysm was incised and the splenic and the left gastric arteries ligated by an obliterative endoaneurysmorrhaphy. The hepatic vascularization was restored from the gastroduodenal artery with a restorative endoaneurysmorrhaphy. The control arteriogram showed a good arterial revascularization.

Aneurysm↗