[2 cases of true hermaphroditism. Clinical, histological, cytogenetic and hormonal study].
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Biomedical subjects
Publications and source records attributed to H Saied.
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Pancreatic cyst disease is rare in children and pseudocysts are in general post traumatic. The authors present four cases of pancreatic pseudocysts in children aged from 2 to 12 years, seen in Institut National de Santé de l'Enfance (Tunis) and in Hôpital Antoine Beclère in Clamart (France). All were verified by surgery. The diagnosis was not established before echography. The authors present the echographic patterns of this rare condition and review the literature. The contribution of the sonographic examination in the diagnosis of the pancreatic cyst in children and in the follow-up of the patients is emphasised.
Hydatid cysts of the kidneys were explored by ultrasound in 43 patients between 1978 and 1982, diagnosis being confirmed by operation. Cases included 33 adults and 10 children under 15 years. Ultrasound images of renal hydatid cysts are analyzed, and correlated with the classification into 5 types proposed in the literature and based on their natural history. This non-invasive technique, when associated with intravenous urography, is of primary diagnostic importance, particularly in countries where these cysts are endemic. Ultrasound imaging assists positive diagnosis in a large number of cases, acts as a guide to complementary explorations when these are required, and enables detection of extrarenal locations of hydatidosis. Differential diagnosis of ultrasound images is discussed, and emphasis placed on the advantages of using this technique in countries where the affection is endemic, particularly its low cost.
The authors report 12 cases of hydatid cyst of the kidney in children. Age distribution is between 3 and 13 years: 7 girls and 5 boys. The diagnosis is easier when there is an evident hydatid context with other visceral localizations. The complications are rare. Surgical treatment will be conservative on utmost and consists very often in partial pericystectomy with upphostering of the residual cavity. Partial nephrectomy and total pericystectomy are useless and dangerous.
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The authors report a series of 8 cases of idiopathic Megaesophagus in the child. Age distribution is between 5 and 15 years: 4 boys and 4 girls. Clinical signs are dominated by dyphagia and thinness. Heller's operation modificated by J.L. Lortat-Jacob and completed by reconstitution of His's angle, via an abdominal approach, is the operation proposed. No recurrence of Megaesophagus was seen. However, in two cases, a hernia of mucosa occurred, without any clinical symptom. Long term results were favourable (follow up between 7 years and 10 months).
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In childhood, the bifid ureter ending blindly at one of its upper ends is the most frequent type of "ureteral diverticulum". Four cases are described: two were diagnosed because of urinary infection, the two others were part of a more complex urinary anomaly. When such a lesion is found, it seems logical to remove the pouch where the ruine refluxes and stagnates. It is a relatively benign operation and the result usually is good.
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