Biomedical subjects
Publications and source records attributed to J De Toeuf.
A case of a genuine common iliac vein compression (Cockett's syndrome) is reported. From review of the literature, it appears that the treatment should be essentially medical. Surgery is indicated in case of severe post-thrombotic sequellae.
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Two cases of biliary hemorrhage due to false aneurysms are presented, one on an abnormal hepatic artery, the other on the gastroduodenal artery. Half of the cases of biliary hemorrhage have an intrahepatic etiology. Extrahepatic cases are equally divided between the main biliary duct and the gallbladder. Among the diagnostic investigations most authors agree on the choice of selective arteriography of the coeliac trunk. Controle of intrahepatic biliary bleeding can be obtained by partial hepatectomy or by ligation of the hepatic artery which is well tolerated. Treatment of extrahepatic bleeding is more diverse and takes into account both anatomical and surgical possibilities.
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The authors have previously proposed the endoscopic retrograde cholangio-pancreatography as a technic to be used systematically in acute pancreatitis; it offers a precise diagnosis of microlithiasis and a possibility of an immediate endoscopic treatment. They have studied the pancreatographic patterns in 355 cases of clinical acute pancreatitis; the pancreatogramm allows the diagnosis of chronic pancreatitis in acute phase in 1/3 of the patients; necrosis is present in 12% of the 240 patients without any radiological signs of chronic pancreatic disease. The computerized axial tomography gives a precise definition of the extra-pancreatic extension of the necrosis; the ultra-sound technic is better for the late complications of acute pancreatitis. The authors consider that these 3 examination technics must be performed at the admission or/and be part of the workup before surgery.