Journal de chirurgie
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Journal de chirurgie · Mar 1988
Review Case Reports[Reexpansion pulmonary edema after pneumothorax. Apropos of a case. Review of the literature].
Pulmonary edema after re-expansion of a pneumothorax occurs within a maximum of 3 days of the pneumothorax and manifests by intense clinical signs (cough, abundant foamy expectoration, major cyanosis), marked hypoxia and a "white lung" radiologic image. The outcome was rapidly favorable in the case reported, despite the severity of the initial symptomatology. ⋯ A hemodynamic edema also exists as a consequence of the reduction in pulmonary interstitial pressure. Possible prophylactic measures are discussed, the most appropriate appearing to be very progressive evacuation of the pneumothorax.
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Journal de chirurgie · Nov 1987
Case Reports[Gastric fundus necrosis following acute gastric dilatation].
Total gastrectomy with immediate re-establishment of digestive continuity successfully treated a patient with gastric fundus necrosis due to acute dilatation of stomach. The very particular circumstances of onset of this major complication are outlined, diagnosis being dependent on radiological and endoscopic findings. In cases with necrosis of the fundus the extensive nature of the ischemic lesions as shown by results of histopathology strongly suggests the need for total gastrectomy in these patients.
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Journal de chirurgie · Nov 1986
Case Reports[Ruptured adenoma of the liver with severe pulmonary embolism discovered during a cesarean section].
A ruptured adenoma of liver was detected during a caesarean in a multipara woman at full term with a severe pulmonary embolus. Therapy for this rare and curious case, with combined internal hemorrhage, severe pulmonary embolism and full term pregnancy in a multipara, is discussed.
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Journal de chirurgie · Jun 1986
[Caustic lesions of the upper digestive tract. Apropos of 191 cases].
The authors report 191 cases of caustic burns of the upper gastro intestinal tract. HCL is the most incriminated caustic. 6 of them are severe cases: 2 are dead immediately, 4 were operated in emergency and 3 died. ⋯ It's used for an enteral artificial feeding and for oesophageal stenting in burns liable to cause stenosis. Through the results of this study and a review of the literature we may establish a therapeutic schema adapted to our conditions.
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Journal de chirurgie · Apr 1986
Case Reports[Chylothorax from closed thoracic injuries. Apropos of a case. Review of the literature].
Chylothorax of traumatic origin represents 60% of cases reported. A patient presented with a chylothorax from a closed chest injury, these representing only 10% of total cases seen with injury to the thoracic duct. ⋯ Various elements relating to the circumstances of onset, diagnostic factors and different therapeutic procedures are discussed. The course of these lesions after treatment is usually very favorable, as a result of the essential close cooperation between surgeons and intensive care physicians.