Journal de chirurgie
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Journal de chirurgie · May 1976
Case Reports[Injuries of Lisfranc's joint: severe sprains, dislocations, fractures. Study of 39 personal cases and biomechanical classification].
A study of 39 cases permitted us an analysis of the lesions of Lisfranc's joint, from severe fracture dislocation to fractures which are rarely reported in this joint. Standard XRay views seem to us insufficient and we propose carrying out oblique views and, sometimes, tomographic views. ⋯ A long-term follow up of 23 cases suggests frequently invaliding sequelae after involvement of the tarso-metatarsal joints. The authors suggest resection and arthrodesis straightaway in dislocations.
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Journal de chirurgie · Jan 1976
[Spontaneous rupture of an aneuysm of the abdominal aorta into the inferior vena cava].
Rupture of an aortic aneurysm into the inferior vena cava is a rare complication; it represents 3 p. 100 of all ruptured aneurysms. The authors report a case with a typical clinical history and 3 main symptoms : lumbar pain, a pulsatile expansile mass, a continuous abdominal murmur giving rise to a thrill. The diagnosis was confirmed before operation by angiography which showed a fistula. A technical detail is emphasised: clamping of the inferior vena cava opening the aneurysm to reduce the risk of embolism into the right side of the heart during operation.
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Journal de chirurgie · Mar 1975
Case Reports[Gastric lesions caused by potassium permanganate tablets. Measures to be taken after ingestion].
Potassium permanganate tablets are caustic and it has been suggested that they should be removed straightaway by gastrostomy, immediately after swallowing. Some operators have been impressed by the macroscopic appearance of the stomach and have carried out gastrectomy. However, the lesions were only fairly superficial on pathological examination. ⋯ They conclude: the extreme rareness of digestive perforation; the absence of toxicity of breakdown products of potassium permanganate. They propose treatment of neutralisation of the permanganate with sodium hyposulphite, gastric lavage and supervision on a surgical unit. In case of perforation, they believe that the operation should be conservative.
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The authors report a personal case of spontaneous rupture of the splenic vein during pregnancy, already published elsewhere [6], and study again spontaneous rupture of the splenic vessels, artery or vein, and rupture of the spleen in relation to pregnancy, either during or after labour. In all, 150 cases were found in the world literature. ⋯ Splenectomy remains, in all cases, the basis of surgical treatment. In cases of maternal survival, the late, general and obstetric prognosis remains good.