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Biomedical subjects

F Martinon

Publications and source records attributed to F Martinon.

46 records · Page 3Linked to original sources

[A rare abdominal emergency: acute phlegmonous gastritis (author's transl)].

In the light of a series of recent observations and a personal case, the authors recall that acute phlegmonous gastritis is a rare disease usually secondary to a bucco-pharyngeal infective focus, characterised by an acute abdominal syndrome accompanied by a very severe infective context. Only laparotomy leads to the diagnosis. Since antibiotics, the mortality has regressed from more than 80% to less than 50%. The prognosis of the antral forms is much less serious than that of the diffuse forms with mortalities of 28% and 71% respectively. In antral gastritis the best therapeutic attitude is early antibiotic therapy associated with 2/3 gastrectomy.

Acute Disease↗

[Single ruptured pelvic hydatid cyst as an unusual manifestation of secondary peritoneal echinococcosis].

The authors report the case of a large pelvic tumour compressing the bladder, the ureters and the recto-sigmoid junction. Its sudden rupture into the peritoneum led to an emergency operation and the discovery of a hydatid cyst ruptured into the pouch of Douglas and a hepatic cyst. The most frequent presentation of peritoneal echinococcosis, peritoneal cysts are metastases from a hepatic or splenic cyst which has ruptured into the peritoneum. They are usually multiple. Single pelvic lesions are rare, their hydatid nature is in the absence of a past history of hydatid disease difficult to suspect before operation. The object of the latter is to treat in one stage the primary cyst and its peritoneal metastases. The narrow vascular connections of the pelvic cysts render cystectomy dangerous and make one prefer removal of the germinal membrane followed by marsupialisation or drainage of the remaining cavity. In the long term, the frequency of peritoneal recurrences makes prolonged supervision necessary.

Douglas' Pouch↗

[Compression of retropancreatic common bile duct by tuberculous lymph nodes causing obstructive icterus].

Tuberculosis of the hepatic lymph nodes is among the rare causes of obstructive jaundice and portal hypertension. The authors report a case of compression of the bile duct by retroduodeno-pancreatic tuberculous lymphadenopathy, and recall the difficulty of diagnosis before operation. They emphasize the necessity of simple surgical measures. Removal of the lymph nodes is dangerous and should not be attempted. A biliary by-pass operation should be carried out and its type depends on the precise site of the compression. Antituberculous drugs are then given for 18 months after operation and lead to cure.

Adult↗

Benign breast disease and cancer.

We report the necessity for thoroughly understanding the physiopathology of benign breast lesions in order to treat each type of lesion adequately. Three groups of women are outlined as a practical approach to this problem. Subadipose mastectomy is proposed to treat heteronodular mastopathy. This operation is compared with the subcutaneous mastectomy proposed by plastic surgeons.

Breast↗