[Apropos of a case of familial recto-colic polyposis].
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Biomedical subjects
Publications and source records attributed to J Borde.
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A study of 35 cases of congenital fusion of the cervical vertebrae demonstrated the high incidence of its association with urinary anomalies (52 per cent). More than half of these cases concerned unilateral kidney defects. The urinary anomalies are normally asymptomatic, but there is always the risk of chronic renal failure, and preventive surgery may be necessary. It is therefore advisable to make a systematic practice of obtaining ultrasound examinations and intravenous urograms. There are many other possible associated anomalies, which are often the first to be noted and lead to the discovery of the vertebral and urinary malformations. The authors define Klippel-Feil syndrome as the synostosis of two or more cervical vertebrae.
Two rare cases of oesophageal atresia associated with a posterior laryngeal cleft were treated successfully: a so-called "O" interarytenoid cleft recognised secondarily to the type II atresia, not treated surgically; a so-called II cricoid cleft recognised before the treatment of type I atresia was closed in a first stage by an anterior transl-laryngeal approach. A bibliographical review is followed by a discussion of the diagnosis aspects and therapeutic possibilities of laryngeal cleft, the approach, the timing of surgery on the basis of its type and the type of oesophageal atresia.
A literature study has been written about each failure concerning a very particular mishaping linking an agenesy of the left lung and of the left diaphragm to an esophagal atresia (type III). None similar case has been discovered in the literature. Concerning the diaphragmatic agenesies, the authors report several familial cases and outline the possibility of a genetic pathogeny.