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J Boverie

Publications and source records attributed to J Boverie.

13 recordsLinked to original sources
PubMed1989

[Boerhaave's syndrome. Apropos of 2 cases diagnosed at a late stage and treated by a combined surgical and radiologic approach].

Two cases of Boerhaave syndrome are presented which were diagnosed at a late stage. After failure of the primary suture of the perforation, the first case was treated by selective intubation of the oesophagus and percutaneous drainage of the abscess under radiological control. In the second case fistulization was produced first surgically, and secondly with drains of decreasing calibre being inserted percutaneously. The diagnosis of Boerhaave syndrome is often made at a late stage. In cases of important mediastinitis and after failure of primary suture, oesophageal exclusion and oesophagectomy are sometimes recommended. However, these procedures require repeated interventions with a significant morbidity. From this viewpoint a combination of controlled fistulization and percutaneous oesophageal intubation under radiological control is a valuable alternative.

Drainage↗
PubMed1978

[Anatomical basis of abdominal cavity radiology (author's transl)].

The interpretation of the blank abdominal roentgenogram is made easier by the knowledge of radiological aspects of limits between peritoneal and retroperitoneal compartments. This knowledge rests on the images, often faintly contrasted, provided by ligaments, mesotheria, fascias and boundary muscles defined by opposition to the fatty layers that frequently stress their contours. In this work, we have defined the inferior (pelvis) and lateral (paracolic sinuses) contours of the abdominal cavity, some singularities of the compartments above and below the mesocolon and also mesenteric connexions. The importance of these structures for differential diagnosis of fluid or gas collections and abscesses (origin, location, propagation) is illustrated. The normal and pathological radiological aspects of the three retroperitoneal compartments (perirenal, pararenal anterior and posterior) and their projection area on the film were demonstrated. As the radiological demonstration of all these structures depends on the conditions of the investigation, we have tried with a material comprising 300 cases, to define the technical conditions and plan of observation that appear most favorable.

Abdomen, Acute↗