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Biomedical subjects

J Dumotier

Publications and source records attributed to J Dumotier.

At least 19 recordsLinked to original sources
PubMed1996

[Hyperammonemia encephalopathy after ureterosigmoidostomy].

Ureterosigmoidostomy (USS) for bladder cancer is an attractive surgical technique for the improved quality of life provided to the patient, notably from a preserved body image. Complications, however, can jeopardize this result. We report the case of a woman who developed an hyperammonemic encephalopathy after USS "Mainz pouch II". We discuss the indication of a liver needle biopsy before USS when hepatic functions are abnormal and we stress the importance of regular "rectal exonerations" during the day.

Ammonia↗
PubMed1993

[Subxiphoid pericardiostomy and pericardioscopy. Value and indications apropos of a series of 25 cases].

An experience of 25 subxiphoid pericardial windows with pericardioscopy in eleven cases is reviewed and presented. The operative indications in pericardial effusions result from hemodynamic compromise or from the need for etiologic criteria. Validated in its technical simplicity, its safety, its etiologic findings, its efficacy on immediate and delayed no recurrence of pericardial effusion, the low rate of late constrictive changes, this operative procedure is worth listing in the therapeutic know-how of a general surgeon. Indications in patients with suspected traumatic pericardial tamponade by chest wound are related.

Adult↗
PubMed1992

[Rupture of the female urethra in fractures of the pelvic bones. Apropos of 2 new cases].

Female urethra ruptures associated with pelvic ring fractures are exceptionally observed. The authors compared these 2 cases (Besançon and Toulon) to already published cases. This diagnosis must be contemplated and established by the surgeon or in his/her presence using urethral catheterization. The surgical approach (most of time abdominoperineal) allows an accurate injury repair and prevents from fearsome complications due to late diagnosis and treatment. An active attitude following this urological act is highly required, in case of osteoarticular injuries, whose instability and rules are currently known.

Adult↗
PubMed1991

[Testicular sarcoidosis].

The authors report a case of testicular sarcoidosis. This lesion may mimic cancer, but the association of germ cell tumour and systemic sarcoidosis appears to be too frequent to be simply a coincidence. It is important to diagnose combinations of these 2 diseases in the scrotum or in the mediastinum, but their pathogenesis remains hypothetical.

Adult↗
PubMed1991

[Urological surgical effect of the repair of inguinal hernia using bilateral subperitoneal prosthetic mesh].

In view of the increasing frequency of using subperitoneal bilateral prosthesis for inguinal hernia repairs, urologists should be aware of the genitourinary implications of this procedure: risk of infection due to potentially septic procedures on bladder or prostate, postoperative genitourinary complications, interval before subsequent trans-prosthetic surgical incision, operative tactical outcomes of subperitoneal pelvic fibrosis.

Fibrosis↗
PubMed1991

[Giant esophageal fibrovascular polyp. Apropos of a case].

Fibrovascular polyps, together with leiomyomas, constitute the great majority of rare benign tumors of the oesophagus. Their size and their frequently high level of attachment sometimes give them a spectacular clinical presentation. The hazards involved in the interpretation of radiological and endoscopic data account for frequent mistakes in their diagnosis. The determination of the pedicle site defines the choice of the surgical approach. A diagnostic error and the choice of an incorrect approach are the two main causes of therapeutic difficulties.

Aged↗
PubMed1990

[Giant esophageal fibrovascular polyp. Apropos of a case].

Fibrovascular polyps, together with eleiomyomas, constitute the great majority of rare benign tumors of the oesophagus. Their size and their frequently high level of attachment sometimes give them a spectacular clinical presentation. The hazards involved in the interpretation of radiological and endoscopic data account for frequent mistakes in their diagnosis. The determination of the pedicle site defines the choice of the surgical approach. A diagnostic error and the choice of an incorrect approach are the two main causes of therapeutic difficulties.

Aged↗
PubMed1989

[Richter's syndrome with testicular localization].

Based on a case showing testicular localisation of sarcomatous degeneration in the context of the progression of chronic lymphoid leukemia (Richter's syndrome), the authors discuss the classification of intrascrotal lymphomatous conditions.

Aged↗
PubMed1989

[Ureteral risk of aorto-iliac surgery. Apropos of a case report of bilateral lesion of the ureters].

The authors report a case of bilateral uretero-hydronephrosis following aorto-bifemoral prosthesis for termino-aortic aneurysm due, on one side, to stenosis of incorrect repair of an operative injury to the ureter and, on the other side, to a syndrome of ureteric compression due to its retroprosthetic course, which is the central feature of this aetiological, pathophysiological and therapeutic discussion. Although the objective of treatment is to preserve the kidney, the risk of treatment is dominated by the threat to the future of the vascular prosthesis. The usual technical problem can be summarised by the question: should one cut the ureter or the prosthesis? and it would appear that a urinary problem does not necessarily imply a urological solution.

Aged↗
PubMed1989

[Epidermoid cyst of the testis. Apropos of 2 cases with one in a child].

Based on two cases of epidermoid cyst of the testes, one exceptional case was that of a four year old boy, the authors mention the absence of clinical and ultrasonic evidence to identify this benign tumor. The histological characteristics, described by Price, are quoted: intratesticular cyst, keratin sediment deposits, with a normal remaining parenchyma. Orchidectomy is the safest treatment; the tumoral enucleation or the partial orchidectomy is particularly appropriate when the opposite testes is missing or if it is functionally altered.

Child, Preschool↗
PubMed1989

[Liposarcoma of the spermatic cord. Review of the literature. Apropos of a case of myxoid liposarcoma].

Based on one case of spermatic cord liposarcoma, the authors mention the different histological types of this lesion. A review of the literature confirms this rare tumor typically occurs in the adult population; the majority of spermatic cord liposarcomas are of low grade malignancy. The treatment of choice remains radical orchidectomy with wide excision of the tumor. Because of the predilection of this lesion for local recurrence, the patients must be followed periodically.

Genital Neoplasms, Male↗
PubMed1989

[Subcardial ulcer and the Nissen technic. Apropos of a case of recovery by partial release of the fundoplication].

Gastric ulcer, an uncommon complication of Nissen technique, is nevertheless reported in all series (between 1 and 5% of cases). The authors report a case occurring after a complete fundoplication associated with a longitudinal stapling of the cardia (Rignault's procedure) which resolved after reoperation and transformation into a posterior hemi-valve. The pathogenesis of post-Nissen gastric ulcer is discussed; the mechanical factor appears to be decisive in the subcardial site. Surgical revision according to various modalities is generally unavoidable.

Adult↗
PubMed1989

[Traumatic rupture of 3 lobes of the right lung without any parietal lesion. A peculiar entity].

Following a case of traumatic rupture of the 3 lobes of the right lung without any parietal lesion, the authors found three similar cases in the literature. However, uni or bilobar rupture was more frequently described. The pathological mechanisms are considered. The treatment of these lesions, in contrast to pulmonary laceration due to fractured ribs, most often requires limited parenchymal excision.

Adult↗