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J Perrotin

Publications and source records attributed to J Perrotin.

At least 19 recordsLinked to original sources

[Non-operative treatment of ulcer perforation].

The treatment of perforated duodenal ulcer cannot be standardised. In emergency to treat definitively both the perforation and the peptic ulcer request selectionned patients. We think that in emergency the primary aim is the treatment of the perforation to save the patient's life. The non operative method (Taylor-Quenu) keeps reasonably its place in the treatment of perforated duodenal ulcer in spite of critical opinions. This method has not to be used in patients who are said inoperable.

Humans↗

[Post-operative peritonitis due to Candida albicans. Two cases (author's transl)].

Peritonitis due to Candida albicans is both rare and severe. One of the two cases reported was consecutive to subtotal pancreatectomy for necrotizing pancreatitis and the other to perforated ulcer. Genuine C. albicans peritonitis should be distinguished from ascites with superinfection. It is usually due to intra-abdominal focal infection from a perforated hollow viscus. Depending on whether the infection is systemic or localized, antifungal drugs are administered systemically or topically. The surgical treatment is that of all peritonitis and meets with the usual of re-operation in search of deep residual septic foci. Cases with extraperitoneal candidiasis have a particularly poor prognosis.

Aged↗

[Malignant plasma cell lymphoma of the stomach. Two cases and review of the literature (author's transl)].

Malignant plasma cell lymphomas have rarely been studied in the literature. We report two personal cases, the first survived 9 years, in the second case, histo-immunofluorescence revealed the presence of IgA kappa immunoglobulin. 59 cases have until now been reported to the best of our knowledge. They were reported under the term plasmocytoma. Analysis of data in the literature shows that plamocytomas resemble clinically and in prognosis, non-Hodgkin malignant lymphomas, of which Lukes and Lennert have recently given a new classification. Histo-immunofluorescence will permit in the future better understanding of the immunoglobulins secreted. Treatment is not yet standard. Three methods are used, depending on the spread of the tumour (surgery, radiotherapy and chemotherapy).

Female↗

[Recurring ulcers following vagotomy. Apropos of 107 cases].

The authors analyze 107 cases of recurrent ulcer after vagotomy. This study suggests that the most common cause is incomplete vagotomy and, more rarely, defective gastric drainage. The therapeutic deductions depend on the etiology. The most logical attitude is verification of the initial vagotomy associated with antrectomy without forgetting the successes obtained by simple thoracic vagotomy when wide gastric resection has already been carried out.

Drainage↗

[Stab wound of the right branch of the portal vein. Suture. Healing].

The authors report a stab wound of the right branch of the portal vein observed at the Lariboisière hospital, and discuss 27 published cases of traumatic lesions of the portal vein or its branches. The treatment of choice of these lesions is mainly suture, which is the best procedure when there is a frank lesion without loss of tissue. Furthermore, we have found that ligature of one branch of the portal vein is possible, even if one does not carry out removal of the liver in the corresponding area. On the other hand, in no case, in a patient without liver disease or portal hypertension, should one carry out sudden total interruption of the portal blood flow.

Adult↗