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J Poilleux

Publications and source records attributed to J Poilleux.

At least 19 recordsLinked to original sources
PubMed2000

[Vestigial retrorectal cyst in adults].

STUDY AIM: The aim of this retrospective study was to report three cases of retrorectal vestigial cyst in adults. PATIENTS AND METHOD: From 1977 to 1999 retrorectal vestigial cyst (RVC) was diagnosed in our department in three women who were 28, 57 and 53 years of age, respectively. RVC was revealed by either pain (n = 2) that occurred in one case in a pregnant woman, or acute intestinal obstruction (n = 1). The patients were operated on using a perineal approach in two cases and an abdominal approach in one case. RESULTS: One epidermoid cyst and two mixed cysts without any sign of malignancy were observed. Postoperative follow-up was simple in two patients, while complications occurred in the third one via an uretero-vaginal fistula which required uretero-vesical reimplantation. The first two patients, reviewed after a 1-year follow-up, had no functional trouble and no sign of recurrence. CONCLUSION: Retrorectal vestigial cysts are very rare tumors with a risk for degeneration. Computerized tomography on nuclear magnetic resonance and endorectal ultrasonography allow detection of their structure and topography and help guide their surgical approach. In the absence of malignancy, wide excision, if possible without opening of the cystic wall, leads to good results.

Acute Disease↗
PubMed1999

[Human "pancreatic" bladder. Two case reports].

The aim of this study is to report two similar cases with an "accessory biliary duct" confluent to the main pancreatic duct. There was pancreatic juice inside the "gallbladder". There was no connection between "accessory biliary duct" and intra or extrahepatic biliary ducts. This anomalous junction of the "cystic duct" and the main pancreatic duct may be explained by embryology. These two cases could be the first human "pancreatic" bladders reported.

Bile Ducts↗
PubMed1992

[Colostomy-induced varices in portal hypertension].

Varices of the colostomy are a rare complication of colostomy performed in patients with portal hypertension. This work is based on 14 cases. The colic stomy is the terminal operation in surgery for cancer in twelve cases, and a bypass stomy in two cases. Portal hypertension is due to cirrhosis in 10 cases and to metastases to the liver in 4 cases. All 14 colostomy varices were expressed by bleeding. In 7 cases, oesophageal varices were detected with fiberendoscopy. Only one of these patients had an upper digestive hemorrhage. Colostomy hemorrhages are the revealing complication and the main sign of the disease. The emergent treatment of bleeding of the colostomy must combine several methods, most often consecutively: local compression, ligation, sclerotherapy. Once bleeding is controlled, the radical treatment must be primarily medical (hygienic and dietary habits, beta-adrenergic blocking agents), but complementary surgery may prove to be necessary, most often to redo the colostomy with additional deconnection. The prognosis mainly depends on the function of the liver, the deterioration of which is accelerated by the successive hemorrhagic accidents. Hepatorenal failure is the main cause of death.

Aged↗
PubMed1991

[Surgical humanitarian missions. An experience over 18 years].

One hundred and fourteen Surgical Humanitarian Assignments carried out in 18 years in three African countries allowed performing 17,036 operations, including 72.42% for abdominopelvic surgery, 17.38% for traumatology and 10.22 for various illnesses. Basic gynecological surgery and the cure of hernias made up 81.68% of all operations. 40.25% of all surgery was performed in emergency. The general mortality rate is 3.3% with extreme values of 73.80% for multiple injuries and 1.07% for the cure of hernias.

Africa↗
PubMed1989

[Mesenchymatous tumor of the spermatic cord with late recurrence in the retroperitoneal space. Apropos of a case].

The reported case is characterized by the original tumor site as well as by the recurrence site; by the slowly evolutive nature of the lesion over nine years from the time of surgical tumor excision to relapse; and by histological variations raising a nosological problem. Our clinical, anatomopathological and therapeutical observations are based on the characteristics of the case as well as published data. We only traced 5 cases in the literature of spermatic cord tumors with retroperitoneal localization. The progressive histologic polymorphism of these tumors compels us to raise the question of the very nature of this neoplasm: liposarcoma or malignant mesenchymoma. The potential clinical and histologic outcome of mesenchymal tumors of the spermatic cord cause us to propose direct orchidectomy and surveillance of the retroperitoneal space throughout the evolution of the process, even far off into the future.

Aged↗
PubMed1978

[Spontaneous rupture of the renal pelvis. A non-surgical acute abdomen (author's transl)].

The authors report a case of rupture of the renal pelvis in a young man, the course of which was spontaneously favourable over a period of a few days. No aetiology was determined, despite complete clinical, biological, pyelographic and arteriographic studies. The patient recovered completely without surgical or urological treatment. This condition is rare, 50 cases having been published in 1975.

Abdomen, Acute↗