The usefulness of 3D printed heart models for medical student education in congenital heart disease.

Background: Three-dimensional (3D) printing technology enables the translation of 2-dimensional (2D) medical imaging into a physical replica of a patient's individual anatomy and may enhance the understanding of congenital heart defects (CHD). We aimed to evaluate the usefulness of a spectrum of 3D-printed models in teaching CHD to medical students.

Results: We performed a prospective, randomized educational procedure to teach fifth year medical students four CHDs (atrial septal defect (ASD, n = 74), ventricular septal defect (VSD, n = 50), coarctation of aorta (CoA, n = 118) and tetralogy of Fallot (ToF, n = 105)).

Who are patients classified within the new terminology of heart failure from the 2016 ESC guidelines?

Aims: The main terminology used to describe heart failure (HF) is based on measurement of the left ventricular ejection fraction (LVEF). LVEF in the range of 40-49% was recently defined as HF with mid-range EF (HFmrEF) by the 2016 European Society of Cardiology guidelines. The purpose of our study was to assess the clinical profile and prognosis of patients with HF according to this new classification.

[Critical haematuria after prostate biopsies with RIVAROXABAN. Case report].

Managing patients with new oral anticoagulants in perioperative period is not yet well protocolized. We report a clinical case of a critical haematuria after prostate biopsies to a patient treated with RIVAROXABAN. Monitoring and treatment of the haematuria have been difficult due to the lack of biological control and antidote for this treatment.

[Severe late rectal bleeding after biopsy of prostate: a case report].

The biopsy of the prostate is a common medical act, which is little invasive and can easily be practiced in external care. Some cases of early rectal or urinary bleedings, which mainly stopped spontaneously, have been described in the literature. The case reported here is that of a patient whose hemorrhagic syndrome arose more than two weeks after the biopsy and required an endoscopic haemostatic treatment.

[Malignant transperitoneal bladder rupture].

The authors report a case of malignant intraperitoneal bladder rupture due to a stage PT1 grade II bladder tumour. The clinical features, mechanism of rupture, treatment and subsequent follow-up are discussed in the light of a review of the literature.

Bilateral renal oncocytosis with renal failure.

Oncocytosis is a term recently used to describe diffuse renal involvement by numerous oncocytic nodules. We report herein a case of a 53-year-old man with end-stage renal disease requiring hemodialysis. His kidneys were involved by numerous tumors.

[Ureteroscopy for ureteral calculi. 379 cases].

Objective: We report the experience of a centre which treated symptomatic ureteric stones exclusively by ureteroscopy.

Methods: From 1987 to 1993, 379 patients underwent ureteroscopy for ureteric stones, corresponding to 231 men and 148 women, between the ages of 8 and 80 years. The stones were situated in the pelvic ureter in 78.

Radical nephrectomy for renal cell carcinoma 30 mm. or less: long-term follow results.

Purpose: We investigated the clinical and pathological features, and long-term followup of patients with radical nephrectomy for renal cell carcinoma of 30 mm. or smaller and a normal contralateral kidney.

Materials And Methods: Between 1973 and 1993, 74 patients 29 to 83 years old (average age 60) underwent radical nephrectomy for renal cell carcinoma of 30 mm.

Assessment of painful ureterohydronephrosis during pregnancy by MR urography.

The purpose of this study was to assess the value of the fast imaging sequence called RARE (rapid acquisition with relaxation enhancement) MR urography (or RMU) in pregnant women with painful ureterohydronephrosis. A total of 17 pregnant women with an acute flank pain were examined with RMU. Results were compared with those of US, X-rays and the evolution of symptoms.

[Post-traumatic hematoma of the adrenal gland. Apropos of a case and review of the literature].

The authors report a case of delayed diagnosis of traumatic haematoma of the right adrenal gland. Chronic unilateral haematomas are rare and their preoperative diagnosis is often difficult because of the long interval since trauma, which may be completely forgotten. This raises the problem of an adrenal mass whose origin is often only detected on histology of the operative specimen.

Fast imaging MR assessment of ureterohydronephrosis during pregnancy.

Purpose: to assess the value of the fast imaging sequence called RARE-MR-Urography (RMU) for the diagnosis of pathologic ureterohydronephrosis during pregnancy.

Materials And Methods: 15 pregnant women with an acute flank pain were examined with RMU. Results were compared with those of ultrasonography (US), X-rays, and the evolution of symptoms.

[Vesico-sphinteral disorders in multiple sclerosis: value of urodynamic tests].

Vesicosphincteric disorders are frequent in multiple sclerosis and lead to the diagnosis of this disease in 2 to 5% of cases. The clinical signs are dominated by urgency (60 to 80%), frequency (40 to 60%) and incontinence due to vesical disinhibition. Dysuria (15 to 30%) occurs in an areflexive or hyperactive bladder, associated with vesicosphincteric dyssnergia.

[Vaginal metastasis from cancer of the kidney].

Authors report a new case of vaginal metastasis from renal cell carcinoma. Their main characteristics are reviewed. Possible retrograde venous spread and genital vein ligation prior to manipulation of the kidney are highlighted.

[The scintigraphic effect of extracorporeal lithotripsy: prospective series of 25 cases].

25 patients with non complicated renal stones were treated by extracorporeal shockwave lithotripsy (ESWL) using Sonolith 3000 an electrohydraulic generator type. They were evaluated before, 15 days and 3 months after ESWL by renal scintigraphy, using for 15 of them technetium -99m dimer captosuccinic acid and technetium -99m-diethylene-triamine acetate for the last 10. This follow up scintigraphic study shows no reduction of glomerular filtration rate after ESWL but some focal parenchymal lesions.

[Secondary bladder amyloidosis: a case of salvage cystectomy for massive hematuria].

Amyloidosis of the bladder associated with systemic amyloidosis secondary to rheumatoid arthritis is a rare disease. Due to the absence of routine screening, its incidence appears to be understimated and only 11 cases, all symptomatic, have been reported in the literature. The symptoms of this disease are dominated by macroscopic haematuria, always massive, which may be life-threatening.