Parathyroid adenoma causing persistent hypercalcaemia after rhabdomyolysis-induced acute renal failure.

Persistent hypercalcaemia developed in a 26-year-old man after rhabdomyolysis-induced acute renal failure. Although several serum parathyroid values were normal following recovery of renal function, primary hyperparathyroidism was suspected after 9 months of prolonged hypercalcaemia. A single parathyroid adenoma was removed and serum calcium as well as serum parathyroid hormone returned to normal values.

[Familial hypocalciuric hypercalcemia. A new family].

A new example of familial hypocalciuric hypercalcaemia is reported. The family studied consists of 19 members over four generations. The first patient described in this study had already undergone a classical surgical operation for "primary hyperparathyroidism" before the correct diagnosis was established: that of a new syndrome described for the first time by Foley in 1972 and subsequently studied by Marx since 1977.

Ureteral stenosis after kidney transplantation: true incidence and long-term followup after surgical correction.

Between March 1965 and December 31, 1982, 421 kidney transplantations were performed in our department. The over-all incidence of ureteral stenosis was 5.5 per cent.

[Aseptic osteonecrosis after renal transplantation].

In a series of 388 kidney transplantations performed in 328 patients, aseptic bone necrosis was diagnosed in 27 patients. Forty seven lesions were detected. The femoral head was most often involved (33 cases) followed by the femoral condyle (10 cases), the head of the humerus (3 cases) and the carpal navicular bone (1 case).

[Acute renal insufficiency in surgery: the surgeon's role].

The surgeon has an active role to play in the treatment of acute renal failure (ARF) occurring in surgical patients. Surgical complications are very often the cause of ARF and their treatment is the only way to cure uremia.

[Surgery in the octogenarian (introduction). Results of a national survey].

Presentation of the results of a national, multicentric and retrospective study regarding the surgery of the octogenarian. The series counts 7,407 patients accepted for surgery, and which can be divided into 4,581 women (61.8%) and 2,826 men (38.

[Surgery of acute cholecystitis in patients 80 years of age or older].

In 17 Belgian surgical centers, 324 operations have been performed for acute cholecystitis in patients 80 years of age or older. In this group of patients: 1. The incidence of acute cholecystitis is hardly higher in women than in men.

[Factors influencing the survival of the patient and the graft in kidney transplants].

The influence of several prognostic factors in kidney transplantation was studied by the actuarial method from the data collected on 332 grafts performed at one center from 1971 to 1982. Taking into account the various interactions between these factors, 3 survival parameters were calculated: patient's survival, immunologic tolerance of the graft and overall graft survival. The relevant prognostic factors, ranked in decreasing order, are: origin of the graft, immunosuppressive therapy, recipient's age, recipient's HBs status and number of blood transfusions administered prior to transplantation, HLA presensitization and HLA-A,B matching.

Granuloma of the distal extremity of the ureter in kidney transplantation.

A granuloma of the distal extremity of the transplanted ureter was diagnosed in 8 of 180 patients operated on according to the Lich-Gregoir technique. This lesion was not observed in 116 patients with Politano-Leadbetter ureterovesical anastomosis nor in 61 patients with a ureterocystostomy constructed according to the technique of De Campos Freire et al. This complication seems to be specific of the Lich-Gregoir technique.

[Rectal stenosis caused by cancer of the prostate: difficulties of diagnosis].

There exist rare cases in which a prostatic carcinoma invades the perirectal space producing an extrinsic rectal stenosis. Three cases are discussed. Differential diagnosis with a rectal tumor is difficult clinically, but deep rectal biopsies will provide the correct diagnosis in many cases.

Ultrasound examination of the thyroid.

Ultrasound examination of the thyroid offers an accurate morphological picture and the possibility of comparing objectively the size of lobes and lesions over long periods. Cysts and calcifications, mostly benign, are readily recognized. Neoplastic lesions in our series were all less reflective than normal thyroid tissue.

[Acute peritonitis as a complication of Crohn's disease of the colon (author's transl)].

Acute peritonitis is a rare complication of Crohn's disease of the colon. We present the case of a young woman with peritonitis complicating an acute exacerbation of Crohn's disease of the colon. Seventeen other cases from the literature show that perforation may be the first manifestation of the disease or may occur during an acute exacerbation of a chronic form.

[Transplantation of pediatric kidneys into adult patients (author's transl)].

Fourteen adult patients were transplanted with a single pediatric kidney and were followed for 26 days to 9 years. Donor ages ranged from 22 months to 10 years, recipient ages from 15 to 47 years. Ten transplants functioned for more than one year.