Emphysematous Cystitis: An Unusual Cause of Septic Shock.

Emphysematous cystitis is a rare disease characterized by the presence of gas in the bladder wall and/or cavity. It predominates in diabetic women and its clinical symptoms are varied. We report a case of emphysematous cystitis in an unbalanced diabetic patient, discovered at the stage of septic shock and multivisceral failure following a cardiac decompensation with a rapidly unfavorable evolution.

[Severe lactic acidosis revealing hematologic malignancy].

A 75-year-old woman is hospitalised for sepsis. The diagnosis of cholecystitis is made and an antibiotic therapy is debuted. The clinical worsening leads to realise an urgent cholecystectomy.

[Atrio-oesophageal fistula after radiofrequency ablation: predominant neurological symptoms].

A 58-year-old man was admitted to our hospital for septic shock and meningitis. He had undergone, three weeks earlier, a radiofrequency ablation for drug-refractory atrial fibrillation. A polymicrobian septicemy suggested a digestive etiology.

[Diagnostic traps in abdominal emergencies in para- and tetraplegics. Apropos of 4 cases].

Four cases of acute abdomen in para- and tetraplegic patients are reported. One patient had a perforated duodenal ulcer without clinical symptoms, while another had abdominal contracture of neurological origin. Two cases of occlusive syndrome associated with faecaloma and with volvulus of the small bowel are also described.

[Unsynchronized ventilation of each lung with a selective and expiratory pressure in treatment of unilateral swallowing pneumopathy (author's transl)].

A case of unilateral lung disease, treated by independent unsynchronized ventilation of each lung, with a selective end expiratory pressure is reported. The better effects of this method seem to be the improvement of respiratory mechanics and gas exchange and the decrease of the intrapulmonary shunt.