[Metastatic pulmonary choriocarcinoma and pulmonary arteriovenous aneurysm].

Pulmonary metastases from a uterine choriocarcinoma are rare in France. The authors report a case of a 42 years old patient who presented more than four years after her last pregnancy with a metastasis in the left lower lobe due to a uterine choriocarcinoma. There was a favourable outcome after combined treatment with chemotherapy and surgery.

[Pericardial mesothelioma. Apropos of a case].

A 74 year old woman without previous cardiovascular disease presented with pericardial effusion and tamponade. Two-dimensional echocardiography displayed a pericardial mass, but a diagnosis of tumour was not envisaged. Pericardiocentesis produced an exudative fluid with lymphocytes but no malignant cells.

[Localized intestinal lymphangiectases presenting as peritonitis].

The authors report a case of localised intestinal lymphangiectases in a segment of jejunum with the unusual presentation of an acute perforation. The anatomical findings did not provide a satisfactory aetiopathogenic explanation, although the most likely hypothesis is a past history of abdominal irradiation. The mechanism of the perforation also remains unclear and the presence of microscopic lesions in the wall of the remaining small intestine raises the problem of the long-term prognosis.

[Aorto-bi-iliac resection, of the 3rd part of the duodenum and the left colon, for recurrence of colonic cancer].

An aorto-bi-iliac resection was performed in a patient with recurrent cancer of the left colon. Implantation of a Dacron vascular prosthesis was combined with left iliac colostomy and resection of 3rd part of duodenum. Based on this case and a review of the literature, the possibility and value of resection of an invaded vascular axis is emphasized.