[Extracorporeal lithotripsy in a young child. Use of the EDAP LT 01 apparatus in a 20-month-old girl].

The possibility for treating adults with renal stone by extracorporeal shock wave lithotripsy is proved to be an effective method. However, up to now, a few cases in the world were reported in childhood, never before the patient was 3 years old; although 65% of urinary stones in children can be observed before 3 years. We report the first successful application of the EDAP lithotriptor in the management of a twenty months little girl with upper urinary stone.

[Anuria caused by renal pelvis candidiasis in an infant].

Report of a case of rare anuria in a newborn, secondary to bilateral ureteropelvic fungus balls obstruction. Urinary decompression by bilateral nephrostomy associated to Ketoconazole therapy allowed recovery.

[Abdomino-thoracic digestive duplications. General review apropos of 2 cases].

The authors present two personal observations of thoraco-abdominal duplications of the foregut and analyze 48 others cases collected in the literature since the first one related by Budde in 1912. Anatomic study, evolutivity of the malformation, fully expression of notochordodysraphia, allow an analysis of symptoms, which must actually lead to an acute diagnosis. Total excision in a single stage through a double thoracic and, after, abdominal approach is the logic treatment.

[Internal hernia in the duodenal fossae. 3 cases].

Para-duodenal strangulated hernia is an unusual operative finding. The entraped position of intestinal loops in a vascularized pouch allow to recognize the lesion, the site of the neck of the hernia point out its anatomic form. Pre-operative diagnosis seems difficult to access in spite of numerous investigation'means.

[Acute intestinal invagination in infants and children. Analysis of 125 cases treated surgically].

125 children were treated for acute intussusception with :-- Barium enema to establish the diagnosis and to do partial reduction--Even when total reduction is radiologically obtained a surgical control is done with routine appendicectomy.--The rate of recurrence is 3,2% occurring from 1 to 2 years after surgery. In 18% of our cases (23 patients) an organic etiology was discovered at surgery but in one patient only this was documented ona barium enema which demonstrated the necessity of systematic laparotomy.