[HELLP syndrome and ruptured subcapsular hepatic haematoma. Case report and therapeutic options].

We report a case of spontaneous hepatic rupture secondary to HELLP syndrome. A favourable evolution was observed after massive transfusion and surgical management limited to hepatic packing. Subcapsular hepatic haematoma is a rare complication of preeclampsia occurring mainly in the context of HELLP syndrome.

Patient-controlled cervical epidural fentanyl compared with patient-controlled i.v. fentanyl for pain after pharyngolaryngeal surgery.

Background: Analgesia after pharyngolaryngeal surgery is commonly provided through the i.v. route.

[Evolutionary comparison of laboratory cardiac and infectious parameters during septic shock: about an original case].

A massive release of troponin Ic and CKMB was described in a patient during septic shock. According to experimental animal models previously described, this release of biological markers by myocardial tissue could be due to an inflammatory process of myocardial tissue during septic shock without myocardial infarction in non cardiac critically ill patients.

[Mediastinal and abdominal lymphoedema: consequence of massive pulmonary embolism with shock?].

We report a case of severe pulmonary embolism diagnosed using spiral CT-scan in a patient admitted for shock associated with acute abdominal symptoms. Intraluminal clots images were visualized associated with an infiltration of mediastinal fat. Abdominal CT showed infiltration of the hepatobiliary hilum.

[Iodine intoxication after subcutaneous irrigations of povidone iodine].

Irrigation of povidone iodine considered as a safe and effective procedure, is frequently used for deep infections. We report a case of intoxication by iodine in a man of 68-year-old after subcutaneous irrigations of Betadine at a concentration of 20% for a subcutaneous infection of the thigh. Abnormalities of cardiac conduction, lactic acidosis, acute renal failure, hypocalcaemia and thyroid dysfunction were the manifestations of the intoxication confirmed by a very high level of total blood iodine and urine iodine.