[Epidermoid cyst of the spleen].

Epidermoid cysts rarely occur in the spleen and are often found fortuitously. Epidermoid cyst of the spleen is an inclusion of epidermoid elements within a mesodermic structure. Treatment is partial conservative splenectomy followed by ultrasound surveillance.

A controlled study of fluvoxamine and exposure in obsessive-compulsive disorder.

DSM-3 obsessive-compulsive out-patients were randomly assigned to fluvoxamine with antiexposure (F), fluvoxamine with exposure (Fe), or placebo with exposure (Pe) for 24 weeks. Of 65 patients offered treatment 60 entered the trial, 50 reached week 8, 44 completed treatment to week 24, and 37 reached follow up to week 48. On average the patient had depressed mood (mean Hamilton depression rating scale = 19).

[Prevention of early respiratory complications in esophageal surgery by ventilation of the independent lungs].

Independent lung controlled ventilation by a double lumen tube has a beneficial effect in oesophagus surgery. Use of a tidal volume and an end-expiratory pressure different for each lung produces a drastic reduction of chest-X-ray abnormalities. In an homogen group of ten patients studied before and treated with conventional respiratory support, chest-X-ray abnormalities were seen in 80% cases.