[Urachal remnant infection: keep it in mind during atypical abdominal pain in children].

Etiological diagnosis of abdominal pain is delicate due to its many possible causes. Those that are less frequent are consequently less known and can lead to a trickier diagnosis. We report on a rare case of a 2.

[Ruptured hepatocarcinoma. Report of 20 cases and review of the literature].

Hepatocellular carcinomas may rupture in rare cases (5 to 15%) creating a serious short-term and mid-term situation. Over a period of 10 years, 20 patients (19 males, 1 female, mean age 68 years, range 38-82) were treated for ruptured hepatocellular carcinoma involving a cirrhotic (ethylic) liver in 12 cases, haemochromatosis in 2 and a normal liver in 6. Twelve patients underwent emergency surgery for acute haemoperitonium operation was delayed until after exploratory investigations (CT scan and arteriography +/- embolization) for pain in the right hypochondria associated with partitioned effusion and anaemia.

[Use of silicon-impregnated compresses for echographic detection of section planes during hepatectomies].

It is essential to detect section planes during hepatectomy, notably for limited resections in cirrhotic patients. The authors describe a technical artifice, the use silicon-impregnated compresses, to help in the peroperative ultrasonographic detection of these section planes.

[Surgical strategy for hepatocellular carcinoma of the caudate lobe].

Liver-cell carcinomas generally occur in cirrhotic livers; their surgery is difficult when they are located in the caudate lobe. After an anatomical summary, the authors propose a topographic classification of these tumors and describe the surgical strategy to be implemented.