Jean-Pierre Carabalona

Syndrome de polysplénie : à propos de deux cas révélés chez l’adulte par des malformations biliaires et pancréatiques

Polysplenia Syndrome (PS) associates multiple spleens with other malformations usually cardiac, vascular, visceral and biliary. The diversity of these malformations and their embryological mechanisms are described in relation to two cases of PS that were diagnosed in adults.Resume Le syndrome de polysplenie (SP) associe chez un meme malade des rates multiples a d’autres malformations dont les plus frequentes sont : cardiaques ; vasculaires ; viscerales et biliaires. La diversite de ces malformations et leur explication embryologique sont decrites a partir de deux cas cliniques de SP diagnostiques a l’âge adulte.

Diverticulite sigmoïdienne compliquée en cours de grossesse

The authors report a case of perforated diverticulitis with presence of a fistulous tract between a peridiverticular abscess and the uterus during pregnancy with favorable outcome under medical treatment. The purpose of this case report is to illustrate specific imaging findings and clinical management of diverticulitis during pregnancy.

Double arterial anastomosis in liver transplantation: is two better than one?

Arterial revascularization during liver transplantation is normally achieved by anastomosing the graft hepatic artery to the largest artery available at the recipient pedicle—either the common hepatic artery (CHA) or an accessory right hepatic artery (RHA) originating from the superior mesenteric artery (SMA). When a small caliber RHA is present, the artery is ligated and a single anastomosis with the CHA is performed. In the absence of a vascular reconstruction of the graft, the gastroduodenal artery is usually ligated as well. In this article, we describe a new type of arterial anastomosis in the case of a small accessory RHA and/or severe graft hepatic artery atherosclerosis that is commonly seen in elderly donors. To our knowledge, these are the first cases reported in the literature. This technique can be easily performed without increasing the arterial revascularization time or increasing the risk of complications associated with arteriosclerotic arteries. A 12-month follow-up revealed excellent function of the liver grafts.