Ovaries are a frequent site of metastasis of the breast cancer. The annexielles metastases of breast cancer often present as a challenge for diagnosis and therapeutic.. Distinction between ovarian metastasis and primary ovarian cancer may sometimes be difficult. The surgical resection tends to increase survival a surgical option should consist of at least bilateral oophorectomy, even when the contralateral ovary appears to be normal. We presente cas of patient of 36years old female, followed by breast cancer since 2011 stade 1 initially (T1N1Mx), was underwent Patey (infiltrating ductal carcinoma) followed radiotherapy and chemotherapy, hormonotherapy, four years later the patient complaint of abdominal distention, abdominal ultrasound showed ovarian masse then open laparoscopy was done, left adnexectomy was realized and finally histological diagnosis revealed Ovarian metastasis of the breast cancer.

The obesity, factor of morbimortalite, is considered as a real health public problem. In gynecology, its consequences on the fertility and the contraception are sever and the obesity is at the origin of important obstetric complications that must make consider these pregnancies as at risk. Our practices have to take into account these complications by assuring an adapted and premature care to improve the maternal and neonatal outcomes.

Feto-maternal red cell alloimmunization is defined by the presence in a pregnant woman of alloantibodies directed against blood group antigens present on the red blood cells of the fetus and inherited by the father. It arises from the immune response to a first contact to these same antigens during a prior transfusion, transplant or pregnancy. The placental transfer and the fixation of the antibodies on the fetal red cells antigenic targets lead to a haemolysis in the fetus and the newborn. The resulting haemolytic disease can show different clinical forms, from a mild anaemia with neonatal hyperbilirubinemia to a major fetal damage with stillbirth caused by hydrops fetalis. The objective of management strategies of feto-maternal alloimmunization is to detect and monitor maternal alloimmunization and to appreciate the effects on the fetus or the newborn.

Endometrial stromal tumors are rare and are less than 5% of uterine tumors. They are composed of cells closely resembling endometrial stromal cells in the proliferative phase. They are classified into two categories: the stromal nodules, benign, and endometrial stromal sarcomas, including endometrial stromal sarcoma (low grade) and undifferentiated endometrial sarcoma (formerly high grade).
The diagnosis is most often does retrospectively after histological analysis of the surgical specimen. The classical treatment is abdominal hysterectomy with bilateral oophorectomy. The adjuvant treatment are not yet established and the optimal treatment of this entity is still not clear. We report the case of a patient of 46 years, admitted for pelvic pain with abdomino-pelvic mass
Ultrasound and MRI have found a polymyomatous uterus with interstitial body mass with a compression effect on the endometrium. The patient underwent total hysterectomy with bilateral oophorectomy, Histology with additional immunohistochemical concluded endometrial stromal sarcoma of low grade, stage IB, hormone receptor-negative.
Through this rare case and with a literature review, we focus on the epidemiological, diagnostic, therapeutic and prognostic of that entity.

Introduction: Recurrent disease is a genetic autoinflammatory disease autosomal recessive with particular ethnic distribution. Chronic disease evolution paroxysmal often beginning at childhood and characterized by inflammation of the serous with the main risk amyloidosis. Colchicine is the standard treatment. The management of the carrier pregnant women with this disease should be done in collaboration between internist, obstetrician and nephrologist in patients with renal impairment.
Observation: We report the case of a woman in labor to 41 years, G5P2 mother of two children with a history of two spontaneous abortions, for MFM Followed by colchicine stopped since the desire to design with pregnancy marked by the occurrence of one crisis first trimester of pregnancy. The evolution was unremarkable and vaginal delivery of a newborn male eutrophic 10/10 Apgar.
Discussion and conclusion: FMF Treaty and colchicine have no major impact on the reproductive life of women of childbearing age subject to proper monitoring and good compliance. Obstetrical prognosis is especially marked by the increased risk of abortion in cases of early pregnancy crisis.

The cornual pregnancy is a rare entity that represents almost 2% of ectopic pregnancies. Its diagnosis is almost always based on laparoscopy. The risk of rupture with severe bleeding remains high. The surgical treatment is often conventionally cornual radical resection, although cases medical methotrexate have been described.
The objective of this work is to describe a rare form of ectopic pregnancy and expose its diagnostic features, management and prognosis.
Patient and method: We report the case of a cornual pregnancy discovery intraoperatively in a patient of 27 years, admitted for acute pelvic pain with bleeding in the first quarter with pelvic ultrasound: empty uterus, endometrium 10mm, with an average abundance of peritoneal effusion. Rate of beta-hcg 2017. Given the strong suspiscion of ectopic pregnancy the patient was admitted immediately block with discovery of a right cornual pregnancy ruptured.
Discussion and Conclusion: Interstitial pregnancy ectopic pregnancy is a rare, difficult to diagnose which may involve life and maternal fertility prognosis. Taking conventional charge is surgical. In subsequent pregnancies the clinician wary risk of recurrence of interstitial pregnancy and uterine rupture.

Introduction: The combined degeneration of the cord is a rare cause of myelopathy, it is linked to a deficiency in vitamin BI2 which is the most common cause pernicious anemia. Rapid diagnosis is necessary because the recovery is more complete than replacement therapy with vitamin B12 is administered early. Pregnancy by increasing needs of the mother's body can be a vitamin deficiency. However, we have little data in the literature that describe the impact of this disease on the course of pregnancy.
Observation: We report the case of a 24-year-old primigravida in the third trimester of pregnancy presented a radiculo-cordonal syndrome later in connection with a hypovitaminosis B12. The course of pregnancy was unremarkable, with a marked improvement in his neurological symptomatology in vitamin supplementation.
Discussion and conclusion: combined degeneration of the cord is the main secondary to neurological hypovitaminosis B12. MRI can guide the diagnosis, favorable after adequate vitamin supplementation is a therapeutic test to retain the diagnosis. There is no particular impact of the disease on pregnancy or pregnancy on the disease. However, some cases of IUGR, preeclampsia and pseudo Hellp syndrome were described. In terms of obstetrical prognosis is marked by an expansion of instrumental delivery instructions and those depending on the severity of neurological involvement. Epidural and spinal anesthesia should be avoided. General anesthesia should not use nitrous oxide.

The Uterine fibroma pathology is common and the relationships between fibroids and pregnancy are triple: Fibroids can prevent conception and implantation; the fibroid may complicate the course of pregnancy, at delivery and postpartum period 'and pregnancy-induced condition can facilitate the development of fibroids to complications. We report the case of a patient who was followed in our department from 17 weeks+2days of pregnancy whose ultrasound revealed fibroid located in the uterine isthmus .Through our case and with the support of the literature, We will insist the complications that can occur and understand the importance of diagnosis and early management of this entity.

The malignant germinal tumors of the ovary are rare, but a rest curable whatever is the stage. We report the observation of 24 years old patient, married, never get pregnant , who was sent in our hospital for pelvic pains, the gynecological examination revealed an abdominal mass in the umbilical level . The pelvic ultrasound and the abdominal CT scan showed a heterogeneous solid mass in depends on the ovary. A laparotomy was indicated, allowed a right adnexectomy. The anatomopathologique examination is returned in favor of a dysgerminoma. The germinal tumors of the ovary are rare tumors which affect the girls and the young women, they have a good prognosis whether his stage with an optimal treatment and the majority of the patients keep their reproduction functions.

L'endom