Scar pregnancy is an ectopic, life-threatening pregnancy (hemorrhage or uterine rupture) that can also involve functional prognosis (hysterectomy). Its incidence is rare, but is likely to increase due to the rise in Caesarean section rates, these past few years. The clinical signs include metrorrhagia in variable abundance and/or pelvic pain in patients with uterine scarring. Diagnosis is made by endovaginal ultrasound, using the Vial criteria. The case we report in this article will enable us to discuss the pathophysiological, diagnostic and therapeutic criteria of this pathology, with the help of a literature review.
The fetus acardiac headless is a rare anomaly characteristic of twin monochromic pregnancies. Its frequency is 1/35000 births. Its evolution is constantly lethal for the affected fetus. The healthy fetus is exposed to a high risk of death in utero or complications. Among the different pathophysiological theories proposed, only the vascular theory is retained. Arterio - arterial and venous anastomoses are the source of vascularization against the current TRAP syndrome (Twin Reversed Arterial Perfusion disorder) of the abnormal fetus which receives the desaturated blood of oxygen and low in nutrients from healthy fetus.
Leiomyoma, known as a disease of the uterus, composed of smooth muscle fibers and collagenous stroma, is rarely encountered in other sites. We report here an exceptional case with a location of the labia minora with literature review. This is a 27-year- old patient was admitted to the mass of the left labium lasting for 9 month of firm consistency. The surgery allowed removal of a tissue-like measured 3 cm. The final histological diagnosis was vulvar leiomyoma.
Fibroadenoma is one of benign lesions which occurs in the breast. It is especially frequent in young women. The juvenile giant fibroadenoma is a rare type of fibroadenoma which is characterized by fast and massive growth. In general, it is a huge, firm, mobile and painless tumor with breast shape deformity. The diagnosis is made by Breast ultrasound and mammography. The differential diagnosis is phyllode tumors but they are rare before 20 years old. The treatment is surgical and consists on wide lumpectomy which must be esthetic to prevent recurrences. Here we present a 14 years old female patient to whom fibroadenoma was diagnosed and the wide lumpectomy was done with good improvements.
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