Subcapsular hepatic haematoma is a rare complication of preeclampsia occurring mainly in the context of HELLP syndrome, it is associated with a high mortality or morbidity rate. An early diagnosis before the break point of the hematoma and a multidisciplinary proper care is mandatory.We report one case of cracked subcapsular hematoma liver collected at the Hospital of Maternity Souissi Rabat, with a favourable evolution that was observed after surgical management limited to hepatic packing and transfusion.
Ovarian vein thrombophlebitis is a rare complication that must be evoked and sought, Paticularly in front of the persistance of a febrile abdomonal pain syndrome, before childbirth, postpartum and also in postabortum.The imaging means, we currently have, especially the doppler echo, computed tomography (TDM) and magnetic reasoning imagin (IRM) allow us to make this diagnosis and choose the most suitable treatment.
The spontaneous rupture of uterine varicose veins during pregnancy and more particularly in the third trimester, is an exceptional cause of hemorrhagic shock by hemoperitoneum. Its diagnosis is difficult due to its rarity and the absence of specific signs. Maternal-fetal care must be immediate in order to reduce high fetal mortality and limit maternal morbidity.
Ovarian carcinosarcoma also known as mixed mesodermal tumor or mixed Mullerian tumor is a rare gynecological tumor that accounts for less than 2% of ovarian cancers. It is an aggressive tumor which combines a carcinomatous component with a sarcomatous component. In the genital tract, it most often sits in the uterus. The ovary, cervix or vagina are more rarely affected. Carcinosarcoma interests women rather between 60 and 70 years of age. The main prognostic factor found is the initial stage, most often advanced: At diagnosis, more than 90% of ovarian carcinosarcomas have an extra-ovarian extension.Surgical management is a determining factor for the survival of patients. Carcinosarcoma is an aggressive tumor, the median survival is 7 to 27 months for ovarian carcinosarcomas. Relapses mainly occur in the first year. The FIGO stage is the most important prognostic factor.Complete surgery, advanced age, the grade of the sarcomatous component and adjuvant chemotherapy are found in the rare published retrospective studies. The response rate to chemotherapy is approximately 20%.
Uterine fibroids or leiomyomas are benign myometrial tumors. They are found in 20% of women of reproductive age. Outer uterine localization is rare and of poorly understood pathophysiology, and poses a diagnostic problem. Only the pathological examination can establish the diagnosis. We report two cases of ectopic localization, the ovary and the broad ligament, the diagnosis of which was not made in the first place.
The twin-to-twin transfusion syndrome (TTTS) is a specific complication of monochorionic twin pregnancies. The diagnosis is often established in the second trimester of pregnancy and is based on a set of ultrasound arguments. The management of this complication is conditioned by the gestational age of onset and by the hemodynamic tolerance of the two fetuses. Severe and early forms (<26 weeks of amenorrhea) are treated by laser coagulation of placental vascular anastomoses.
Osteoid metaplasia of the endometrium is a rare and little-known entity that corresponds to the presence of bone tissue in the endometrium and is responsible for secondary infertility. It is often found in young women of childbearing age with a history of abortion. The physiopathology remains incompletely understood. Ultrasound, hysteroscopy and biopsy allow diagnosis. Operative hysteroscopy represents the ideal therapeutic means for obstetrical prognosis and for restoring fertility.
The Ovarian Carcinosarcoma also known as malignant mixed Müllerian tumor is a rare malignant neoplasm that histologically contain both epithelial and stromal components. This aggressive tumor is found not only in the ovary but also in other organs of the genito-urinary tract, including uterus. It is usually diagnosed at older age and advanced stage. The Ovarian Carcinosarcoma patients have very poor prognosis. Surgical treatment is a determining factor for the survival of patients. The response rate to chemotherapy is about 20 %. We illustrate the article with a clinical case reporting the positive diagnosis of ovarian carcinosarcoma.
The Belly Prune Syndrome is an extremely rare and complex anatomo-radiological entity with a clear male predominance. It is characterized by hypoplasia of the abdominal musculature, abnormalities of the urinary tract and bilateral cryptorchidism forming the classic triad of the syndrome. This pathology is associated in 75% of cases with pulmonary, skeletal, cardiac and gastrointestinal malformations. Nous illustrons l’article par un cas clinique rapportant le diagnostic positif du syndrome de Prune Belly.
Conjoined twins (JC) represent a malformative abnormality that concerns monozygotic twin pregnancies, it is a rare entity that poses a real diagnostic and therapeutic challenge. We report a case of Conjoined twins through which we will expose the various difficulties encountered during the management of this type of anomalies.
Ovarian pregnancy (GO) is rare. Unlike other types of GEU, GO remains an isolated and exceptional phenomenon in a woman's life, independent of the usual risk factors and the exact mechanism leading to a GO remains poorly understood. The anatomopathological study authenticates the diagnosis, sometimes referred to intraoperatively. . We report the case of ovarian pregnancy met at the Souissi maternity hospital in Rabat and the different stages of care.
The subcapsular hematoma of the liver (HSCF) is a rare complication of pregnancy with high maternal-fetal mortality. This therefore requires rapid diagnosis and appropriate care. His secondary rupture is one of the most serious obstetric complications. Maternal mortality is 50% to 75%, that of the fetus is 60% to 80%. We illustrate the article with a clinical case reporting the management of a subcapsular hematoma of the liver.
Metaplastic breast carcinomas are rare tumors, represent less than 1% of invasive breast cancers, and constitute a heterogeneous group of tumors defined by the World Health Organization as infiltrating ductal carcinoma but with zones of metaplastic rearrangements of Epidermoid, fusiform, chondroid, bone or mixed type. Histopathology combined with immunohistochemistry makes it possible to make the diagnosis. Treatment combines surgery, and chemotherapy, radiotherapy is discussed and hormone therapy has no place. Their prognosis is bleak and the evolution is marked by locoregional recurrences and distant metastases. We report two cases of metaplastic breast carcinoma diagnosed by histology supplemented by immunohistochemistry, the treatment consisted of a mastectomy with axillary dissection supplemented by chemotherapy.
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