Colloid carcinoma of the breast is a rare histological entity, representing only 1 to 6% of all breast carcinomas. It affects a specific population and is known for its favorable prognosis compared to other breast cancers. Through three clinical cases of colloid carcinoma and a review of the literature, we will try to discuss the main clinical-pathological and evolutionary characteristics of this rare form of breast cancer.
Interstitial pregnancy is a rare form of ectopic pregnancy. It is characterized by its implantation in the intra-myometrial part of the fallopian tube. It constitutes a gynecological emergency since its rupture can lead to morbidity and mortality. Its diagnosis remains difficult, and is based on four ultrasound criteria which are not always found. In the absence of rupture, conservative medical treatment is used more and more because it allows anatomical integrity to be preserved. We report a case of interstitial pregnancy successfully treated with a single injection of Methotrexate intramuscularly.
Postpartum hemorrhage is a main cause of maternal death, it can be primary or secondary depending on the time of onset. Although less frequent, secondary haemorrhages keep a high morbidity and mortality rate, which is accentuated by the difficulty of diagnosis and determination of the etiologies especially in rare causes like the pseudo-aneurism of the uterine artery, a vascular abnormality in most cases caused by a traumatic lesion of the blood vessel most often during cesarean section. The diagnosis is examined in front of clinical and ultrasound elements, and confirmed by CT scan, MRI, or angiography which also allows therapeutic treatment thanks to embolization. We report the case of a 27-year-old patient who presented with late postpartum hemorrhage secondary to a pseudoaneurysm of the uterine artery, suspected by ultrasound and confirmed by CT scan, the patient underwent embolization with good evolution. Despite its rarity, pseudoaneurysm of the uterine artery is a potentially fatal complication and must be taken into account in the differential diagnosis of secondary postpartum hemorrhage allowing adequate and rapid management.
Introduction: Premature rupture of membranes represents a major infectious risk for the mother and the fetus; it constitutes a risk factor for chorioamniotitis, puerperal and neonatal sepsis. Reactive protein C is a biological marker widely used in the detection of maternal and fetal infections, in particular in the early diagnosis of chorioamniotitis. The aim of this study is to assess the role of CRP in the diagnosis of chorioamniotitis, and to correlate it with the prediction of neonatal infection and thus review the arguments concerning its usefulness. Materials and methods: This is a retrospective study of patients collected from the Kangaroo unit at the Souissi maternity hospital in Rabat between March 2018 and October 2018, including all parturients having delivered vaginally to an asymptomatic newborn in a premature rupture of membranes context. Clinical and biological monitoring, in particular with reactive protein C in mothers and newborns, was carried out. Results: 238 patients were admitted to the kangaroo service for delivery in premature rupture of the membranes context. In the positive maternal CRP group, 8 women had clinical chorioamiotitis, while no case of clinical chorioamniotitis was recorded in the negative CRP group. In the positive neonatal CRP group, all mothers had a positive CRP while in the neonatal negative CRP group 37.6% of the women had a positive CRP with a P <0.001. Conclusion: Our study suggests that a high rate of maternal CRP before childbirth is a good predictor of chorioamniotitis and neonatal infection.