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.
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