Maternal benefits of fetal extraction have been clearly demonstrated in the case of hemodynamic failure. However, in case of respiratory failure very little data are available. The aim of our study is to discuss the management of patients with respiratory distress during pregnancy secondary to a pleuropulmonary disease.

Vaginal Angioleiomyoma is a rare entity. We report a case of vaginal Angioleiomyoma with literature review. Our case was about a 48 years old woman who consulted for a nodule in the posterior wall of the vagina. The surgery allowed removal of a tissue-like structure of 2 cm. The final histologic diagnosis was a vaginal Angioleiomyoma.

Collision tumor means the coexistence of two adjacent tumors, but histologically distinct without mixture into the fabric. These tumors involving the ovaries are rare. Benign cystic teratomas are often present at the same time as other abnormalities of the ovary. The most common histological combination in the ovary is the coexistence of cystic mature teratoma with mucinous tumors, its association with serous tumors is rare and the incidence is unknown. Ovarian mature cystic teratomas are benign often diagnosed in young girls.
We present a rare case of a triple coexistence of a large tumor collision (consisting of a serous cystadenoma, mucinous cystadenoma and a mature cystic teratoma Benin) in the same ovary in a girl of 16 years.

The fibromes desmo

Lactating adenoma is a benign tumor of pregnancy and lactation, found most often in the third trimester of pregnancy and less frequently during lactation. Clinically, it presents itself as a unique and discrete mobile mass. It is a rare benign tumor which the diagnosis requires pathological confirmation. Usually it disappears spontaneously. Chirurgical treatment is offered for aesthetic problems related to the size of the adenoma. The authors report a case of lactating adenoma discovered at eight months of the post partum. Through this case, they discuss the clinical, radiological, histopathological aspects and various therapeutic modalities of this tumor.

Genital tuberculosis of women is part of extra pulmonary forms of tuberculosis. It is an uncommon disease in developed countries, but remains endemic in developing countries. The causative agent is, in most cases, Mycobacterium tuberculosis. Genital tuberculosis is a cause of infertility. The definitive diagnosis is made by biology or histology. Because this affection is paucibacillary, these tests may be falsely negative; In fact, diagnosis can then be focused on radiological, endoscopic and nosological arguments.

Isolated massive vulval edema in pregnancy is rare. The causative mechanisms remains poorly understood but it is probably related to mechanical, osmotic and hormonal factors. The differential diagnosis of vulval edema includes infections, tumors, lymph birth defects, trauma, inflammatory and metabolic diseases. The authors report a case of a 27 year-old primigravida woman with twin pregnancy who was admitted to the obstetrical emergency at 37 weeks of gestation for a severe anemic syndrom associated to a massive vulval edema with no sign of pre-eclampsia. Biological examination showed a severe microcytic hypochromic anemia associated to a hypoproteinemia. Other causes of vulval edema were excluded. After blood transfusion, the patient gave birth by Caesarean section. In the post partum period, the vulval edema resolved progressively. By the fourteenth day post cesarean section, the vulval edema had completely regressed. Three weeks later, a spontaneous regression of the vulval edema was observed. The aim of this report this case is to discuss the clinical aspects, differential diagnosis, causes and evolution of vulval edema in pregnancy.