Endometrial cancer (EC) is the most common gynecologic malignancy in developed countries and affects predominantly postmenopausal women. It is estimated, however, that 15%
The obesity, factor of morbimortalite, is considered as a real health public problem. In gynecology, its consequences on the fertility and the contraception are sever and the obesity is at the origin of important obstetric complications that must make consider these pregnancies as at risk. Our practices have to take into account these complications by assuring an adapted and premature care to improve the maternal and neonatal outcomes.
Feto-maternal red cell alloimmunization is defined by the presence in a pregnant woman of alloantibodies directed against blood group antigens present on the red blood cells of the fetus and inherited by the father. It arises from the immune response to a first contact to these same antigens during a prior transfusion, transplant or pregnancy. The placental transfer and the fixation of the antibodies on the fetal red cells antigenic targets lead to a haemolysis in the fetus and the newborn. The resulting haemolytic disease can show different clinical forms, from a mild anaemia with neonatal hyperbilirubinemia to a major fetal damage with stillbirth caused by hydrops fetalis. The objective of management strategies of feto-maternal alloimmunization is to detect and monitor maternal alloimmunization and to appreciate the effects on the fetus or the newborn.
The Uterine fibroma pathology is common and the relationships between fibroids and pregnancy are triple: Fibroids can prevent conception and implantation; the fibroid may complicate the course of pregnancy, at delivery and postpartum period 'and pregnancy-induced condition can facilitate the development of fibroids to complications. We report the case of a patient who was followed in our department from 17 weeks+2days of pregnancy whose ultrasound revealed fibroid located in the uterine isthmus .Through our case and with the support of the literature, We will insist the complications that can occur and understand the importance of diagnosis and early management of this entity.
The malignant germinal tumors of the ovary are rare, but a rest curable whatever is the stage. We report the observation of 24 years old patient, married, never get pregnant , who was sent in our hospital for pelvic pains, the gynecological examination revealed an abdominal mass in the umbilical level . The pelvic ultrasound and the abdominal CT scan showed a heterogeneous solid mass in depends on the ovary. A laparotomy was indicated, allowed a right adnexectomy. The anatomopathologique examination is returned in favor of a dysgerminoma. The germinal tumors of the ovary are rare tumors which affect the girls and the young women, they have a good prognosis whether his stage with an optimal treatment and the majority of the patients keep their reproduction functions.
The uterine inversion defines itself anatomically as the invagination of fundus uterus bottom "finger of glove" until be able to take out in the vulva. It is a dramatic accident of the placenta delivery and a rare eventuality in countries with low medical entity, this rarity - who can mislead the practitioner - ends in complications that lead maternal death. We present the case of a patient de 30 the years old who had a difficult delivery at home 3 months ago with death newborn in immediate post-partum. She was admitted for small vaginal bleeding associated Burning micturition with preservation of the general states. The gynecological examination had revealed a mass a 5 cm in diameter in the vagina. We made the diagnosis of a chronic puerperal uterine inversion of the third degree and a surgical intervention of vaginal vertical posterior colpohysterotomy by low way in the first one and the second was the colpohysterorraphy by laparotomy.
Show abstract
Full Text
