[Uterine sarcomas, about 13 cases]

The uterine sarcomas are malignant tumors which have two main problems; the first is their unclear epidemiology, the second is the non codified treatment. We related 13 cases of uterine sarcoma, treated at Gynecologic and Obstetric ward Ml, of Maternity Souissi University of Rabat. The uterine sarcomas are uncommon and represent 1% of hole tumor pathology of the uterine corpus. It happens preferentially in menopaused women [62% of cases]. The genital bleeding is the more frequent sign [85% of cases]. Pre-operative diagnosis of sarcoma is made in 46% of cases ; the diagnosis of malinancy is made in 92% of cases. Surgery is the best mean of treatment. The radiotherapy and chemotherapy have a few indications and an unsure efficacy. The prognosis is very bad

Heterotopic pregnancy preoperative diagnosis

Simultaneous presence of intrauterine and ectopic pregnancy in the same patient is called heterotopic pregnancy. Preoperative diagnosis of such case is infrequent. A case is reported in a 22 years old patient in whom the preoperative diagnosis was suspected by ultrasonic examination. Laparotomy confirmed the diagnosis and radical treatment of the ectopic pregnancy. Spontaneous expulsion of intrauterine pregnancy occurred 48 hours in the postoperative period. Anatomopathologic findings confirmed the intrauterine diagnosis. In front of every case of abnormal early pregnancy, we have to think of the possibility of heterotopic pregnancy especially with the highly developed techniques of medically assisted production

Hematocolpos: a diagnostic trap

The heamatocolpos is a retention of menstrual bleeding in the vaginal cavity. The main etiological factor is imperforate hymen. According to the literature data and this observation, this affection is discovered at puberty and could reveal other malformations notably uterine and renal. The diagnosis can be easily confirmed in front of some clinical signs, as amenorrhoea with periodic pelvic pains and the inspection of vulvoperineal area. However normal hymen does not eliminate the diagnosis. The heamato colpos can be top of obstructed hemivagina. The pelvic ultrasonic scan is essential to check up any associated malformation. Delayed diagnosis may give rise to some complications [endometritis, infection] which may interfere with the prognosis of ulterior fertility. The treatment of these malformations is surgical more often through the vaginal approach. The prevention of this affection depends on the early diagnosis of malformation at birth by a careful inspection of vulvoperinial area and its treatment during the prepubertal period