Retrospective analysis of fetal anterior abdominal wall defects

To analyze fetal abdominal defects diagnosed during the prenatal period in the perinatology department in a tertiary center in Turkey. This retrospective study consisted of 27 cases diagnosed with fetal abdominal wall defects between January 2011 and February 2014 in the perinatology outpatient clinic of Celal Bayar University, Manisa, Turkey. Eighteen [66.7%] cases were diagnosed with omphalocele, 6 [22.2%] had gastroschisis, and 3 [11.1%] had limb body wall defects. Twenty-one [77.7%] patients diagnosed either as omphalocele or limb body wall defect were offered karyotype analysis; 11 [52.4%] of them accepted the intervention, and 2 of the 11 patients [18.2%] had abnormal karyotype. Regarding the omphalocele cases; 12 [66.6%] cases had isolated omphalocele, whereas 6 of the 18 cases [33.3%] had associated anomalies. Expectant management was performed in 8 [66.7%] of 12 isolated omphalocele cases. Two of the isolated omphalocele group [16.7%] had missed abortion, the other 2 [16.7%] had termination of the pregnancy because of the associated chromosomal anomaly [47,XXY and 45,XO]. Three of the gastroschisis group [50%] had missed abortion, and the other 3 [50%] had expectant management with cesarean delivery between 38-39 gestational weeks. Cases with limb body wall defect were terminated due to the lethal condition. The prenatal diagnosis of fetal abdominal wall defects is important, because they differ greatly in terms of perinatal and neonatal morbidity and mortality due to underlying chromosomal abnormalities and associated structural anomalies

Seminome spermatocytaire: a propos d'un cas et revue de la litterature spermatocytic seminom

Le seminome spermatocytaire est une tumeur rare; representant moins de 2des cancers du testicule; survenant essentiellement chez le sujet age. Nous rapportons une nouvelle observation d'un patient age de 48 ans. La tumeur se presentait comme une proliferation de cellules en nappes compactes; avec 3 types cellulaires; des cellules de petite taille; des cellules intermediaires et des grandes cellules. Il n'a ete retrouve ni contingent sarcomateux; ni seminome classique. L'analyse en immun histochimie n'a retrouve aucune expression des cellules tumorales pour les anticorps classiques testes; notamment l'Ac anti PLAP et les marqueurs lymphoides. Le seminome spermatocytaire doit etre reconnu; car son evolution est tres favorable et ne necessite qu'une simple orchidectomie; en l'absence d'un exceptionnel contingent sarcomateux ou de metastase ou une chimiotherapie s'impose

Typhoid and paratyphoid fevers in Basrah city

Enteric fevers were studied in 96patients and the results were compared with similar previous studies. Their ages ranged from 12 to 56 years. Seventy-six patients [75%], were below 30 years of age. Sex distribution showed no specific predilection. The highest incidence occurred during summer time, with a peak during August. Ninety-one patients [95%], were on antibiotics before hospital admission. The symptomatology and signs of typhoid and paratyphoid A fevers in our series were compared and were found similar. Comparison with previous studies is discussed. White blood cell counts were either normal or low. The value of a single Widal test was found doubtful. Salmonella typhi and paratyphi A, were isolated from 35 blood cultures [isolation rate: 36%]. Chloramphenicol was the drug of choice and was found highly effective. Ampicillin was employed as an alternative antibiotic in pregnant women and in patients with G6 PD deficiency