[Placental chorioangioma and ultrasound diagnosis - case report and review]

Placental chorioangioma is the most frequent benign vascular placental tumor. Its prenatal diagnosis can be made by ultrasound. After analysing our case, we describe clinical and sonographic features of this kind of tumor, maternal and fetal complications and finally, therapic issues. Chorioangioma can be identified by ultrasound as a well-circumscribed solid mass. Its vascular origin can be established by use of color Doppler imaging. Fetal complications are caused by arteriovenous shunting. Maternal complications are polyhydramnios, preeclampsia and placental hematoma. Therapeutic possibilities are reduced. Ultrasound is helpful for diagnosis and follow-up of these tumors who are associated with severe consequences

[Fetal intracranial haemorrhage and periventricular leukomalacia after second-trimester intrauterine fetal death in monochorionic twins]

Intrauterine fetal death of one twin in a monochorionic pregnancy may be associated with adverse neurologic sequelae in the surviving co-twin. The aim of this report is to try, through a review of literature, to predict the risk of cerebral impairment in the survivor co-twin and to assess the feasability of neurosonography and magnetic resonance imaging in the prenatal diagnosis of brain damage. We report a case of monochorionic twins complicated by a fetal death at approximately 23 weeks' gestation with pathologically confirmed leukomalacia in the surviving twin. A detailed sonographic evaluation of the intracranial anatomy of the surviving twin was performed. Fetal magnetic resonance imaging was offered as well. The patient opted for termination. Evacuation was performed at 24 weeks, and pathologic evaluation revealed severe cerebral infarction with haemorrhage. However difficult, a multidisciplinary prenatal counselling should be performed in order to study the prognosis and to try to prevent cerebral palsy in the surviving co-twin

[Urgent contraception [Norlevo]-Experience of the service ''A'' CMNT-About 14 cases]

Urgent contraception [naming recognized by the WHO] is a contraceptive method that can be used after a non protected or badly protected sexual act. It is about a retrospective preliminiary study concerning 14 young women, having opted voluntarily for the post coital contraception with the levonorgestrel further to a not protected sexual act. Urgent contraception is indicaed for a delay of 72 hours after a sexual intercourse not protected or in case of failure of a contraceptive method. The average age of our candidates was of 24.4 years with extremes going from 16 to 33 years. 50% of our consultants were single. A pregnancy test had been realized at all our candidates before the intake of the norelevo. It was negative in every case. Average time sold between the report and the ingestion of Norlevo was 15.27 hours without never exceeding 24 hours. The rate of success was 100%. this non-expensive contraception, is easy to implement; it is so much less expensive than an pregnancy interruption [IVG] to which the women often have appeal in case of not wished pregnancy. Urgent contraception is now well codified. Its efficiency approaches 75 to 85%

[Krukenberg's tumor- about 5 cases]

KRUKENBERG's tumor is an ovarian metastasis of a digestive neoplasm. It is a rare tumor. We realized a retrospective study over 5 years, in the service "A" of the CMNT. We listed 5 cases of KRUKENBERG's tumors. The average age of our patients was of 47 years. The main motive for consultation are pelvic pains. Clinical exam finds an abdominal mass in 4 cases. The treatment is surgical associated to the chemotherapy. The primitive tumor was found in 4 cases, it was gastric in three patients. KRUKENBERG's tumor is a rare tumor, it touches the young woman. The prognosis of this tumor remains dark. The surgical treatment and the chemotherapy improve little the survival

Granulomatose septique chronique chez une fillette revelee par une aspergilose pulmonaire invasive et une paraplegie flasque

The invasive Pulmonary Aspergillosis [lPA] is the principal cause of death in patients with chronic granulomatosis disease [CGD]. It can happen before age of one and can reveal the [CGD]. Usually, the transmission of GSD is linked to in 65% of cases. We report, the case of a girl aged 3 years issued from consanguine mariage referred to hospital for hemoptysia. We note that at 40 days she presents an suppurate adenitis. She is hypotrophic at 3DS without respiratory problem, she has a splenomegaly. The radiography chest note an alveolar and interstitiel opacity bilateral, apical right and basal left. There is a biological inflammatory syndrome. During the evolution, the child presents a paraplegia secondary to cornpression myelitis. A D5 laminectomy in urgency was done. The vertebral Biopsia, the serology and the culture isolate fumigatus aspergillus the GCD is evoqued confirmed by the NBT test who was negatif. In We have to look for GCD in front of pulmonary aspergillus The vertebra lesion is secondary to pulmonary lesion. Our observation is noticeable by the recessive autosomal transmission who was seen in 35% of cases, and by the neurologic complication rarely reported