[Tubo-ovarian actinomycosis. A report of two cases and literature review]

Actinomycosis is an infection due to an anaerobic Gram-positive bacillus bacteria: Actinomyces. Tubo-ovarian locallisation is rare. It more often appears clinically as a pseudo-tumoral and feverish syndrome, evoking wrongly a malignant tumoral pathology, and often leads to a mutilating surgical treatment. Intra-uterine device appears as the principal favorable factor of this pathology. Basing on two cases reported by the authors, and after literature review, physiopathology, clinical and paraclinical expression, and treatment of this affection are discussed. A set up is made

[Prune belly syndrome: Early prenatal diagnosis and management]

Prune Belly syndrome in characterized by a combination of megacystis, anterior abdominal wall distension with deficiency of the abdominal wall musculature, and bilateral cryptorchidism. Diagnosis is easy after 15 weeks of gestation, but may be difficult at the end of the first term. Authors report 2 cases of Prune Belly syndrome diagnosis at 11 and 14 weeks of gestation respectively. Afterliterature review, diagnosis and prognosos particularities of this syndrome are discussed

[Indicators for successful vaginal delivery after cesarean section: a proposal of a predictive score]

The purpose of this study is to determine predictive factors of successful vaginal delivery after cesarean section, and to estimate the risks of this trial of labor [TOL]. A retrospective study about 352 women undergoing a TOL after cesarean section was carried out. Different variables stratified by the termination of the TOL were analysed with statistic tests. TOL success rate was 76.1%. Parity >/= 3, prior vaginal delivery following cesarean section, body mass index < 30, fundal height < 34 cm, and low fetal head level at the beginning of labor increased significantly the probability of success. Uterine rupture rate is 1.1%. Failure of TOL was associated with a higher risk of uterine scar dehiscence and rupture, and higher fetal morbidity. A predictive score of successful vaginal delivery after cesarean section is proposed

[Placenta praevia percreta with bladder invasion a life-threatening complication of pregnancy]

Placenta percreta is characterized by the penetration of tro-phoblast through the myometrium and peritoneum. This inva-sion may also involve adjacent structures. This condition is the most serious of placental implantation anomalies. It is a rare but life-threatening complication of pregnancy. We present a case of placenta praevia percreta with involvement of the bladder, discuss the particularities of the diagnosis and management, and review the literature

[Pemphigoid gestationis: a pregnancy- related pathology underestimated by obstetricians]

Pemphigoid gestations [herpes gestationis] is an autoimmune bullous dermotosis occurring during pregnancy or in the post-partum period. The interaction of this rare pathology with pregnancy is underestimated by obstetricians. Authors report one case of pemphigoid gestations diagnosed in a pregnant woman at term. After a literature review clinical aspects of this dermatosis and especially its interactions, with pregnancy are assessed