[Prenatal diagnosis of uropathies: a review of 10 cases]

Obstructive uropathies are a frequent cause of child renal failure. The prenatal diagnosis of such abnomalies should lead to appropriate management. to evaluate the interest of ultrosonographic prenatal diagnosis of urinary tract malformations retrospective study of 10 cases of urinary tract malformations diagnosed in utero. The mean age of the patients was 34,9 years and the mean gestationnal age at the prenatal diagnosis was 28,2 weeks of amenorrhea. The abnormalties diagnosed were: 2 cases of ureteropelvic junction obstruction, 3 cases of posterior urethral valves and 5 cases of mild hydronephrosis. The fetal karyotype, realised in 8 cases, was normal. In one case the urinary abnormalties was part of a multiple malformation syndrome and led to the termination of the pregnancy. 7 cases had a postnatal follow-up: 5 had a surgical management and two new borns had transient pyelectasies. The prediction of postnatal renal function is made by ultrasonographic appearence of the kidney and the amniotic fluid. Although the analysis of fetal urine for the assesment of renal function leads to conflicting results, it seems that sodium and beta-2 microglobulin urinary rates provide useful informations

[Ultrasonographic diagnosis of ectopic pregnancy. a review of 109 cases]

To assess the accuracy of Ultrasonographic diagnosis of ectopic pregnancies. A retrospective study of Ultrasonographic findings of 109 patients operated for ectopic pregnancy between January 1997 and December 1998. Ultrasonography was performed with an Aloka SSD 620 sonographic imager and a 5 MHz endovaginol transducer. All patients had a transvaginal sonography. Of these, 15 had a transobdominal sonogrophy. Ultrasonographic findings of the 109 ectopic pregnancies were on extrauterine gestotionnal sac in 10 cases [9,17%], on adnexel mass clearly separated from uterus and ovary in 87 cases [79,81%], a pelvic fluid in 90 cases [82,56%] and pseudogestationnal sac in 6 cases. Ultrasonographic established the diagnosis of ectopic pregnancy in 89% of cases. Serum B HCG level was needed for diagnosis in 12 cases [11%]. Transvaginal sonography is the method of choice for the evaluation of women with a suspected ectopic pregnancy. However, serum B HCG levels are useful for diagnosis in 11% of cases

Etude retrospective de 167 cas de tumeurs ovariennes

Our purpose was to assess clinical particularities, diagnosis and therapeutic problems of ovarian tumors. Study design: a retrospective study of 156 patients having undergone an operation for ovarian tumor not suspected to be malignant between January 1991 and June 1998. The clinical. Ultrasonographic and tumor marker data were analysed. mean age of our patients was 34 years. 19 patients were menopausal. All ovarian masses were considered as benign at ultrasonographic scan. Serum CA125 level was measured in 42 cases. It was abnormal in 2 cases. 102 patients underwent laparotomy.54 patients underwent laparoscopy, of these,19 were converted to laparotomy due to a suspect macroscopic diagnosis [2 cases] or to technical difficulties [13 cases]. Histolgoical findings were 150 benign ovarian tumors, 12 functional cysts and 5 malignant ovarian tumors. Therefore, preoperative assessment had failed diagnosis of cancer in 5 cases. Conclusion. The clinical, ultrasonographic and tumor markers triad remains the best preoperative approach currently available for ovarian tumors. However, the final diagnosis remains histological

Tubo-ovarite xanthogranulomateuse a propos d'un cas

Xanthogranulomatous inflammation in the female genital tract is rare and characterized by a massive infiltration of the tissue by lipid containing histiocytic cells, together with lymphocytes and plasma cells. We report a new case of Xanthogranulomatous inflammation of the female genital tract