Short rib polydactyly syndrome type II [Majewski syndrome]

Short rib polydactyly syndromes [SRPS] are a group of inherited autosomal recessive skeletal dysplasias. It is characterized by the triad of micromelia, polydactyly and short horizontal ribs with or without visceral involvement. We reported the case of a recurrent Majewski's syndrome

[ newborns from epileptic women about 13 cases]

We report a study of 13 pregnant women with epilepsy over a 5-year period The mean age was 28 years [Range :20-36 years].Eight women had grand mal seizures [generalized tonic-clonic seizures]. All women were receiving anticonvulsivant therapy before pregnancy, whose 08 under monotherapy and 05 under bitherapy. Phenobarbital is largely the must used for 10 women. During pregnancy, an increase in seizure frequency was noticed in 07 cases and antiepileptic doses were increased to the clinic in 05 cases and 02 patients required the association of other anticonvulsivants. Thirty babies were born at term of which 03 by forceps and 02 by caesarean section. There where no cases of neonatal hemorrhage or per natal death. Symptoms of drug impregnation were found in 04 cases. pregnancy doesn't have a catastrophic effect on the course of epilepsy apart from the risk of an increase in the frequency of the fits. This risk must be reduced thanks to an optimal use of an anticonvulsive therapy before and during pregnancy

[Conservative treament for a post trumatic uterine rupture in the 3rd trimester of pregnancy]

We report the case of a woman in her 38[th] week of pregnancy who was brought by the SAMU in a state of shock following a car accident. She was a multiple trauma case with lesions over the face, the abdomen, a left femur fracture and metrorrhagia. The abdominal ultrasound revealed the presence of an important hemoperitoneum and absence of the fetal heart sounds. The surgical exploration found a ruptured uterus and an intra peritoneal dead fetus. A conservative treatment was done in this primipara and the post surgical evolution was good

[Venous insufficiency during pregnancy]

The occurrence of venous insufficiency during pregnancy is often neglected by patients until occurrence of complications or repercussion of varicose veins. The treatment is than more difficult to establish and outcomes have less positive issues. The understanding of true mechanisms and pathogens of venous insufficiency during pregnancy especially those inherent of symptomatology permit to institute at time prevent treatment consisting on contention and hygiene of life

Duplicite utero - vaginale complete avec hematocolpos et agenesie renale homolaterale

We relate one observation about a rare case of genital malformation, where is on association of unilateral hematocopos, bicorn uterine and homolateral renal agenesis. The diagnostic was suspected upon the association with a progressive dysmenorrhe and vaginal mass. Il was confirmed by ethnographie and IRM. The treatment has been conservative and consisted only in the section of the vaginal partition