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1.
Case Rep Med ; 2012: 981387, 2012.
Article in English | MEDLINE | ID: mdl-23150734

ABSTRACT

Epidermoid cyst is a frequent benign cutaneous tumor. The pelvic localization does not occur very often. The literature that taps into such cases is very limited in scope. Here is a report of a 27-year-old woman with a giant pelvic retroperitoneal epidermoid cyst. The use of ultrasound exploration and computed tomography has indicated ovarian origins. The surgery also revealed a retroperitoneal epidermoid cyst, uterus and ovaries were all intact. The evacuation of a cyst was found to contain lamellas of keratin. Histology permitted us to confirm the diagnosis. The patient was faring well after two years of followup.

2.
Case Rep Med ; 2011: 260647, 2011.
Article in English | MEDLINE | ID: mdl-21423543

ABSTRACT

Endometrial stromal nodule (ESN) is the least common of the endometrial stromal tumors. They are rare neoplasms which are diagnosed in most instances by light microscopy. Although such nodules are benign, hysterectomy has been considered the treatment of choice to determine the margins of the tumor required for diagnosis and to differentiate it from invasive stromal sarcoma Whose prognosis is totally different. We report a case of a 45 years old woman, with presurgical diagnosis of adnexal mass or uterine tumor. She underwent a total abdominal hysterectomy. Pathologic examination revealed an endometrial stromal nodule. Through this observation, we insist on the fact that the ESNs are rare and benign entities which must be differentiated from the other invasive malignant stromal tumors; this can change the final prognosis.

3.
Libyan J Med ; 4(1): 46-7, 2009 Mar 01.
Article in English | MEDLINE | ID: mdl-21483504

ABSTRACT

Pregnancy in a rudimentary horn is a very rare condition. It is responsible for several complications. Prognosis is reserved because the natural evolution generally leads to a cataclysmic uterine rupture at the beginning of the second trimester. Classically, the treatment after foetal extraction consists of ablation of the rudimentary horn and associated fallopian tube. We report the obstetric outcome of a patient with history of rudimentary uterine horn rupture, the treatment of which was ablation of the rudimentary horn.

5.
Libyan J Med ; 4(2): 81-2, 2009 Jun 01.
Article in English | MEDLINE | ID: mdl-21483515

ABSTRACT

Post-partum pituitary necrosis (Sheehan's syndrome) is a rare complication of post-partum hemorrhage. The diagnosis can be erratic and often delayed. In this case report of Sheehan's syndrome in the post-partum period, the signs were characterized by agalactia, severe hypoglycemia, and low serum levels of thyroid hormones, cortico-adrenal hormones, and gonadotrophin (FSH, LH). The hypophyseal magnetic resonance imaging confirmed the diagnosis of hypopituitarism secondary to pituitary necrosis.

6.
Rev Med Liege ; 63(2): 97-100, 2008 Feb.
Article in French | MEDLINE | ID: mdl-18372548

ABSTRACT

Isolated torsion of the fallopian tube is extremely rare and difficult to diagnose, requires a coelioscopy, or a laparotomy in centers which do not have coelioscpie; often carried out too tardily, to allow the conservation of the horn. We report two observations of isolated torsion of the fallopian tube and we recall through the two clinical cases the diagnostic difficulties, the useful complementary examinations, the treatment and the causes of this pathology which must be systematically evoked in front of any acute abdominal syndrome in order to hope for an early surgical treatment and if possible conservative.


Subject(s)
Fallopian Tube Diseases/diagnosis , Torsion Abnormality/diagnosis , Adolescent , Adult , Diagnosis, Differential , Fallopian Tube Diseases/surgery , Female , Humans , Laparoscopy/methods , Laparotomy/methods , Torsion Abnormality/surgery
7.
Rev Med Liege ; 63(1): 11-3, 2008 Jan.
Article in French | MEDLINE | ID: mdl-18303679

ABSTRACT

The authors report the observation of a bilateral ovarian tumor in a pregnant woman. The lesion corresponded to a metastasis from a sigmoïd adenocarcinoma.


Subject(s)
Adenocarcinoma/pathology , Adenocarcinoma/secondary , Ovarian Neoplasms/secondary , Pregnancy Complications, Neoplastic/pathology , Sigmoid Neoplasms/pathology , Adult , Fatal Outcome , Female , Humans , Pregnancy
9.
Libyan J Med ; 3(1): 58-9, 2008 Mar 01.
Article in English | MEDLINE | ID: mdl-21516244

ABSTRACT

The puerperal uterine inversion is a rare and severe complication occurring in the third stage of labour. The mechanisms are not completely known. However, extrinsic factors such as oxytocic arrests after a prolonged labour, umbilical cord traction or abdominal expression are pointed. Other intrinsic factors such as primiparity, uterine hypotonia, various placental localizations, fundic myoma or short umbilical cord were also reported. The diagnosis of the uterine inversion is mainly supported by clinical symptoms. It is based on three elements: haemorrhage, shock and a strong pelvic pain. The immediate treatment of the uterine inversion is required. It is based on a medical reanimation associated with firstly a manual reduction then surgical treatment using various techniques. We report an observation of a 25 years old grand multiparous patient with a subacute uterine inversion after delivery at home.

10.
Libyan Journal of Medicine ; 3(1): 1-3, 2008.
Article in English | AIM (Africa) | ID: biblio-1265038

ABSTRACT

The puerperal uterine inversion is a rare and severe complication occurring in the third stage of labour. The mechanisms are not completely known. However; extrinsic factors such as oxytocic arrests after a prolonged labour; umbilical cord traction or abdominal expression are pointed. Other intrinsic factors such as primiparity; uterine hypotonia; various placental localizations; fundic myoma or short umbilical cord were also reported. The diagnosis of the uterine inversion is mainly supported by clinical symptoms. It is based on three elements: haemorrhage; shock and a strong pelvic pain. The immediate treatment of the uterine inversion is required. It is based on a medical reanimation associated with firstly a manual reduction then surgical treatment using various techniques. We report an observation of a 25 years old grand multiparous patient with a subacute uterine inversion after delivery at home


Subject(s)
Case Reports , Uterine Inversion/diagnosis , Uterine Inversion/therapy
11.
Article in French | MEDLINE | ID: mdl-17293256

ABSTRACT

The authors report an observation of a rare case of vulvar tuberculosis in its hypertrophic form it is observed in a 16-years-old girl. The diagnosis was retained on a beam of arguments anamnestic, clinical, histological and evolutionary. A medical treatment based on antibacillar was founded supplemented of a surgical reduction for aesthetic concern.


Subject(s)
Tuberculosis/diagnosis , Vulvar Diseases/diagnosis , Adolescent , Female , Humans , Treatment Outcome , Tuberculosis/surgery , Tuberculosis, Pulmonary/complications , Tuberculosis, Pulmonary/drug therapy , Vulvar Diseases/surgery
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