ABSTRACT
Endometrial ossification is a rare and benign pathology. The etiopathogenesis of this pathology is controversial. Findings suggestive of diagnosis are fairly well know, menstrual irregularities is the main clinical symptoms, expulsion of bony fragments is a rare but pathognomonic event. Pelvic ultrasonography suggested an intrauterine foreign body and hysteroscopy was necessary to make the correct diagnosis. Six cases of endometrial ossification diagnosis and treated at obstetrics and gynaecology department A of centre of La Rabta teaching hospital (Tunis) are reported.
Subject(s)
Endometrium , Ossification, Heterotopic/diagnosis , Uterine Diseases/diagnosis , Adult , Biopsy , Curettage , Female , Humans , Hysterectomy , Hysteroscopy , Metrorrhagia/etiology , Middle Aged , Ossification, Heterotopic/etiology , Ossification, Heterotopic/therapy , Pelvic Pain/etiology , Ultrasonography , Uterine Diseases/etiology , Uterine Diseases/therapyABSTRACT
Encephalocel is leff frequent than spina bifida and anencephalia. Its incidence is 0.25@1000 births. It concern as much female than male. This neural defect is frequency associated to others malformations face (20%) squelette (17%), kidney (13%). In our study the ultra sound is performant in 82% of the cases. Encephalocel is still a lethal and severe abnormality.
Subject(s)
Encephalocele/epidemiology , Encephalocele/etiology , Abnormalities, Multiple/diagnosis , Abnormalities, Multiple/epidemiology , Abnormalities, Multiple/etiology , Encephalocele/diagnosis , Female , Humans , Incidence , Infant, Newborn , Male , Retrospective Studies , Sex Distribution , Tunisia/epidemiology , Ultrasonography, PrenatalABSTRACT
Forty-three prenatal diagnoses of lethal urinary tract abnormalities were carried out during a five-year-period. The abnormalities were bilateral renal agenesis (56%), autosomal recessive polycystic kidney disease (16%), autosomal dominant polycystic kidney disease (14%), MECKEL-GRUBER syndrome and Prune-Belly syndrome (4%). The pregnancy was interrupted in thirty-five cases (81.4%).
Subject(s)
Fetal Diseases/diagnostic imaging , Ultrasonography, Prenatal , Urinary Tract/abnormalities , Abortion, Induced , Encephalocele/diagnostic imaging , Female , Fetal Death/diagnostic imaging , Gestational Age , Humans , Kidney/abnormalities , Kidney/diagnostic imaging , Meningocele/diagnostic imaging , Polycystic Kidney Diseases/diagnostic imaging , Polycystic Kidney, Autosomal Dominant/diagnostic imaging , Polycystic Kidney, Autosomal Recessive/diagnostic imaging , Pregnancy , Prune Belly Syndrome/diagnostic imaging , Syndrome , Urinary Tract/diagnostic imagingABSTRACT
The authors report a case of a Dalkon Shield, forgot in a 55 years old patient, responsible for actinomycosis infection. Basing on a review of the literature, diagnostic methods and management of this kind of complication are discussed.
Subject(s)
Actinomycosis/diagnosis , Endometritis/microbiology , Intrauterine Devices/microbiology , Vaginitis/microbiology , Colposcopy , Female , Humans , Hysterectomy , Hysteroscopy , Intrauterine Devices/adverse effects , Middle Aged , Uterine Cervical Neoplasms/diagnosis , Uterine Cervical Dysplasia/diagnosisABSTRACT
So, the epidemiologic study done for 8 years at CMNR Tunis has shown that the incidence is 1.15@1000 births (between 0.52 and 1.66@1000 per year). This anomaly is more frequent in female sex (sex linked = 0.59). The antenatal echographic diagnosis is efficient in 90.5%. This anomaly is more shown at low socio-economic group. The improvement of the socio-economic level and specially the daily uptake of acid folic in periconceptionnel time decrease the frequency of this congenital malformation.
