[Malignant transformation of abdominal wall endometriosis: a new case report]. / Transformation maligne d'une endométriose pariétale.

Cancer arising in abdominal wall endometriosis is a rare event, hindering diagnosis and making management uncertain. A cesarean section scar is generally at the origin of the disease. We report the case of a 45-year-old woman, with a past medical history of cesarean deliveries, complaining of a repeat abdominal wall endometriosis which transformed into a clear-cell carcinoma. Outcome was rapidly fatal. Compared with endometriosis-associated ovarian carcinoma, the prognosis of this abdominal scar complication is poor. In the literature, survival rate reaches only 57% after a short follow-up of 20 months. Clear-cell carcinoma is the most common histological subtype, followed by endometrioid carcinoma. Radical surgery is the main treatment. Good technique and proper care during cesarean section may help in preventing this endometriosis complication.

[Laparoscopic cornual excision with an automatic stapler for ruptured interstitial pregnancies]. / Excision cornuale coelioscopique à la pince automatique des grossesses interstitielles rompues.

OBJECTIVE: Because they are difficult to diagnose, interstitial pregnancies remain dangerous. Rupture is a frequent mode of revelation for this type of ectopic pregnancy. In case of rupture, the classic medical treatment of ectopic pregnancy is unsuitable. Surgery is necessary but laparoscopic treatment not always possible. The objective of this article is to describe an original surgical technique which facilitates laparoscopic management of ruptured interstitial pregnancy. MATERIAL AND METHOD: This laparoscopic procedure is based on the use of a disposable stapler which simultaneously excises and stitches the uterine cornua. RESULTS: This procedure was used three times successfully. CONCLUSION: Laparoscopic treatment of ruptured interstitial pregnancy is feasible if it can be performed rapidly and easily in a patient with a compatible hemodynamic status. The automatic stapler provides an effective easily reproducible means of cornual excision enabling rapid laparoscopic management of ruptured interstitial pregnancy.