[Maternal fetal choriocarcinoma after normal delivery]. / Choriocarcinome materno-foetal après accouchement normal.

Materno-fetal choriocarcinoma discovered after a normal delivery is very rare. The risks for choriocarcinoma after a pregnancy at term is estimated at 1 in 100,000. All the same the ease with which the diagnosis is made by levels of plasma beta-hCG makes it possible to think of this possibility after delivery when there is maternal pathology which cannot be diagnosed or a fetal tumour that cannot be labelled. The transmission of this illness from mother to fetus evokes discussion about the tolerance of an allograft.

[Second-trimester abortions induced by dinoprost]. / Avortements au cours du deuxième trimestre de la grossesse provoqués par dinoprost.

The authors evaluated the usefulness of prostaglandin F2 alpha in inducing second trimester abortions in two consecutive groups of patients. Progressive and fractionated intracervical instillation of 10 ml of Tylose gel containing 10 mg of Prostine F2 alpha is the least traumatic method of uterine evacuation in the majority of cases (18 out of 24 cases). Advantages of this method consist of the ease with which it can be performed, that it may be repeated on subsequent days, and that there have been no serious complications. In case of failure, the authors recommend using an intraamnionic injection (usually performed only once) of 40 mg of Prostine F2 alpha diluted in 20 ml of normal saline solution. This more involved method requires an experienced physician and ultrasonography, but is very effective (31 cases out of 3). Exceptionally, this can be repeated after a several day interval if the initial injection fails (2 out of 3). These methods avoid recourse to surgery (except in the case of uterine scarring) in the induction of second trimester abortions.

[Pregnancy in a patient with an isotopic pacemaker placed for surgical atrioventricular block following treatment of tetralogy of Fallot. Apropos of a case. Review of the literature]. / Grossesse chez une patiente porteuse d'un pacemaker atomique pour bloc auriculo-ventriculaire chirurgical après cure d'une tétraologie de Fallot. A propos d'un cas. Revue de la littérature.

We report on a patient with an isotopic pacemaker who had a subsequent normal pregnancy. This device was implanted because of a surgically-induced atrioventricular block which occurred during an operation for tetralogy of Fallot. The pregnancy and postpartum course were normal and without complications.

[Ovarian hyperstimulation: treatment of voluminous cysts by percelioscopic puncture]. / L'hyperstimulation ovarienne: traitement des kystes volumineux par ponction percoelioscopique.

Enlarged fluid-filled cysts are a complication encountered with ovarian overstimulation. In order to hasten their resolution, and to avoid the possibility of adnexal torsion, we drained cysts greater than 4 cm in diameter by laparoscopic puncture.

[The "white" cervix: a new anatomo-clinical entity?]. / Le col "blanc": nouvelle entité anatomoclinique?

The authors describe a very particular histologic pattern of the cervical epithelium. Many types of histologic lesions are involved and are almost always found in association one with another. This particular histologic pattern is characterized principally by well-differentiated epithelium, immature, with early necrosis of the superficial layers, associated with metaplastic endocervicitis. In addition to this particular association, there is a remarkable finding: this histologic pattern was found consistently in fifteen cases selected uniquely from their appearance at colposcopy. Could this be a new anatomic-histologic entity?

[Improvement in feto-neonatal prognosis in twin pregnancies. Comparison of 2 series of 158 pregnancies before and after establishing a therapeutic protocol]. / Amélioration du pronostic foeto-néonatal des grossesses gémellaires. Comparaison de deux séries de 158 grossesses avant et aprés établissement d'un protocole thérapeutique.

We undertook certain measures in twin pregnancies: early screening during the second month of gestation with routine ultrasonography, cerclage of the cervix, cessation of work, with rest, hospitalization at 7 3/4 month's gestation for daily cardiotocographic monitoring, identical indications for cesarean section as for a single fetus. The outcome was clearly improved in 158 pregnancies when compared to an equal number of twin pregnancies from an earlier period.