No abstract

The symphysis disjunction diagnosed is a rare disease, which is defined by a radiologically enlargement at the inter-symphyseal articulation estimated greater than 10 mm. Yet its repercussions in daily practice are from stakeholders undervalued. This condition requires specialized care in the event of severe and disabling pain. We report the case of a patient with severe pelvic pain with impotence the right lower member J2 childbirth by forceps, clinical examination objectified exquisite tenderness of the symphysis pubis. The diagnosis was confirmed by an X-ray of the pelvis objectifying a widening of the symphysis pubis 16 mm, the therapeutic management consisted of turning on landfill and preventive anticoagulation with an analgesic treatment with paracetamol and NSAIDs. The outcome was favorable.

Interstitial pregnancy is a rare entity that accounts for nearly 2% of ectopic pregnancies. His diagnosis is almost always based on laparoscopy. The risk of rupture with significant hemorrhage remains high. The treatment is classically surgical by corneal resection, medical treatment is increasingly used. Through an observation of an interstitial pregnancy diagnosed in our department and treated initially medically and then by radical surgery and by means of a review of the literature, we will try to explain the different diagnostic and therapeutic methods used in interstitial pregnancies, we will also learn the importance of patient selection in order to avoid risky changes, especially in the absence of consensus.

Benckiser haemorrhage is a severe obstetrical urgency putting at risk the vital foetal prognosis with exsanguination. It is a common complication of velamentous cord insertion. It is revealed by bleeding concomitant with the rupture of membranes. Thanks to the Colour Doppler ultrasound progress, prenatal diagnosis is possible, allowing evacuating the foetus by prophylactic caesarean section. We report a new case of Benckiser haemorrhage in a pupiparous revealed by acute foetal suffering with favourable evolution. A review of literature allowed us to specify the diagnosis aspects and the treatment modalities in such a disease.

Breast tuberculosis is a rare condition. It poses a differential diagnosis problem with breast cancer because the clinic and imaging are not specific. Breast tuberculosis should be mentioned mainly in endemic countries or in immunocompromised individuals. We report a case of breast tuberculosis in a postmenopausal woman through this case, we describe the particularity Clinical and evolving of this entity, and we discuss the diagnostic difficulties.