Introduction Spontaneous uterine rupture in the first trimester is a redoubtable obstetric emergency that carries a high risk for both mother and fetus. Cases presentation We present the case of a spontaneous uterine rupture in a patient with a scarred uterus at 9 weeks' gestation treated by laparotomy in emergency obstetrical department of Ibn Rochd University Hospital of Casablanca; whose histological examination of the removed material found a partial mole. Clinical discussion Spontaneous uterine rupture in the first trimester is rare and usually occurs in a scarred or malformed uterus. Clinicians should consider this diagnosis in the presence of an acute abdominal pain in early pregnancy with or without first trimester metrorrhagia. Conclusion Since the rate of uterine surgeries is increasing, it is necessary to highlight the risk of uterine rupture occurring early in order to improve their management. Molar pregnancy is a factor of fragility of the uterine wall and uterine rupture must be suspected in any molar pregnancy associated with a hemoperitoneum.

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Introduction: Primary cancers of the uterine tube are among the rare tumors of the female genital tract, representing less than 2% of gynecologic malignancies. Cases presentation: We report a case of tubal adenocarcinoma diagnosed incidentally on a hysterectomy specimen in a patient followed at the gynecology department. The patient underwent primary reduction surgery followed by six courses of adjuvant chemotherapy with carboplatin and paclitaxel combined with 23 sessions of radiotherapy and two courses of brachytherapy. The patient is in complete remission with a follow-up of 14 months. Clinical discussion: These cancers of unknown etiology are dominated by adenocarcinoma, the clinical signs are often dissociated, and the preoperative diagnosis is difficult. The diagnosis should be made in the presence of any metrorrhagia associated with leucorrhoea in postmenopausal women. The treatment is similar to that of malignant epithelial tumors of the ovary with a prognosis that depends on the stage of the disease. Conclusion: The diagnosis of cancers of the uterine tube is very difficult to confirm because of the proximity of the uterus and the ovary and to evoke in front of any cellular atypia of the cervico-uterine smear associated with adnexal anomalies. Highlights