phorectomy. We report clinical, histological, and immunohistochemical features of a uterine IVL in a 44-yearold lady who presented with chronic pelvic pain. Case ReportA 44-year-old premenopausal woman, para 2 gravida 2, without medical history, was admitted in our department of gynecology and obstetrics with complaints of chronic pelvic pain. Pain abdomen was intermittent and confined to lower abdomen. Menstrual cycles were normal and there was no menorrhagia. Abdominal examination revealed irregular and no tender uterine mass of 10 weeks pregnant size with a macroscopically healthy cervix.A routine pelvic ultrasound was performed showing bulky uterus with thin endometrium and heterogeneous intracavitary leiomyoma. Pelvic ultrasound showed also a right lateral uterine mass of 45 mm arising from the corpus uteri and partially vascularized (Figure 1). In addition, the patient did not have any other radiological examinations such as CT scan or MRI.As the patient was symptomatic and had feeling of incomplete voiding of urine and as she had already completed her family, the decision of total abdominal hysterectomy with bilateral salpingo-oophorectomy was taken. AbstractIntravenous Leiomyomatosis (IVL) is an unusual clinical condition characterized by histologically benign smooth muscle lesions extending from the uterus into pelvic and systemic veins and, more rarely, into the right cardiac chambers. Although the radiological diagnosis is straight forward in most cases, IVL can occur in unusual locations or present with unusual growth patterns that make the diagnosis more challenging. We report clinical, histological, and immunohistochemical features of a uterine IVL in a 44-year-old woman who presented with chronic pelvic pain.

A 24-year-old unmarried sexually inactive girl presented with unexplains vaginal bleeding for past 18 months. In her past medical history, she had undergone an abdominal myomectomy 2 years previously.Pelvic sonography showed 5 × 5 cm a tissue mass under urethra (Figure 1). In view of these findings, we have discussed the following diagnoses; a vaginal fibroma, a leiomyoma delivered by the cervix, a polyp delivered by the cervix and a tumor of urethral localization. The peculiarities of the case we report are manifold. Indeed, vaginal leiomyoma is rare. Our patient was only 21-yearsold. The vaginal surgery of this form of leiomyoma causes hymeneal damage and compromises the patient's virginity, which is not always accepted in our conservative society.

We report an uncommon clinical presentation of a placental site trophoblastic tumor. The patient presented initially with abdominal pain with, fever, bleeding and pelvic mass on ultrasonography leading to the wrong diagnosis of a pelvic abscess. Dilation and curettage were performed and pathological examination confirmed the diagnosis. of placental site trophoblastic tumor. Therefore, she underwent abdominal hysterectomy. Four years after surgery, the patient is still disease free. Gestational trophoblastic diseases should be considered in every patient presenting abnormal uterine bleeding after delivery or pregnancy loss despite the associated symptoms being very unusual.

La môle hydatiforme partielle (MHP) fait partie des maladies trophoblastiques gestationnelles. Appelée également môle embryonnée, il s’agit d’un œuf humain pathologique comportant des villosités en transformation vésiculaire, mais conservant une forme placentaire reconnaissable et une cavité amniotique avec un fœtus. La circonstance diagnostique la plus commune étant le tableau d’avortement spontané au premier trimestre. Rarement les môles partielles persistent au-delà du premier trimestre et sont alors source de complications maternelles et fœtales et de confusion diagnostique. L’origine génétique des MHP correspond à une conception triploïde avec un lot chromosomique supplémentaire d’origine paternelle. La coexistence d’un fœtus de caryotype normal avec une MHP est une situation exceptionnelle. Nous rapportons un cas rare de grossesse molaire partielle avec fœtus vivant diploïde à 27 semaines d’aménorrhée (SA) chez une femme âgée de 36 ans dont le diagnostic est porté à l’occasion d’une menace d’accouchement prématurée associée à un placenta prævia.