The occurrence of pregnancy in a woman with an HTP is daunting because of the possibility of maternal and fetal worsening. The character of a high-risk pregnancy is confirmed by the frequency of gastrointestinal bleeding, spontaneous abortions and premature deliveries. Clinical symptomatology is often dominated by the complications, and the ultrasound and endoscopy, can confirm the diagnosis and detecting complications. The management of pregnancies among women with HTP must begin before conception to postpartum. It requires close collaboration between obstetricians, gastroenterologists, anesthetists and neonatologists. Our study concerns three cases of portal hypertension in pregnancy collected in the service of gynecology & obstetrics, and intensive care unit in the University Hospital Ibn Sina of Rabat. In light of these three observations, we discuss mainly, the physiopathological particularity, evolutionary aspects, and principles in the management of these pregnancies at risk.

The angiosarcoma of the breast is a tumor of endothelial origin. It is a rapidly growing tumor, with a diagnosis often difficult. Simple mastectomy is the reference treatment. The adjuvant treatment has not proven any evidence. The prognosis is disappointing. We report a case of a patient aged 53 years, operated for a breast angiosarcoma.

No abstract

Pheochromocytoma is the tumor of neural crest cells of adrenal gland secreting catecholamines. We report a case of a patient diagnosed with pheochromocytoma during her 2nd pregnancy at 17 week period of gestation. An obstetrical ultrasound scan confirmed fetal viability. The outcome was favorable after surgical resection. Pheochromocytoma diagnosed during pregnancy is rare. If undiagnosed, the maternofetal mortality is high. The diagnosis should be considered if there are evocative clinical signs or resistant gestational hypertension. The specific treatment is surgical resection.

The advances in ultrasound screening and laboratory techniques are now leading to the discovery of an increasing number of abnormalities during the first and second trimesters of pregnancy. This earlier diagnosis allows, in addition to an earlier interruption of pregnancy in the case of fetal malformation incompatible with life, a better organization of perinatal care. We report two cases of fetal malformation diagnosed during ultrasound surveillance collected at the Souissi maternity clinic in Rabat.