Abdominal pregnancy is a rare form of ectopic pregnancy with very high morbidity and mortality for both the mother and the fetus. Diagnosis and management can pose some difficulties especially in low-resource centers. We report a case of abdominal pregnancy with a healthy newborn. A 34-year-old Moroccan woman, G4P3 (3 alive children), presented with shortness of breath and progressive abdominal distension and pain at 37 weeks' gestation. An emergency laparotomy was performed with the impression of abdominal pregnancy. Intraoperatively, the fetus was seen in an intact amniotic sac in her abdomen, the placenta was strongly adhered to the fundus and enveloped the left adnexa. A total hysterectomy with a left adnexectomy was performed. The patient and neonate progressed well and were discharged. Term abdominal pregnancy is an extremely rare diagnosis. The life-threatening complication is bleeding from the detached placental site. High index of suspicion is vital in making prompt diagnosis in such situations.
Uterine rupture on healthy uterus is a very rare obstetric complication; few cases have been described in the literature. We report a case of rupture taken care of in our training. Multiparity and cross-presentation were the main risk factors. The treatment was conservative with a tubal section tightening to avoid the risk of recurrence.
Mucocele appendicular or tumor mucosécrétante appendicular is a rare disease, defined as a cystic dilation of the light Appendix following intraluminal accumulation of mucinous secretion, translucent, gelatinous. The clinical picture may take several forms. Radiology has an important place for diagnosis. Treatment is primarily surgical; adjuvant treatment is reserved for repeat offenses. We report a case of appendicular mucocele simulating an ovarian tumor collects in the breast gynecology division of the National Institute of Oncology Rabat.
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.
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