Intravenous Leiomyomatosis of the Uterus: An Intriguing Case Revealed through Anatomopathological Examination.

Introduction: Intravenous leiomyomatosis (IVL), a rare type of uterine leiomyoma (its incidence is about 0.25% to 0.40% of patients who present uterine fibroma), is characterized by the formation and growth of benign leiomyoma tissue within the vascular wall or lymphatic lumen.

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Introduction: Rokitansky syndrome or Mayer Rokitansky Kuster Hauser (SRKMH) is a rare congenital malformation defined by uterovaginal aplasia. The aim of the treatment is to create a neovagina and restore sexual life. However, postoperative results in terms of sexual and overall quality of life of patients remain controversial.

Vaginismus and pregnancy: epidemiological profile and management difficulties.

Background: Vaginismus affects up to 1% of the female population and often represents a physical manifestation of an underlying psychological problem. Our objective was to investigate the psychosomatic impact of vaginismus in pregnant women and evaluate the quality of their therapeutic care in Tunisia.

Methods: We included pregnant patients with vaginismus who presented at our obstetric emergency department between October 2016 and March 2017.

[Evaluation of different techniques for vaginoplasty in the treatment of Mayer-Rokitansky-Kuster-Hauser syndrome].

Background: Rokitansky syndrome is an utero-vaginal aplasia with a frequency of 1 / 5000 female births. To correct this anomaly whose prognosis is mainly functional and psychological numerous surgical techniques have been described.

Aims: To report our experience about 13 patients with Rokitansky syndrome and having benefited from a vaginoplasty between 1993 and 2008 and to evaluate the results of the various anatomical techniques.

[Fibroids and pregnancy: complications].

Aim: To study the maternal and fetal morbidity in the association fibroid and pregnancy and the management in this case.

Methods: A retrospective study of 80 cases of fibroids associated to pregnancy. These cases were taken from the department "C" of gynecology and obstetrics in the center of maternity and neonatology of Tunis.

[Management of liver disease during pregnancy].

Background: Several liver diseases can be observed during pregnancy. Some are proper to pregnancy and others are not.

Aim: To study and to analyze the different liver diseases encountered during pregnancy and describe their management.

[Borderline tumors : diagnosis and management : report of 10 cases].

Background: Since their discovery in 1929 by Taylor border tumors of the ovary, also known as borderline tumor (TOLM) inspired confusion, apprehension and disagreement.

Aim: Identify epidemiological, clinical and therapeutic particularities of borderline tumors of the ovary. -Study the different surgical approaches for borderline tumors of the ovary.

[Prognosis of delivery from a scared uterus: 123 cases].

Background: During these last two decades, the practitioners are more and more confronted to pregnancies on scar womb.

Aim: To analyse the behaviour to be held in front of a scar womb and to estimate materno-foetal preview after childbirth (delivery) by vaginal delivery or after a caesarean section at cold.

Methods: It is about a retrospective study held over 123 cases of patients with a scar womb who gave birth in the department "C" of the CMNT over a period of 2 years.

[Management of ovarian cyst associated to pregnancy].

Background: The problem of the association of the ovarian cyst and pregnancy is to determine whether the cyst is functional or organic?

Aim: To draw up the epidemiological profile of the patients having a cyst of the ovary, show the peculiarities of this association; and to clarify the therapeutic methods and its effects on the progress of the pregnancy.

Methods: A retrospective study concerning a period of 5 years and interesting 25 patients.

Results: The average age of the patients was of 34 years, the average parity was of 2.

[Haemorrhage delivery. About 65 cases].

The delivery haemorrhage is actually a problem of public health. It is responsible of 31.5 % of the maternal death in Tunisia.

[Management of ectopic pregnancy. about 77 cases].

We report a retrospective study of 77 ectopic pregnancies, collected over a period of 5 years and 4 months. The aim of this study was to analyse the epidemiology, the clinical and special investigation findings of this pathology, and to report our result as regards management of ectopic pregnancy, eectopic pregnancy affects young women (mean age : 31.8 years), whether multiparous or pauciparous (81.

[Coelioscopy in gynecologic emergencies. About 239 cases].

Objective: The goal of this study was to determine the efficiency of lapaorscopy as method of diagnosis and treatment of gynecologic emergencie.

Methods: A laparoscopy was performed in two hundred and thirty-nine patients who presented in emergency with signs like acute pelvic pain, uterine bleeding or fever. Diagnoses and treatments are presented in a retrospective study.