[Value of vesical filling for umbilical cord prolapse. Description of a 14-case series at the Befelatanana University hospital center maternity unit (Antananarivo, Madagascar)].

Umbilical cord prolapse occurs when the umbilical cord drops through the open cervix into the vagina ahead of the baby, after spontaneous or artificial rupture of the membrane. It is a severe obstetrical emergency that endangers the life of the baby due to compression of the cord. Since the 1980s, bladder filling has been recommended as a simple and effective technique for reducing foetal mortality even if surgery cannot be undertaken immediately.

[Female genital tuberculosis: about 11 cases treated in Antananarivo (Madagascar)].

A 5 year prospective study on genital tuberculosis, a rather uncommon localization, has been undertaken in 11 women treated at the DAT-HIS of Antananarivo, Madagascar Clinical diagnosis is problematic, if not unfeasible, due to the polymorphism of genital tuberculosis in women. Only histological and bacteriological examinations are, so far, confirmatory In the future, recourse to polymerase chain reaction will facilitate diagnosis and will allow a more accurate assessment of the incidence of this aspect of tuberculosis infection. Genital tuberculosis compromises women's fertility Even though the tuberculosis is cured, none of the 11 women of our research had carried their pregnancy to delivery, because artificial fertilization is not feasible here in Madagascar Screening of woman genital tuberculosis should be mandatory as regards gynaecological problems such as menstrual cycle disorders, sterility, abdominal pain, cyst of ovary ectopic pregnancy, spontaneous miscarriage in paraclinical investigations, especially in developing countries.

[Abdominal pregnancy: description of a case observed in Madagascar].

We report a case of primary abdominal pregnancy observed at the maternity clinic in Befelatanana, Madagascar. A 36-year-old woman, gravida 2, para 2, with no medical history presented at 40 weeks and 2 days of amenorrhea for sudden disappearance of fetal movements. Prenatal visits had been performed on an irregular basis by a private-practice midwife.

[First description of a case of disseminated peritoneal leiomyomatosis in Madagascar].

The authors reported the first case of leiomyomatosis peritonealis disseminata or diffuse peritonealis leiomyomatosis in a patient of 36 years old. The hyalin degeneration of leiomyomatosis with intra and extra peritonealis extension is an uncommon pathology. The right etiology of this complication of leiomyomatosis is unknown.