[Leiomyoma of the bladder causing the destruction of a kidney].

Leiomyoma of the bladder is a rare benign tumor deemed to have a good prognosis after surgical treatment. This is unfortunately not always true. We report the case of a 33 year-old patient who consulted for lumbar pain on right side.

[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.

[Fine-wire localizations in non palpable breast lesions].

Background: Breast cancer represents a major health problem in Tunisia. Mammography allows screening and early diagnosis of breast cancer. The Harpoon allows the location of these small lesions in order to have a histological study and to adapt the management.

[Perigenital hematoma. Diagnosis and management].

Objectives: Discuss the clinical aspects and the management of perigenital hematoma, a rare complication of delivery that can engage the vital prognosis.

Cases: We report 4 cases of peri-genital hematomas recorded in the department C of obstetrics and gynecology, in the maternity center of Tunis. In two cases, the patients had only medical treatment and in the two others arterial embolisation was performed.

[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.

Analysis of antibody response to HPV 16 and HPV 18 antigens in Tunisian patients.

Objective: The aim of this present study was to use Luminex technology to detect antibodies against the late antigen L1 as well as those directed against the early antigens E6 and E7.

Background Data: Human papillomavirus (HPV) serology is complex because infection and disease lead to distinct type-specific antibody responses.

Materials And Methods: Viral antigens were expressed with pGEX vectors in Escherichia coli and then used in Luminex as coating antigens for antibody detection in 205 human sera samples: 71 cervical cancer cases, 64 cases of cervical inflammation, and 70 controls.

[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.