Rupture of a splenic artery aneurysm in the first trimester of pregnancy.

Background: Rupture of a splenic artery aneurysm during pregnancy is a rare and serious event, occurring mainly during the third trimester. The risk of rupture for an existing splenic artery aneurysm is very high during pregnancy (from 20% to 50%). When it does rupture, the maternal mortality rate is around 75% and the fetal mortality rate 95%.

Faecal incontinence after first instrumental vaginal delivery using Thierry's spatulas.

Objective: The purpose of this study is to estimate the prevalence of faecal incontinence after first vaginal delivery and to assess the impact of Thierry's spatulas-assisted delivery.

Methods: A prospective observational study of primiparas who underwent a vaginal delivery at term was conducted. Faecal incontinence was assessed at 2 and 6 months postpartum by a questionnaire (Wexner score >or=5 was considered significant).

Rupture of a uterine horn after laparoscopic salpingectomy. A case report.

Background: Uterine rupture after salpingectomy, especially associated with cornual resection, is a rare, serious pregnancy complication.

Case: A spontaneous uterine rupture occurred during the second trimester of pregnancy, following salpingectomy with resection of the interstitial portion. Conservative treatment was performed, and fertility was preserved.