[Consumption coagulopathy during pregnancy: a case of afibrinogenemia during the second trimester].

We report a case of a membrane disruption at 19 weeks 3 days of gestation complicated by a consumption coagulopathy with clotting tests suggesting primary fibrinogenolysis rather than a disseminated intravascular coagulation usually seen in such cases. A review of the literature revealed 5 cases of coagulopathy during the second trimester of pregnancy among which only two were suspected to be associated with primary fibrinogenolysis. Management of this coagulopathy is discussed.

[Primary pulmonary arterial hypertension and pregnancy. Case report].

Pregnancy is rarely associated with primary pulmonary hypertension (PPH). We are here presenting the case of a 28 year old patient who developed, during her second pregnancy, primary pulmonary hypertension, with fatal results. The autopsy confirmed the diagnosis.

[Bone metastasis revealing a hepatoma. 13 cases].

The authors report a series of 13 cases of bony metastases leading to the discovery of a hepatoma. They were subjects of male sex, average age 64 years. Nine were severe alcoholics.