Spontaneous rupture of an unscarred uterus in a woman at 37 weeks of pregnancy with abdominal pain: a case report.

A 34-year-old gravida 2, para 1 woman at 37+4 weeks of pregnancy presented with abdominal pain. She had no medical history. Complete examination was unremarkable.

[HELLP syndrome: about 17 cases and literature review].

Background: HELLP syndrome is defined as an association of hemolytic anemia, raised liver enzymes and thrombocytopenia. It is a severe manifestation of pre-eclampsia.

Aim: We tried to specify the epidemic factors and the best management of HELLP syndrome Methods: A retrospective study held during 6 years in the department of gynaecology and obstetrics in La Marsa hospital and according to a literature revue.

[Indication of metformin in the management of hormonal dysfunction secondary to polycystic ovarian syndrome: prospective comparative study of 63 cases].

Background: Polycystic ovarian syndrome (PCOS) is the most common hormonal dysfunction in women. It's a cause of female infertility by oligoanovulation, clinical and biochemical hyperandrogenism and polycystic ovaries. Weight loss, firstly proposed in overweight or obese patient suffering from PCOS, aims to reduce hyperinsulinism and hyperandrogenism.

[Urinary stones in Tunisian infants, based on a series of 64 cases].

Objective: To define the epidemiological and clinical characteristics of urinary stones in infants, to study the role of stone chemical analysis in the aetiological assessment of urinary stones and to define the various treatment modalities adapted to this age-group.

Patients And Methods: Between 1984 and 2002, 64 infants (age: 5-24 months) were hospitalised for urinary stones. Urine culture was performed in all patients and metabolic assessment was performed in 24 patients.

[Intra-abdominal desmoplastic small round cell tumor in childhood: case report and review of the literature].

Desmoplastic small round cell tumor (DSRCT) correspond to a recent clinicopathological entity, individualized in 1989 into the group of tumors with small round cells. This pathology puts ethiopathogenic, diagnostic, therapeutic and prognosis problems. Indeed, the ethiopathogenic is still unknown, diagnosis is asserted only by immuno-histochimic and cytogenetic study because of the big number of differential diagnoses and the anatomopathologic polymorphism.