Primary amenorrhea secondary to imperforate hymen.

Hymen imperforation is uncommon. Symptoms include primary amenorrhea, cyclical lower abdominal pain, and rarely a pelvic mass syndrome. Delayed discovery may lead to endometriosis and infertility.

[Positivity threshold value for cardiac troponin lc in the diagnosis of perioperative myocardial infarction after on-pump cardiac surgery in adult patients].

Introduction: This prospective study was conducted at the Laboratoy of Biochemistry of the HMIMV, Rabat, over a period of 1 year. It aimed to analyse the kinetics of troponin lc (cTnl) after on-pump cardiac surgery in order to establish threshold values for the diagnosis of perioperative myocardial infarction.

Methods: The study included 58 patients who had undergone on-pump valvular surgery or on-pump coronary artery bypass surgery.

A case of subarachnoid hemorrhage revealed by an acute coronary syndrome (ACS).

The subarachnoid hemorrhage (SAH) is definitely the best descriptive model of the interaction between cardiovascular system and cerebral damage. The underlying mechanism of cardiovascular alterations after SAH is linked to the adrenergic discharge related to aneurysm rupture. Cardiac and pulmonary complications are common after severe brain injury, especially the aneurismal subarachnoid hemorrhage.

Peri-partum cardiomyopathy in a pregnant woman at term revealed by acute pulmonary edema: what to do in front this catastrophic situation?

Peripartum cardiomyopathy is insufficient congestive heart occurring in the last month of pregnancy and 5 months after delivery, in the absence of preexisting heart disease and identified etiology. This heart disease is associated with echocardiography systolic dysfunction and left ventricular dilatation. Its incidence ranges from 1/3000 to 1/15000, depending on the region, including much higher in some African countries, it particularly concern women over 30 years, multiparous and multiple pregnancies.

Nail gun may cause heart injury: a young adult's misadventure.

Penetrating cardiac and great vessels trauma is life threatening and a surgical challenge. We relate an unusual case of pulmonary artery injury secondary to an accidental trauma by a nail gun. Surgical repair was late but successful.

Severe acute pancreatitis after surgical treatment of a ruptured abdominal aortic aneurysm.

Acute pancreatitis (AP) is a rare complication of surgery for abdominal aortic aneurysms, which is often diagnosed late. It is secondary to ischemia and to peroperative pancreatic trauma. We report a case of severe AP after surgical treatment of a ruptured abdominal aorta aneurysm and discuss its etiopathogenic mechanisms.

[Intra-aortic balloon counterpulsation, which complications may result from?].

Bilateral renal infarction is a complication of intra-aortic balloon counterpulsation, ever described in the literature. We illustrate this complication by a clinical observation and underline the interest of taking a prevention action.