[In utero diagnosis of situs abnormalities. A case of prenatal diagnosis of visceral situs inversus with corrected transposition of great vessels]. / Diagnostic in utero des anomalies de situs. A propos d'un cas de diagnostic prénatal de situs inversus viscéral avec transposition corrigée des gros vaisseaux.

A case of situs inversus with discordant atrio-ventricular and ventriculo-arterial structures was diagnosed at the ultrasonography examination performed at 34 weeks gestation. This observation underscores the importance of recognizing the position of the viscerae and discordant segments of the heart, atria, ventricles and greater vessels. Overall frequency of situs inversus is estimated at 1/10,000 births. It is often associated with an inborn cardiopathy, especially corrected transposition of the greater vessels resulting from abnormal rotation of the cardiac tube. The anatomic, pathologic, embryologic, etiologic and and sonographic features of situs inversus and related anomalies of the cardiac structures is presented.

[Primary Bartholin gland cancer and etiopathogenetic role of human papillomavirus. Report of a new case]. / Cancer primitif de la glande de Bartholin et rôle étiopathogénique du papillomavirus humain. Rapport d'un nouveau cas.

The authors report a new case of Bartholin's gland carcinoma and its link with human papillomavirus. Should women with HPV have Pap smears the accessory glands of the vulva in addition to cervical smears?

[Use of the Logotampon in gynecologic-obstetrical surgical hemorrhages. A case report]. / L'utilisation du Logotampon dans les hémorragies en chirurgie gynéco-obstétricale. A propos d'un cas.

The authors report a case of placenta accreta complicated by coagulation disturbance which required hysterectomy. In order to deal with widespread bleeding, they used a Logotheotopoulos pelvic tampon (Logotampon) and thus achieved a satisfactory operative result.

[Criteria for choice of vaginal hysterectomy for lesions other than invasive cancer]. / Critères de choix de la voie vaginale lors des hystérectomies pour lésions autres que cancer invasif.

The authors analyse in retrospect a continuous series of 208 hysterectomies, for lesions other than invasive cancer, in order to try to define precise objective criteria for the choice of the vaginal way. What essentially commands the choice of this way are: high parity, large size of the uterus, the existence of prolapsus, effort-linked urinary deficiency and no annexial pathology.

[Early prenatal diagnosis of asymmetric cephalothoracopagus twins]. / Diagnostic anténatal précoce de jumeaux céphalo-thoracopages asymétriques.

The authors report on one case of cephalothoracopagus Janiceps conjoined twins discovered by echography at 18 weeks' gestation. Conjoined twins have been said to occur with a frequency of 1/50,000 to 1/100,000 deliveries. The incidence of the cephalothoracopagus variety is one in three million births or one in 58 conjoined twins. Three different mechanisms that may have played a role in the abnormal development of these twins are discussed. The risk that the condition recurs in a subsequent pregnancy are to be considered negligible.

[First trimester abdominal pregnancy and laparoscopic surgical treatment. 2 case reports of evolving abdominal pregnancy treated with laparoscopy at 10 and 12 weeks]. / Grossesse abdominale du premier trimestre et traitement coelio-chirurgical. A propos de deux cas de grossesse abdominale évolutive traités par coelioscopie à 10 et 12 semaines d'aménorrhée.

Abdominal pregnancy occurs rarely and few observations of laparoscopic surgical treatment have been published. We observed 2 cases at 10 and 12 weeks of amenorrhoea. During one of the operations, it was particularly difficult to establish haemostasis, demonstrating the problems involved with laparoscopic surgery, highly dependent on gestational age and trophoblastic localization. Based on the epidemiological and diagnostic data we propose a therapeutic protocol for laparoscopic surgery in first-trimester abdominal pregnancies, taking into consideration the cases previously reported and current care for extrauterine pregnancy and late abdominal pregnancy.