Idiopathic arterial calcification in a stillborn complicated by pleural hemorrhage and hydrops fetalis.

We report a case of idiopathic arterial calcification in a stillborn. As usually noted in this rare entity, the pregnancy was complicated by a polyhydramnios. The postmortem examination showed generalized arterial calcification, periarticular calcific deposits, and a large pleural hemorrhage. The causes of fetal hydrops in idiopathic infantile calcification are discussed, and, in the present case, the absence of myocardial ischemic lesion suggests that the fetal hydrops and the fetal death could have been caused by the bulky blood clot that was present in the right pleural cavity. The pathogenesis remains undetermined, but a primitive inherent defect of the elastic elements seems to initiate this disorder.

[Anterior sacculation of the pregnant uterus persisting until the 34th week]. / Sacculation antérieure de l'utérus gravide jusqu'à 34 semaines.

The authors report a case of retroversion of the uterus with anterior sacculation that carried on to the 34th week of pregnancy without any functional troubles. Caesarean section made it possible to deliver a child weighing 1910 g. There were no adhesions found behind the uterus to fix it in retroversion. This clinical case has given the authors a chance to go through the principal elements in this case that evolved in such an unusual manner.

[Anorexia nervosa and pregnancy]. / Anorexie mentale et grossesse.

We report the case of a pregnancy associated with severe anorexia nervosa. The patient weighed 33 kg for 1 m 51 at conception. The pregnancy was obtained during a spontaneous cycle. Despite nutritional and psychological case, the patient continued to lose weight and weighed only 28 kgs at 33 weeks of amenorrhea, when she gave birth to a hypotrophic child of 1130 gr after artificial starting. The case provides discussion of the relation ship between anorexia nervosa and pregnancy.

[Uterine rupture after tubal reimplantation]. / Rupture utérine après réimplantation tubaire.

The authors report a case of rupture of the right cornu of the uterus in the ninth month of pregnancy in a woman who had had her right tube implanted into her uterus. This complication is considered, in the discussion, to be rare. It is very difficult to prevent it happening during pregnancy. It would seem that a prophylactic caesarean operation should be carried out if the insertion of the placenta is in the area of the implantation.

[Transitory hydronephroses after the Marshall-Marchetti operation. A case history (author's transl)]. / Hydronéphrose transitoire après opération de Marshall-Marchetti. A propos d'un cas.

The authors report an unusual complication following the correction of a case of stress incontinence by vesico-urethral suspension using the Marshall-Marchetti procedure. They observe the rapid onset of an unilateral uretero-hydronephrosis which was due to oedema of the right vesico-ureteral junction and which was cured by a short treatment, with corticoids.

[Pregnancy in the diabetic woman]. / La grossesse chez la diabétique.

The authors review ten years of caring for pregnant diabetic women. They adhered rigidly in these ten years to two fundamental principles, which were the need to ensure rigorous control of blood sugar levels, and the value of waiting to the 37th or 38th week before starting labour whenever the fetus did not seem to be particularly at risk. Their attitude, which has stayed remarkably constant, is different from that of many other authors who during this same period started by stopping the pregnancy prophylactically between the 34th and 36th week but later allowed labour to start sometimes spontaneously at a later stage as knowledge of feto-maternal mechanisms increased and methods of supervising these patients improved.

[Placenta praevia percreta with bladder invasion: a case report]. / Placenta praevia percreta avec envahissement vésical: un cas.

The authors report a rare case of placenta praevia percreta with bladder invasion giving rise to the need to carry out an emergency hysterectomy in order to stop the bleeding. The literature when analysed showed the possible outcome of this complication in a woman who had already had a caesarean section and who had placenta praevia that required a second caesarean. In this situation it is almost inevitable that a hysterectomy has to be carried out to stop the bleeding. The hysterectomy should be a total hysterectomy but this can be difficult because of the invariable "fusion" that takes place between the uterus and the posterior wall of the bladder. What has to the done bladder can range from simple closure of a hole in the bladder to ureteric diversion with reimplantation of the ureter depending on how badly the bladder has been invaded. In our case after a sub-total hysterectomy had been carried out with simple closure of the bladder, it was necessary to re-operate to treat a fistula between the bladder and the cervix.

[Fatal multiple pterygium syndrome and nuchal hygroma]. / Syndrome léthal des pterygium multiples et hygroma de la nuque.

A turkish family with three sibs (including twins) affected by the lethal multiple syndrome is reported.