[Bone abnormalities and fetal cytomegalovirus infection]. / Anomalies osseuses et foetopathie à cytomégalovirus.

BACKGROUND: Viruses, such as those of congenital rubella and cytomegalovirus infection, have been associated with bone lesions of rarefaction. CASE REPORT: A full-term neonate was admitted at bith (birth weight: 1,630 mg; head circumference: 29 cm) for hypotrophy. A severe growth retardation had been diagnosed at 32 weeks of gestation. The fetal karyotype was normal. Search for maternal toxoplasmosis, syphilis and rubella was negative. The neonate had a complex heart defect; skeletal X-ray films showed metaphyseal transverse bands of rarefaction of the long bones and longitudinally streaked band of sclerosis and rarefaction at the ends of the femora. Urine culture was highly positive for CMV while CMV IgM were negative and CMV IgG highly positive in serum. CONCLUSIONS: Neonatal bone changes usually seen in congenital rubella infection may also be observed in CMV infection.

[Antenatal discovery of megacystis-microcolon-intestinal hypoperistalsis syndrome (MMIHS) at 12 weeks gestation]. / Découverte anténatale à 12 semaines d'aménorrhée d'un syndrome "intestinal hypoperistalsis mégacystis-microcolon" (MMIHS).

Megacystis on antenatal scan in female fetuses is rare and has diagnostic implications. We report a case of megacystis-microcolon-intestinal hypoperistalsis syndrome (MMIHS) in a female infant. The antenatal scan revealed abnormalities, but the diagnosis was not established until after delivery. MMIH is a rare autosomal recessive condition which is usually lethal in the first year of life. Prenatal diagnosis is hampered by the lack of specific diagnostic ultrasound findings and the absence of an identified genetic locus.

[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.

[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.

[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.

[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?

[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.