[Uterine embolization in the operating theater in severe post-partum haemorrhage]. / Pratique de l'embolisation utérine au bloc opératoire dans les hémorragies graves du post-partum.

Uterine embolization is indicated in severe post-partum hemorrhage. Bearing in mind the potential transfer risks, it is usually done in an angiography room when the patient's circulatory condition is stable. If no angiography room is available, an alternative care strategy could consist of performing embolizations in operating theater with suitable equipment. Over a 3-year period, in our center, 10 uterine embolizations have been done in operating theater. This approach proved feasible in satisfactory conditions. Embolization was efficient for eight patients. For the remaining two patients, an hysterectomy was performed immediately without any transfer constraint.

[MRI of intra-abdominal fat and HIV-associated lipodystrophy: a case review]. / IRM du tissu adipeux abdominal et lipodystrophie VIH, étude cas-témoin.

PURPOSE: To characterize intra-abdominal adipose tissue changes in HIV patients with clinical lipodystrophy using a reproducible imaging technique. Materials and methods. 89 HIV patients with clinical lipodystrophy were included. A single axial T1W image was acquired at the mid L4 vertebral level. Two radiologists measured subcutaneous (SAT) and visceral (VAT) adipose tissues using a semi-automated method. Measurements were compared to a matched population (race, sex, age and BMI). RESULTS: Measurements of abdominal adipose tissue on MRI are reproducible. Three clinical types of lipodystrophy are described in males with increased visceral (VAT) and reduced subcutaneous (SAT) adipose tissues compared to control subjects. Two clinical types of lipodystrophy are described in females with increased visceral (VAT) and unchanged subcutaneous (SAT) adipose tissues. CONCLUSION: MRI with comparison between HIV patients and normal control subjects is a reproducible method to characterize adipose tissue changes of lipodystrophy and evaluate its severity. Evaluation of a adipose tissue distribution in a large control population would be helpful to the study of metabolic disorders.