[The urinary bladder is an uncommon site of metastasis from breast cancer]. / La vessie : un site rare de métastase de cancer du sein.

Bladder metastasis of breast origin are rare. Lobular carcinoma is the most frequent histological subtype of the primary tumor. This secondary location can be the only one or can be associated with other locations. The prognosis is poor. The period between primary breast tumor and the development of bladder metastasis is variable. Herein is reported the case of a 68-year-old woman presenting with irritative disorders. Urological examination was performed and made the diagnosis. When having a history of breast cancer, the occurrence of urinary symptoms require radiographics and a cystoscopy.

[Pyelovenous fistula revealed by repeated thromboembolic events after emergency peripartum hysterectomy]. / Fistule pyéloveineuse révélée par des accidents thromboemboliques après hystérectomie d'hémostase.

We report the case of a 51-year old woman presenting pyelovenous fistula revealed by recurrent and serious thromboembolic events after ureteral ligation during emergency peripartum hysterectomy. Imaging reported a complete left ureteral obstruction, a fistula between the upper calix and the left renal vein and a renal function preserved. Uretero-vesical reimplantation was performed. The patient was well doing after 12 months. The authors wonder if pyelovenous fistula is responsible for prothrombotic state and maintaining renal function.

[Transvaginal sonographic cervical length and prediction of preterm delivery in twin pregnancies with preterm labor]. / Valeur prédictive du risque d'accouchement prématuré par la mesure échographique de la longueur du col utérin en cas de grossesse gémellaire.

OBJECTIVES: To assess ultrasonographic cervical length measurement in predicting preterm labor without premature rupture of the membrane in twin pregnancies. PATIENTS AND METHODS: Retrospective study of 56 patients with preterm labor between 24+0 and 32+0 weeks. The judgment criteria was probability of delivery before 34 weeks in cases of spontaneous preterm labor before 32 weeks. RESULTS: The threshold of cervical length less than 20mm and 30mm respectively had a sensitivity of 42% and 94%, a specificity of 51% and 13%, a positive predictive value of 30% and 36% and a negative predictive value of 63% and 83% in predicting delivery before 34 weeks. CONCLUSION: Our results suggest that ultrasonographic measurement of cervical length is not a predictive of preterm delivery in twin pregnancies with preterm labor. However, the high negative predictive value allows to reassure the patient and to avoid hospitalization as well as tocolysis in cases where cervical length is superior or equal to 30mm.