La thrombophlébite cérébrale du post-partum immédiat constitue un événement rare et gravissime pouvant mettre en jeu le pronostic vital à court terme. Celle-ci doit être systématiquement évoquée devant la persistance d'une fi èvre dans les suites de couches. La prise en charge associera le plus souvent, des antibiotiques à large spectre et des anticoagulants. Le suivi évolutif est indispensable, afin d'apprécier l'efficacité thérapeutique. A travers une observation singulière et à présentation inhabituelle, nous insistons sur le grand intérêt des moyens d'imagerie dont nous disposons afin de porter le diagnostic et de choisir le traitement le mieux adapté.
Uterine sarcomas are tumors of poor prognosis characterized by a great histopathological heterogeneity.
High endometrial stromal sarcomas (ESS) occurring at a late age, with high mitotic activity and / or tumor
necrosis, are very poorly prognostic tumors.
If it is accepted that the standard treatment of uterine sarcomas is surgical, the place of adjuvant treatment remains
controversial.
We report a case of a high-grade ESS referred to initially on MRI and diagnosed on pathological examination of a hysterectomy
performed in a 64-year-old postmenopausal woman with postmenopausal bleeding.
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