We report in this paper the case of a placental chorangioma diagnosed prenatally in our Obstetric Gynecology Department I at CHU Hassan II in Fez; We have discussed through this observation the echographic characteristics of placental chorangioma, its maternal and fetal complications, and the fate of these pregnancies.
Endometriosis is one of the most common disorders involving women of reproductive age. It generally occurs in the pelvis, particularly in thebroad ligament, round ligament,ovaries, fallopiantubes or uterosacral ligament. However, manyunusual sites have been described, including theumbilicus, cesarean section scars, hernia sacs, appendix, vagina, vulva, omentum and perineum [1].The incidence of endometriosis at the episiotomy site is quite rare. The typical clinical history and local findings enable us to make the correct diagnosis of the case. A case of deep perineal endometriosis on episiotomy scar was encountered. The treatment of choice is complete surgical excision of endometrial tissue and usually obtains permanent cure. The possiblepa thogensis of endometriosis and various modality of treatment were also discussed.
Colonic obstruction due to sigmoid colon volvulus during pregnancy is a rare but complication with significant maternal and fetal mortality. That requires prompt surgical intervention (decompression) to avoid intestinal ischemia and perforation. We report the case of a 38-week pregnant woman with abdominal pain and subsequent development of constipation. Preoperative diagnosis was achieved using ultrasonography: the large bowel distension and a typical whirl sign -near a sigmoid colon transition point -suggested the diagnosis of sigmoid volvulus. The decision to refer the patient for emergency laparotomy was adopted without any ionizing radiation exposure, and the pre-operative diagnosis was confirmed after surgery. Sigmoid volvulus complicating pregnancy is a rare, non-obstetric cause of abdominal pain.
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