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This article presents a retrospective study conducted in Tunis hospitals to assess the impact of COVID-19 on hospitalized pregnant women. The study population consisted of women aged 28-38 years with diverse educational backgrounds. Most women had no significant medical history, but some had controlled asthma or a prior pregnancy loss. Vaccination rates were high, with the majority receiving prenatal care. Common COVID-19 symptoms were reported in 73% of women, and most cases were mild with no maternal deaths. However, COVID-19 infection was associated with an increased risk of preterm delivery, respiratory distress, and miscarriage. Psychological distress was observed in all women. Delivery outcomes were significantly impacted, with a rise in Caesarean sections and a high preterm birth rate. Neonatal COVID-19 infection occurred in 6% of cases, but most newborns had good Apgar scores. The study emphasizes the importance of continued vaccination efforts and close monitoring throughout pregnancy. [Extracted from the article]

This article discusses a rare pregnancy complication called hemolytic uremic syndrome (HUS), which has microangiopathy as a key characteristic. The case study presented involves a 38-year-old pregnant woman at 17 weeks gestation who experienced symptoms such as headache, vomiting, and visual blur. The patient had a history of prior miscarriages, an ectopic pregnancy, and a previous Caesarean section. Physical examination and laboratory findings indicated microangiopathic hemolytic anemia, low platelet count, and elevated creatinine levels, leading to a suspected diagnosis of HUS. The importance of early diagnosis in pregnant women with anemia, thrombocytopenia, and acute renal failure is emphasized due to the potential for severe maternal complications. [Extracted from the article]

The purpose of our study is to identify the contribution of MRI as a complementary examination to ultrasound in order to optimise the characterisation of ovarian mass characterisation. In cases where pelvic ultrasonography could not contribute substantially to the diagnosis, we completed the exploration with a pelvic MRI. [Extracted from the article]

We emphasise the imaging and histology appearance of this tumour; as well as on the interest of evoking this diagnosis for surgery adapted to sarcomas. Transvaginal sonography showed a retrocervical tumour of 112 × 163 × 100 mm in diameter at the dorsal uterine wall without signs of intratumoural necrosis. [Extracted from the article]

All patients underwent midline laparotomy straddling the umbilicus. Methods Retrospective study spanning seven years from January 1, 2015 to December 31, 2021 on five patients treated for primary pelvic hydatid cyst in the Department of Obstetrics and Gynecology "A" at Charles Nicolle's Hospital. All patients underwent an abdominopelvic ultrasound showing multi-partitioned cystic formations whose size varied between 8 and 18 cm. Hydatid serology was performed in all cases and came back positive in two cases. [Extracted from the article]

Laparoscopic surgical exploration in our patients most often found gonads reduced to two fibrous bands. This study includes the analysis of epidemiological, clinical, biological and ultrasound data plus intraoperative findings, treatment histological result and subsequent follow up of patients with Pure gonadal dysgenesis (PGD) also known as SWYER syndrome. However, all patients presented primary amenorrhea. [Extracted from the article]

To evaluate fertility results after laparoscopic distal tuboplasty. Methods All the distal tuboplasties performed between 2018 and 2019 were included, laparoscopic distal tuboplasty was carried out on 20 patients. The patients were classified according to the French cooperative tubal scoring system: stage 1: 7 patients, stage II: 13 patients, stage III: 22 patients, stage IV: 12 patients; 17 patients underwent a fimbrioplasty whereas 3 patients underwent a neosalpingostomy. [Extracted from the article]

Therefore, Ultrasonography and MRI represent complementary diagnostic tools for antenatal diagnosis of placenta accreta. EP44.20: Accuracy of placenta accreta prenatal diagnosis by ultrasound and MRI in a high-risk population To compare accuracy of ultrasonography and MRI for prenatal diagnosis of placenta accreta. [Extracted from the article]

The study objective is to study the intraoperative and postoperative complications of laparotomic myomectomy and patients' characteristics influencing this risk. Conclusions Odds ratio computed to estimate the risk of complications in relation to the patient characteristics showed that the probability of complications significantly rises with an increase in the number (more than 3 myomas) and with the intramural or the intraligamentous location of myomas whereas the myoma size seems to influence particularly the risk of major complications. Patients undergoing myomectomies should be carefully selected, due to the high rate of complications, other alternatives should be also considered such as laparoscopic myomectomy; uterine embolisation. [Extracted from the article]

Introduction: Eighty-five per cent of uterine inversions are puerperal. Non-puerperal uterine inversion is usually caused by tumours that exert a traction force on the fundus of the uterus. This causes the uterus to be partially or completely inverted. It is commonly related to benign tumours like submucosal leiomyomas. Nevertheless, malignancies are an infrequent association., Case Presentation: We report a case of a 35-year-old female patient, medically and surgically free, gravida0 para0, complaining of menometrorrhagia associated with pelvic pain for 2 years. A suprapubic ultrasound scan showed an enlarged, globular uterus with a heterogeneous, undefined mass of 49 mm in size. MRI scan showed the appearance of a U-shaped uterine cavity and a thickened inverted uterine fundus with an endometrial infiltrating mass of 25 mm. Intraoperative exploration showed uterine inversion involving the ovaries; the fallopian tubes and the round ligaments and a necrotic intracavitary mass. The malignancy of the tumor was confirmed through anatomopathological examination as Adenosarcoma., Conclusions: Uterine inversion is rare outside the puerperal period, and malignant etiology must not be overlooked. Therefore, comprehensive care with meticulous etiological investigation is crucial.