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Introduction: A cornual pregnancy is a rare type of ectopic pregnancy which occurs when the fertilised egg implants in that part of the fallopian tube buried deep in the wall of the uterus. Hydatidiform mole ( molar pregnancy) is a rare mass or growth. Molar cornual ectopic pregnancy is extremely rare. Objective: The aim of this work is to describe a rare form of molar cornual pregnancy and show the importance of ultrasound examination in its diagnosis. Methods: In this study, we present a case of molar cornual pregnancy diagnosed by ultrasound examination, serial serum beta subunit of human chorionic gonadotropin and diagnostic laparoscopy. A 32 year -old woman with an antecedent of asthma, admitted to our department of Obstetrics and Gynecology at Ben Arous Hospital (tunisia) for ultrasound examination at 8 weeks of amenorrhea. The ultrasound examination was performed by suprapubic and endovaginal approach. Results: At the ultrasound examination the uterus was empty and We demonstrated an ectopic gestational sac embryonated of 0.96 cm cranio caudal length (that is to say 7 weeks of amenorrhea). The sac was surrounded by placenta, Which was enlarged and contains areas of multiple, diffuse anechoic lesions. The diagnosis of cornual pregnancy was made from data of the ultrasound examination. It was confirmed by the β-hCG (85843.4mUI/ml), diagnostic laparoscopy and Pathologic analysis (placental tissue with features consistent with a partial molar pregnancy). the patient had a successful laparotomy. Conclusion: Molar cornual pregnancy occurs rarely. Its diagnosis is not often made. Its discovery is made frequently at the rupture stage. Endovaginal ultrasound examination helps discover cornual pregnancy at an early stage. [ABSTRACT FROM AUTHOR]

Introduction: Hernia diaphragmatic dome (HCD) affects about one child born alive in 3000. A very early closure defect of the diaphragm by lack of closure of pleuroperitoneal canal is responsible for impaired lung development and physiology. Due to the different pressure between the thorax and the abdomen, the abdominal organs in the thorax moves causing insufficient lung development. The diagnosis of congenital diaphragmatic hernia occurs most often during a routine ultrasound. Objective: The aim of this study is to describe two cases of Hernia diaphragmatic dome and show the importance of ultrasound examination in its diagnosis. Methods: We present two cases of HCD diagnosed by the antenatal ultrasound examination Case 1: a 32 year -old woman without any antecedent, admitted to our department of Obstetrics and Gynecology at Ben Arous Hospital (tunisia) for morphological ultrasound examination at 24 weeks of amenorrhea. The ultrasound examination was performed by suprapubic approach. It was a left diaphragmatic hernia. We had noted the absence of stomach in the abdomen in the left upper quadrant in addition to the presence of stomach in the left thorax associated with mediastinal shift and right deviated heart. The fetal MRI did not show the left diaphragmatic dome, it showed the rise of stomach digestive handles and spleen occupying the left hemi-thorax. During the ultrasound monitoring, there was no polyhydramnios noted and transverse abdominal diameter was average. The evolution was marked by a premature birth by natural means to 33 SA a newborn male who presented immediate respiratory distress in the labor ward, died in H1 living child. Case 2: morphological ultrasound done at 23 weeks of amenorrhea for a 30 year -old woman diagnosed a left diaphragmatic hernia isolated with no other associated malformations. We did not found chromosomal abnormalities. The delivery was programmed in collaboration with the pediatric surgeons, the child was operated but the outcome was unfavorable with the death of the child two months later. Conclusion: Multiple ultrasound markers have been identified as items of diagnosis and predictive of outcome. Magnetic resonance imaging have been identified as additional imaging modalities that can assist in making the antenatal diagnosis and accurately assessing perinatal outcome. [ABSTRACT FROM AUTHOR]

Introduction: The holoprosencephaly (HPE) is a severe and complex congenital malformation of the brain associated with evocative facial anomalies. The prevalence is estimated at 1:10,000 live births and stillbirths and 1/250 design pregnancies. Early antenatal diagnosis of this malformation is essential for taking proper and early obstetrical management. Objective: The aim of this case report is to illustrate the importance of ultrasonic examination in the prenatal diagnosis of holoprosencephaly. Methods: HN is a 32 years old patient without particular antecedent, mother of a child in apparent good health. She was seen at 22 WA for systematic sonography examination. The morphological ultrasound discovered with intracranial signs: a large monoventricular cavity, lack of midline structures and fusion of thalamic masses suggestive alobar holoprosencephaly. Glycemic figures in this patient were normal, as well as acquired immunity to toxoplasmosis and rubella. Amniocentesis was performed at 23 weeks of gestation and an abnormal karyotype was diagnosed. The fetus had a trisomy of the 21st chromosome. The parents decided to terminate the pregnancy on the basis of the ultrasound abnormalities. Eight hours after inducing labor with vaginally administered misoprostol. Autopsy demonstrated further the alobar HPE Conclusion: The HPE is a rare and frequently associated with facial anomalies, congenital brain malformation. Prognosis is often poor especially for alobar form. The ultrasound diagnosis is now possible since 14-16 weeks of amenorrhea. [ABSTRACT FROM AUTHOR]

Introduction: Bilateral tubal pregnancy is the rarest form of ectopic pregnancy. It occurs frequently at women after undergoing assisted reproduction procedures. Objective: The aim of this study is to insist at importance of ultrasonography exam on bilateral ectopic pregnancy diagnosis. Case: We present a case of a 23 years primigravida with previous history of right tubal pregnancy treated conservatively. Patient presented as 6 weeks ectopic pregnancy with abdominal pain for 2 days. Serial serum beta subunit of human chorionic gonadotropin was at 3206 mUI/ml. The diagnosis of bilateral ectopic pregnancy was made from data of the ultrasound examination: trans-vaginal ultrasound revealed empty uterus with left and right tubo-ovarian hypoechoeic masses. There was also minimal collection of fluid in cul-desac. A laparoscopic surgery had been performed. It concluded at a bilateral ectopic pregnancy. It was done a conservative treatment for left ectopic pregnancy and and a salpingectomy for the right one. Conclusion: The diagnosis of the bilateral ectopic pregnancy is difficult. A high index of suspicion for pregnancy is required to avoid missing an ectopic bilateral pregnancy. Ultrasound examination could help the diagnosis. [ABSTRACT FROM AUTHOR]

Introduction: Diastematomyelia is a rare congenital anomaly that results in the "splitting" of the spinal cord in a longitudinal (sagittal) direction. Objective: We present a case of diastematomyelia diagnosed prenatally in our institution as well as a review of the literature in order to determine the importance of ultrasound prenatal diagnosis of the isolated case of diastematomyelia. Methods: The diastematomyelia case, was detected at 23 weeks gestation by ultrasonography examination which was performed by suprapubic approach. It was presented with disorganization of bony process of the vertebral column with a midline echogenic bony spur, asymmetrical hemicords. The liveborn fetus was examined by a pediatric neurologist. A search was then conducted using PubMed to review previously reported cases in the literature. Conclusion: Prenatal diagnosis is generally made in the second trimester. Intrauterine diagnosis of diastematomyelia should facilitate appropriate management of affected cases. [ABSTRACT FROM AUTHOR]

We report an uncommon clinical presentation of a placental site trophoblastic tumor. The patient presented initially with abdominal pain with, fever, bleeding and pelvic mass on ultrasonography leading to the wrong diagnosis of a pelvic abscess. Dilation and curettage were performed and pathological examination confirmed the diagnosis of placental site trophoblastic tumor. Therefore, she underwent abdominal hysterectomy. Four years after surgery, the patient is still disease free. Gestational trophoblastic diseases should be considered in every patient presenting abnormal uterine bleeding after delivery or pregnancy loss despite the associated symptoms being very unusual., Competing Interests: No competing interests were disclosed., (Copyright: © 2024 Nesrine S et al.)