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Biomedical subjects

E Sfar

Publications and source records attributed to E Sfar.

32 records · Page 2Linked to original sources
PubMed1994

[Anatomo-clinical characteristics of ovarian fibrothecal tumors. 19 cases over 12 years: 1981-1992[].

The quasi-constantly benign nature of fibrithecomas of the ovary has been known for many years. However, there have been very few studies of their incidence and clinical characteristics. The aim of this study, based upon 19 cases of fibrothecal tumours of the ovary operated upon at the Rabta maternity unit during a 12 year period, is to give an idea as to epidemiological factors, diagnostic conditions and treatment methods used among the women studied.

Adult↗
PubMed1994

[Pregnancy in a rudimentary uterine horn: main clinical forms. 5 cases].

Five cases of pregnancy developing in a rudimentary uterine horn are reported. The incidence of this association is 1/40,000 pregnancies. Three patients underwent surgery in a context of massive intraperitoneal bleeding due to rupture of the uterus during the second three months of pregnancy. Pregnancy continued into the third three months in 2 patients. The diagnosis was made at laparotomy, the uterus having ruptured in both cases. In the first case, rupture was clinically silent with development of the fetus in the abdominal cavity. In the second case, the pregnancy stopped developing at 34 weeks after the LMP. Histological examination of hemi-hysterectomy specimens showed that the placenta was accreta in all cases. Analysis of these 5 cases and a review of the literature form the basis of a review of the current contribution of investigations to the diagnosis of this association.

Adult↗
PubMed1994

[Fetal hydrocolpos].

Foetal hydrocolpos is a rare abnormality, which may be detected by antenatal ultrasound, during neonatal clinical examination or during autopsy of the foetus. Foetal prognosis is related to the extent of the initial anatomical abnormality. Foetal hydrocolpos is usually combined with other congenital malformations and is therefore part of a syndrome or combination. A review of the literature was carried out when two cases occurred in the Rabta maternity clinic in Tunis in order to investigate the incidence, diagnostic tools and prognosis of this abnormality.

Abnormalities, Multiple↗
PubMed1993

[Measurement of the obstetrical pelvis by tomodensitometry (110 cases)].

We had studied in one year 110 cases of scano-pelvimetry, the clinical examination had not found a shrink pound in 41%, revealed by the sceno-pelvimetry. This method is more precisely than the classic pelvimetry, but more expansive. The simultaneous study of echography and pelvimetry had contributed to a better obstetrical decision.

Female↗
PubMed1993

[Abdominal pregnancy, a rare anatomoclinical entity. 4 case reports (1981-1990)].

The opportunity is taken, on the basis of 4 cases of abdominal pregnancy and a review of the literature, to attempt to analyse the various aspects of this increasingly rare pathology. Its incidence is low, being evaluated by our own study at 4/85 757 deliveries, i.e.: 1/21 439 deliveries collected at the Maternity and Neonatology centre of Rabta Tunis during a 10-year period (1981-1990). The essential epidemiological factor is the low socio-economic and cultural status seen in the patients studied. Clinical signs were predominated by metrorrhagia, abdominal pain, disturbed intestinal function and fetal death in utero. The delay in diagnosis explains the onset of frequent fetal complications in the form of fetal death in utero (3 cases out of 4) and of various fetal malformations. Ultrasonography is the essential investigation enabling diagnosis in the presence of clinical suspicion. Surgery is obligatory, excluding any attempt in the majority of cases at extraction of the placenta, which is left in place.

Adult↗
PubMed1992

[Results at the Rabta Tunis Maternity and Neonatology Center of the surgical treatment of genital prolapse. 193 cases in 7 years (1982-1988)].

The authors report their experience in the treatment of 193 cases of genital prolapse treated surgically in the Rabta Tunis Maternity and Neonatology Unit during a 7 year period between January 1st 1982 and December 31st 1988. The epidemiological characteristics of the study population were dominated by the following factors: advanced age (mean age 54); multiparity (80 per cent of cases); 65.8 per cent of women were post-menopausal. The commonest association of lesions was triple prolapse, present in 78 per cent of cases. Stress incontinence of urine (SIU) was a common feature (59 per cent of cases). Treatment preference was for vaginal hysterectomy combined with anterior colporrhaphy and posterior perineorrhaphy (73.5 per cent). The Kelly Marion operation was often used for SIU (89 per cent of cases) and gave satisfactory results in 73 per cent of cases.

Adult↗
PubMed1992

[The anatomo-clinical characteristics of granulosa tumors observed at the maternity unit of Rabta-Tunisia. Review of the literature].

We have found eight granulosa tumours in nine years out of 280 ovarian tumours which were collected in the maternity and neonatology unit in Rabta. The mean age of the patients was 53, the mean parity was 8. Signs of oestrogen excretion were found in all cases and metrorrhagia was the principal reason for consulting doctors in 75% of cases. There was always a palpable mass on clinical examination. Histology was usually only microfollicular. Radical surgical treatment was carried out in all cases and consisted of total abdominal hysterectomy and bilateral salpingo-oophorectomy.

Adult↗
PubMed1992

[Maternal mortality at the Maternity and Neonatology Center in Rabta of Tunis from 1986 to 1989].

We studied 29 cases of maternal death occurring over a period of 3 years in the "Centre de Maternité et de Néonatologie de La Rabta-Tunis"; managed by the same staff. 42,028 live births occurred during the study years with 43,220 total births from April 24th 1986 to April 23rd 1989. The maternal mortality rate was 69 per 100,000 live births. A maternal age of under 35, nulliparity and grand multiparity were found, as is well known, to be risk factors. Maternal transfer in obstructed labour from rural maternity units raises the maternal death risk 12 times: 14 deaths out of 29 occurred in transferred patients. Haemorrhage represents a quarter of the causes of death (8 cases) while anaesthetic accidents were responsible for one in six maternal deaths. Some factors were not found such as abruptio placentae, while others such as eclampsia were reduced. We concluded that the maternal mortality rate even though it has been reduced over the last 3 decades it is still high compared with developed countries. We can cut it in half by avoiding maternal transfer in labour.

Adolescent↗
PubMed1991

[Large placental chorioangiomas: 2 case reports].

Two cases of large placental chorioangiomas are reported. These tumors gave rise to obstetric and neonatal complications with perinatal death in both cases. These rare tumors were discovered by pathological examination of the products of delivery, with their precise nature being identified histologically. Review of the literature shows that fetal, neonatal and obstetric consequences are multiple and can often be explained by placental and cardiac insufficiency in utero secondary to the presence of these vascular tumors.

Adult↗
PubMed1990

[Female genital tuberculosis in Tunisia. Apropos of 118 cases at the Rabta Neonatology and Maternity Center in Tunis (January 1984-December 1988)].

The authors have reviewed 118 cases of female genital tuberculosis collected over a 5 year period, from 1st January 1984 up until 31 December 1988, and have compared their results (study group, SG) with those of a similar study (reference group, RG) carried out in the same centre 2 years previously. The following points stand out: the incidence of the disease is stable (6.6 p. cent in the SG versus 5.6 p. cent in the RG); the profile of the woman with genital tuberculosis is that of a young woman of rural origin, generally unvaccinated; sterility is increasingly the predominant motive for consultation (81 p. cent in the SG versus 73 p. cent in the RG); the latent form of genital tuberculosis constitutes 96.4 p. cent of cases in their series versus 93.8 p. cent in the RG; the diagnosis of genital tuberculosis was confirmed histologically in 46 p. cent of cases versus 30 p. cent in the RG, and bacteriologically in 7 p. cent of cases versus 4 p. cent in the RG; medical treatment was initiated for the acute and evolutive forms (35 p. cent of cases). Surgical treatment was indicated for macro-lesional forms which were resistant to medical treatment.

Acute Disease↗
PubMedDate not supplied

[Screening for carential anemia in pregnant women: prospective study. Report of 200 cases].

To report the frequency and intensity of anemia in a population of pregnant tunisian women. Our retrospective study concern 200 patients collected from january to july 1999 in a population of pregnancies. Mean age was 30.1 years and 68.5% of patients consult in the third trimester with a 33.5% rate of multiparity. The frequency of anemia is 37.5%. Anemia was ferriprive in 97.3% and hypochromic in 24% of cases. Mean ferritinemia is 4.19 ng/ml after 24 weeks of amenorrhea with a marqued decrease in case of multiparity and pregnancy evolution. Mean transferrinemia is significantly low in anemic (3.98 g/dl) versus non anemic (3.60 g/dl) patients (< 0.05). The comparison of anemia with parity, the delay between two pregnancies and term of pregnancy showed a higher risk with multiparity, short delay between two pregnancies and advanced term. The frequency of anemia in tunisian pregnant women is relatively high, prevention is based on iron supplementation and hygienodietetic advices.

Adult↗