Search PubMed⌕ Search

Biomedical subjects

P Abboud

Publications and source records attributed to P Abboud.

25 records · Page 2Linked to original sources

[Controlled hyperstimulation in intra-uterine inseminations: hMG-hCG protocol (204 cycles)].

OBJECTIVE: to evaluate the results of superovulation, protocol hMG-hCG, associated to IUI for treatment of infertility. PATIENTS AND METHODS: this prospective study, includes 77 couples who underwent 204 consecutive cycles of homologous IUI. The same protocol was applied for all the couples. hMG was administrated from cycle days 2 to 5 (3 then 2 ampuls per day). Patients were monitored daily, by evaluation of serum oestradiol. Insemination was done 36 to 38 hours after hCG injection. RESULTS: 2.6 cycles were done per couple. We observed 16.2% pregnancy per cycle. The best results were obtained in female indications, in the first cycle, with more than 500,000 spermatozoide and with a level of E2 between 500 and 1500 pg/ml. Multiple pregnancy was observed in 18.2%. CONCLUSION: controlled ovarian stimulation should be associated to all IUI.

Adult↗

[Breast tuberculosis. A case of a diffuse inflammatory form].

We report a case of inflammatory tuberculosis of the breast in a 83-year-old French Caucasian woman. She presented with a diffuse inflammatory tuberculosis of the breast and an axillary enlarged lymph node but no tumor was palpable in the breast. A carcinoma was firstly suspected. The diagnosis was accessed after repeat punction of a lymph node, as a Mycobacterium tuberculosis was identified after culture. A medical treatment was sufficient in our case.

Aged↗

[Crohn's disease and pregnancy. Two case reports].

We report two cases of pregnancy in patients with Crohn's disease. For the first woman, non-exclusive ambulatory parenteral nutrition was given during the entire duration of gestation in a patient with short bowel syndrome, maintaining good nutritional status and normal delivery at term of an eutrophic infant; Crohn's disease relapsed one month post partum. In the second patient, Crohn's disease was less severe and remission occurred without treatment. Prophylactic cesarean was required due to multiple perineal scars resulting from surgical treatment of Crohn-related fistulae. The main problems with pregnancy in patients with Crohn's disease are discussed.

Adult↗

[Intra-uterine inseminations with hyperstimulation in male infertility].

Our aim is to evaluate the efficacity of intrauterine insemination in male infertility after controlled ovarian hyperstimulation. 96 cycles were carried out. 16 pregnancies were achieved, the pregnancy rate per cycle is 16.7% (43.3% per couple) and 12.5% ongoing pregnancies. Six cycles were proposed and the higher cumulative probability of pregnancy is obtained at the 4th cycle. The best pregnancy rate per cycle is obtained with 5.10(6) to 10.10(6) inseminated. The success rate is not associated with the number of sperm abnormalities in our study.

Adult↗

[Ultrasonic signs of fetal toxoplasmosis. Review of the literature].

OBJECTIVE: Evaluate the frequency and discuss the mechanisms and the prognostic value of sonographic anomalies observed during the surveillance of seroconversion for toxoplasmosis during pregnancy. METHODS: Cases of seroconversion during pregnancy were collected from 6 teams working with similar protocols. There were 2,168 seroconversions. We focused on ultrasound anomalies reported. RESULTS: Ultrasound anomalies were reported in 48 cases including the 168 fetuses with proven contamination (fetal blood or amniotic fluid sample), i.e. 2.2% (48 cases out of 2,168) of the seroconversions and 28% (48 cases out of 168) of the contaminated fetuses. There were multiple lesions in 44% of the cases. Brain calcifications had been found in utero in 44% of the newborns with such anomalies. No case of microcephalia was reported. Isolated hepatomegalia (4 cases) was not an indication for medical abortion. Isolated ascitis can regress after antiparasite treatment (2 cases). Medical abortions were performed in 51% of the cases (34 cases out of 66) on the basis of ultrasound findings. CONCLUSION: Ultrasound examination is reliable but can only detect late, constituted and often irreversible lesions. Nevertheless, this examination can help in deciding on medical abortion.

Abortion, Therapeutic↗

[Tuberculosis and pregnancy].

The authors report a case of pulmonary tuberculosis during pregnancy. They point out that the pregnancy does not change the natural course of the disease, congenital tuberculosis is rare but with a high rate of mortality, and the three most important antituberculosis (isoniazid, ethambutol and rifampicin) are safety during pregnancy.

Adult↗

[Pregnancy in a rudimentary uterine horn].

The authors report a case of pregnancy in a rudimentary horn diagnosed by laparotomy. The location could not be suspected by any clinical sign. This pregnancy stopped at 19 weeks of amenorrhoea. Any attempts of induction of labour failed. Laparotomy was necessary to assess the diagnosis and to allow the resection of the uterine horn. The authors present a review of literature.

Adult↗