An unusual case of Behçet's disease presenting with postpartum ovarian iliac vein thrombosis and pulmonary embolism

Thrombosis of the ovarian vein is a rare complication which arises classically in the postpartum. We report a case of 24-year-old woman with a history of Behçet's disease, who presented with pelvic and thoracic pain, tachycardia, dyspnea and fever occurring 2 weeks after delivery. Computed tomography revealed an ascending thrombosis of the iliac and right ovarian veins complicated by bilateral pulmonary embolism. The patient responded well to the combination of anticoagulants and immunosuppressive agents. Behçet's disease should also be considered as an etiologic factor for ovarian vein thrombosis

Antenatal diagnosis of extralobar pulmonar sequestration

Extralobar pulmonary sequestrations (ELS) are masses of non-functioning lung tissue that are supplied by an anomalous systemic artery and do not have a bronchial connection to the native tracheobronchial tree. On prenatal ultrasonography, an ELS appears as a well-defined echodense, homogeneous mass. Detection by color flow Doppler ultrasonography of a systemic artery from the aorta to the fetal lung lesion is a pathognomonic feature of fetal ELS. MR imaging may help in the diagnosis of pulmonary sequestration by  demonstrating a solid, well-defined mass, and the feeding artery. In this case report, we describe the sonographic and MR diagnosis of an ELS in a fetus at 22 weeks gestation with a review of the available literature.Key words: Extralobar pulmonary sequestration, antenatal diagnosis, ultrasonography, MR

Fetal MRI and antenatal diagnosis of unilateral cerebellar hypoplasia

Focal cerebellar hypoplasia is restricted to one cerebellar hemisphere or to the vermis. Prenatal diagnosis of unilateral cerebellar hypoplasia is possible by the use of ultrasound and MRI. Familiarity with the prenatal MRI findings is essential to recognize cerebellar pathologies accurately and prospectively. We present US and MRI findings in a fetus with cerebellar malformation at 20 weeks gestation. The goal of our case report is to present the fetal MRI findings of unilateral cerebellar hypoplasia, to discuss the value of fetal MRI in the early diagnoses of this malformation and to summarize the current main stream literature concerning the etiology

Tuméfaction mandibulaire révélatrice d’un myélome multiple : à propos d’un cas

Les auteurs rapportent le cas d’une tuméfaction mandibulaire droite survenant chez un homme âgé de 73 ans qui a amené à la découverte d’un myélome multiple. La radiographie standard de la mandibule a révélé l’existence d’une lyse osseuse de la branche montante droite de la mandibule avec une masse envahissant les parties molles. L’examen tomodensitométrique avait montré à coté du processus tumoral de la branche montante de la mandibule, des images lacunaires de la voûte du crâne et une lyse de la 3e vertèbre cervicale faisant suspecter le diagnostic de myélome multiple. Le diagnostic positif a été confirmé par le bilan biologique et radiologique. Nous rappelons l’aspect en imagerie du myélome multiple à localisation mandibulaire, en mettant l’accent sur les principaux diagnostics différentiels. Med Buccale Chir Buccale 2007 ; 13 : 199-203