Krukenberg's Tumors (TK) are defined as bilateral ovarian metastases from gastrointestinal cancer most often. They are rare and account 1 to 2% of ovarian tumors. We report a case of Krukenberg gastric original tumor in a female patient of 40 years old, G3P3, 3 living children, thyroidectomized with hormone replacement therapy, she was hospitalized for surgical exploration of two malignant abdominopelvic masses objectified in clinical examination and abdominopelvic ultrasound. Laparotomy had highlighted two ovarian tumors whose histology was in favor of ovarian metastases from carcinoma of digestive origin. Gastroesophageal Endoscopy showed a gastric adenocarcinoma with a signet-ring appearance of the pylorus and bulb gastric. Palliative chemotherapy was indicated. The patient died after four months. The treatment of this tumor remains palliative and is not codified. The progress of chemotherapy could improve the prognosis who is pejorative.
Pelvic tuberculosis accounts for 6% to 10% of tuberculosis cases. Tubal damage is the most frequent, followed by cervical and endometrial location. Ovarian tuberculosis is less common; presented as a clinical, biological and radiological form highly suggestive of ovarian tumor. Several factors contributed to the increase, mainly including related immunosuppression syndrome of acquired immunodeficiency. We report one case in a 24-year-old woman, single, followed for systemic lupus the initial interpretation of which, based on pleural and peritoneal exudate, showed suspected lateral uterine mass and significant elevated serum CA 125 level, mimicking disseminated ovarian carcinoma. Only after exploring laparotomy with biopsy was ovarian abscess tuberculosis identified, thus correcting the diagnosis. Its symptomatology was left after 2.5 months of antituberculosis multidrug. This is a rare disease whose diagnosis is histological and prognosis is dominated by the sequelae infertility.
Peripartum cardiomyopathy (PPCM) is a rare cardiac disorder of unknown origin associated with a high risk of mortality (50%). Echocardiography confirms the diagnosis by showing a left ventricular dilatation and a decreased ejection fraction. Up to date, the treatment remains symptomatic. The authors report the case of a woman of 36 years old who presented a peripartum cardiomyopathy.
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