Abstract: Struma ovarii is an ovarien teratoma which predominantly contains thyroid tissue. Because of its rarety, the diagnosis and the managment of the tumour have not been clearly defined. We report a case of malignant papillary struma ovarii not suspected in preopertive. The chirurgical treatment of our patient was total hysterectomie, bilateral salpingo-oophorectomie and biopsies comleted with thyroidectomie and radioactive iodine ablation wish was decided in multidisciplinary consultation meeting. Through this observation, we discuss the diagnositic, management and outcome features of these particular tumors.

Induced labour is one in which pregnancy is terminated artificially, any time after foetal viability is attained, by a method that aims to secure vaginal delivery. At term, upto 15 – 30% of pregnancies in obstetrics practice are induced for labour due to various foetal and maternal indications. Dinoprostone (Prostaglandin E2 or PGE2) has been shown to be the most effective agent achieving for cervical ripening. The present study is conducted with an aim of comparison between the two preparations i.e. dinoprostone vaginal gel vs dinoprostone vaginal pessary administration in a pregnant women with singleton pregnancy with vertex presentation for efficacy and safety in induction of labour. This tertiary level hospital base prospective observational study is done on 100 pregnant women out of which 50 pregnant women were given dinoprostone vaginal gel and 50 pregnant women were given dinoprostone vaginal pessary after obtaining informed consent. Data were collected on number of doses of drug required for delivery (58% required single dose in gel group vs 80% required single dose in pessary group), need of oxytocin augmentation for delivery (56% in gel group vs 30% in pessary group), induction to delivery interval (Mean 20.86 Hrs in gel group vs 16.88 Hrs in pessary group), mode of delivery (Vaginal delivery 46% in gel group vs 80% in pessary group), maternal complication (84% in gel group vs 90% in pessary group with no complication) for maternal outcome and for foetal outcome liquor characteristic (72% in gel group vs 88% in pessary group with clear liquor) and NICU admission (12% in gel group vs 6% in pessary group). Dinoprostone vaginal pessary is more effective for cervical ripening in induction of labour then dinoprostone vaginal gel

Phyllodes tumors of the breast are rare fibroepithelial tumors in their malignant form, the gravity lies in high risk of local recurrence. We report two observations of patients admitted for the management of local recurrence of phyllode breast tumor. The average age of our patients was 39 years old. The size of the tumor ranged from 10 cm to 30 cm in diameter, with a localization exclusively on the right. Surgical management consisted of a enlarged tumor resection, followed by radiotherapeutic complement. Histologically, it was a phyllode tumor initially benign with slowly progressive evolution, to a phyllode sarcoma at one patient, and to a liposarcoma in the other. The evolution towards a malignant transformation can be explained in both cases by incomplete previous excisional gestures. This underlines the importance of early diagnosis and surgical management responding to oncological rules

Ectopic pregnancy is an entity which when reports to emergency department requires prompt diagnosis and treatment. Index of suspicion is high in fertile women but it poses challenge and demands knowledge to manage if the woman has history of sterilization where suspicion of pregnancy is far remote. We present one such experience of ruptured ectopic pregnancy in a woman who had history of bilateral tubal sterilization 6 years back.

Propranolol is β-adrenergic receptor blocker with reported antioxidant effect and anti-inflammatory action , is used in treatment of hypertension mainly, and the main benefit in treatment patients with angina pectoris or myocardial infarction, add to role in central nervous system diseases as migraines and anxiety disorders, and tremor but rarely used in gynecology field in spite of many action either by beta receptor block or other mechanisms it acts with, such as anti _inflammatory, anticancer, antioxidant activity, pro_poptosis, and wound healing. In this review, we have discussed the various aspects of propranolol that can be applied in clinical gynecology in number of ways such as local contraceptive, in the treatment of Vulovaginitis by affected main criteria of Trichomonas and Guardia lamblia ,which is motility ,propranolol inhibited motility of both organism and consequence inhibition of the growth of both organism, for the treatment of genital hemangioma, We have also shed some light on experimental studies _ such as its effect on polycystic ovary and endometriosis

Hydatid disease is a global parasitic zoonosis with a very low incidence of 1 in 30,000 during pregnancy, with liver as the main organ to occur in it. Their diagnosis would depend on their clinical or radiological presentation, but the main problem during pregnancy would be their management. Here in, we present our case of accidently discovered liver hydatid cyst during pregnancy that was managed by albendazole therapy

Pregnancy related acute kidney injury (PRAKI) contributes to 3.7% of overall acute kidney injury cases in Indian subcontinent. It is a major cause of maternal and foetal morbidity and mortality in developing countries. To find out the maternal and foetal outcome in cases of pregnancy related acute kidney injury. A total of 50 patients with PRAKI were enrolled in this hospital based observational study. Cases were divided according to KDIGO criteria and maternal and foetal outcome were analysed in relation to age, parity, pregnancy status, mode of delivery, etiological factors and need for dialysis. Out of 50 cases mortality was 14% (7 cases). Aetiology was found to be multifactorial with sepsis in majority of cases (92%) and maximum cases were in the postpartum period. All the expired cases belonged to multipara group and all having anaemia and toxaemia of pregnancy. Out of 17 dialysed patients 29.4% (5 cases) expired