Place de la scintigraphie dans le diagnostic de l’embolie pulmonaire chez la femme enceinte – À propos de 17 cas

IntroductionPulmonary embolism in pregnant women is a deadly disease; its diagnosis is based on specific algorithms. The lung scan is one of the recommended diagnostic suspicion in further investigations.Material and methodsRetrospective study of a series of cases of pulmonary embolism in the period pre-partum and post-partum pregnant women collected during 3 years, from January 2010 to January 2013, at the reanimation department maternity Souissi in Rabat.ResultsSeventeen cases of pulmonary embolism pre- and post-partum. The age ranged between 21 and 37 years (mean age 30 years). Four EP post-partum were recorded with 13 cases of EP pre-partum whose mean gestational age was 30SA. Several risk factors were found: 7 cases obesity, 4 cases cesarean section, 3 cases of varicose veins, 2 cases of endometritis, 1 case of twin pregnancy, 1 case of gestational hypertension and 1 case of alitement. The first reason for consultation was respiratory distress (12 cases), followed by chest pain (9 cas) and palpitations (6 cas). Lung scintigraphy performed in 14 patients’ objective 9 cases of perfusion defect, 4 cases of normal scan and 1 case of massive PE. No deaths or recurrences have been reported.ConclusionPregnancy and the post-partum period are at high risk of thromboembolic events due to physiological changes. The diagnostic approach is now well codified with scores of clinical and paraclinical probability. The lung scintigraphy can be a method of choice. Hybrid imaging is a good alternative for diagnostic performance.     

J. Deprat,l’Eubée,la Corse et la Sardaigne. À propos de l’article de C. Guernet « J. Deprat,l’Eubée (Grèce) et les fossiles introuvables »

In a recent publication, C. Guernet picks up again the accusations of fraud against J. Deprat, who, in the early 20th century, had suffered such attacks to the point to be removed from the Geological Society of France. At the end of the same century, one among us (M D.D.) reexamined this affair, and drew the conclusion that J. Deprat was innocent, after which the Geological Society of France reinstated him posthumously. The new accusations issued by Guernet are about Deprat's work in Euboea, as well as Corsica and Sardinia. Our own work rather disagrees and shows that, here again, Deprat is innocent. At this occasion, we present or remind new elements about those regions’ geology.     

Suivi immuno-hématologique de la femme enceinte

Une fièvre chez l’adulte est rarement isolée et, tout en évaluant la gravité potentielle du tableau clinique (déshydratation, choc, signes hémorragiques...), il faut rechercher un signe d’appel ou un contexte clinique permettant d’orienter le diagnostic étiologique en urgence. Nous passerons en revue certaines des situations les plus fréquentes et/ou mettant en jeu le pronostic vital.