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We describe the case of a rudimentary horn pregnancy coexistent with an intrauterine pregnancy. This situation is usually associated with rupture of the rudimentary horn and death of the correspondent twin. This is the first report on a multiple gestation with the two siblings successfully delivered by caesarean section in the two horns of a unicornuate uterus with rudimentary horn before any complication. Since the maternal mortality is higher in this situation, early ultrasound diagnosis is important to make the right decisions. [Copyright &y& Elsevier]

The subhepatic abscess due to retained fecalith is a rare complication following appendicectomy. The incidence of this complication is probably going to increase due to high rate of laparoscopic appendicectomy. We report 2 cases of subhepatic abscess 1 and 2 years after laparoscopic appendectomies. This potentially serious complication could be preventing with technical recommendations. When it occurs, this complication has to be directly treated by surgical drainage, percutaneous drainage couldn’t be successful because it leaves fecalith in its place which is a cause of recurrence. Our reports are the first to use a laparoscopic treatment of this complication. [Copyright &y& Elsevier]

Introduction: Thrombosis of the ovarian vein (TOV) is a rare complication which arises classically in the post-partum. Its main signs are pain in the flanks or the iliac fossa, associated with temperature and hyperleukocytosis. It is a differential diagnosis of acute appendicitis when located on the right side., Observation: A 26 year-old, primiparous woman consulted at 38 weeks of amenorrhoea for pain in the right iliac fossa and flank with a temperature of 38.6 degrees C. Three days after delivery, because of heavier pain, a coelioscopy was decided on that led to the diagnosis of thrombosis of the right ovarian vein., Comments: Improvement in the diagnosis techniques, notably Doppler ultrasonography and spiral CT should avoid the diagnosis of TOV during surgery. Traditionally a post-partum complication, TOV can occur before delivery, period during which it is very important not to misjudge this diagnosis, notably in case of thrombosis spreading to the inferior vena cava with free-floating thrombus. The treatment of TOV is essentially medical. In the case of extension to the vena cava, the installation of a vena cava filter or a surgical cava thrombectomy may be necessary.