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Adult Still\\\'s disease (ASD) is a auto inflammatory disease so-called polygenic. ASD is a rare pathology known as benign, its diagnosis remains a diagnosis of elimination based on the set of polymorphic clinical signs (fever, rash and or arthralgia), with 2 forms, systemic and articular. Thus, in the absence of a specific diagnostic marker, the ASD remains a diagnosis of elimination. The interaction between ASD and pregnancy is poorly known, the literature is still poor given its rarity, the number of published observations does not exceed thirty, so its discovery during pregnancy can may compromise the outcome of pregnancy, rarely a life-threatening of the mother.disease flares can occur during ASD in the 2nd trimester and in the postpartum. Corticosteroid therapy is the first-line treatment of ASD, probably more effective in systemic forms of the disease. We recall here this pathology through the case of a patient who during 10 years of evolution of MSA, in its corticodependent systemic form, had carried out 3 pregnancies without resonance or dysgravidia.

Adnexal torsion (AT) occurs most often before the first period of menstruation and seems to be favored by anatomical predispositions. Later, (AT) may be indicative of adnexal pathology, tubal or ovarian , most often a benign tumor, the diagnosis of AT is often late and then results in an adnexectomy, which is why practicing gynecologists must maintain a high level of suspicion in front of any acute pain in teenage girls even if the functional pathology predominates at this age. The twist of para tubal cyst is extremely rare. This pathology is often confused with ovarian torsion, the management in both cases requires emergency surgery to try to keep the ovary. We report a rare case of an adolescent patient operated for a complex para-tubal twisted benign cyst 6cm associated with hemorrhagic corpus luteum, that the diagnosis was difficult.