%0 Journal Article %T Management of High Complicated Genital Infections at the Aristide De Le Dantec Hospital: Apropos of Six Cases %A Aliou Cisse %A Mef Dieme %A Omar Gassama %A Youssoupha Toure %A An Coly %A Alassane Diouf %J Open Journal of Obstetrics and Gynecology %P 1816-1830 %@ 2160-8806 %D 2023 %I Scientific Research Publishing %R 10.4236/ojog.2023.1311154 %X Objective: To study the epidemiology, the diagnostic elements and the prognosis after laparotomy surgery, of complicated upper genital infections. Patients and method: This is a retrospective study of six cases of complicated upper genital infections collected over a period of 20 months in the Obstetrics and Gynecology department of the Aristide Hospital Center of LEDANTEC. Results: The average age of the patients was 37.67, in two patients; a hysterosalpingography had been performed less than seven days before the start of the symptoms, a notion of multiple sexual partners was noted in two patients. All patients presented with acute abdominal-pelvic pain associated with vomiting in three patients. An infectious syndrome was found in two patients, adnexal pain caused in four patients and signs of peritoneal irritation (guarding and umbilical tenderness) in three patients. Para-clinically, a biological inflammatory syndrome was found in all patients, including an elevation of C-reactive protein in all patients and hyperleukocytosis in four patients and an elevation of CA 125 in two patients. The cytobacteriological examination of the pus taken intraoperatively was positive in two patients, the isolated germs were Pseudomonas aeruginosa and