Objective: The aim of this piece of work is to study the contribution of pelvic ultrasound while exploring pelvic pathologies at Hubert Koutoukou Maga Teaching University Hospital “CNHU-HKM” and at the Teaching University Hospital of Mother and Child “CHU-MEL” of Cotonou. Patients and Methods: A descriptive, cross-sectional and analytical study with prospective collec-tion was carried out at the University Clinic of Gynecology and Obstetrics “CUGO” at the CNHU-HKM and in the gynecology department of the CHU-MEL, over a period of 4 months (May to August 2018). We included in this study women over 12 years old who performed a pelvic ultrasound and were followed in the aforementioned health centers. Results: The population of the study consisted of 181 patients. The pelvic ultrasound request frequency was 18.84% compared to all ultrasound examinations. The age group of 25 - 29 years old was the most represented (22.10%). Pelvic pain was the first mo-tive for pelvic ultrasound request (39.8%). The abnormalities found by ultra-sound were uterine and ovarian respectively in 55.4% and 38% of cases. Uter-ine pathology was dominated by uterine myoma (44%). Ovarian cyst (13%) and ovarian dystrophy (14%) were the main ovarian pathologies. There was a statistically significant relationship between certain reasons for consultation, mainly metrorrhagia, dysmenorrhoea, amenorrhoea, leucorrhoea (p < 5%) and the ultrasound result. Conclusion: The ultrasound remains the first choice examination and is of a great value in exploring pelvic pathologies. In most cases, it helps to find the responsible lesion and to make the appropriate ther-apeutic decisions.
References
[1]
Ako-Ahui, E., N’guessan, K.E., Konan, A.N., Sétchéou, A., Ettien, J.J.K., Kouamé, N., et al. (2019) Diagnostic étiologique échographique des douleurs pelviennes aigues de la femme en Côte d’Ivoire. European Scientific Journal, 15, 437-447.
https://doi.org/10.19044/esj
[2]
Poitier, A., Opinel, M., D’Ercole, C. and Blanc, B. (1994) Echographie en gynécologie. In: Encycl. Méd. Chir, Gynécologie, Editions Techniques, Paris, 69-A-10, 23 p.
[3]
Fethia, B., AmelAchour, J., Sarah, S., Anissa, G., Eya, G., Ezzeddine, S., et al. (2016) L’apport de l’échographie dans l’exploration des métrorragies post-menopausiques. Pan African Medical Journal, 24, 175.
https://doi.org/10.11604/pamj.2016.24.175.7361
[4]
Koussema, A.L.K., Hondegla, A.A.B., Anoukoum, T., Folligan, K., Davi, D. and Awobanou, K. (2011) Echographie sus pubienne dans les douleurs pelviennes chez la femme à Lomé. Journal Africain d’imagerie Médicale, 6, 300-307.
[5]
N’Gbesso, R.D., N’Goan, A.M., Coulibaly, A., Mushi, M., Diabaté, K. and Keita, A.K. (1996) Apport de l’échographie: Masses utéro-vaginales et pelviennes chez la femme noire africaine. Cahiers de santé, 6, 145-150.
[6]
Genevois, A., Marouteau, N., Lemercier, E., Dacher, J.N. and Thiebot, J. (2008) Imagerie de la douleur pelvienne aiguë. Journal de Radiologie, 89, 92-105.
https://doi.org/10.1016/S0221-0363(08)70379-2
[7]
Hahn, L. (2001) Chronic Pelvic Pain in Women. A Condition Difficult to Diagnose More than Different Diagnoses Can Be Considered. Lakartidningen, 98, 1780-1785.
[8]
Balleyguier, C., Bazot, M., Eiss, D., Salem, C. and Hélénon, O. (2004) Diagnostic radiologique d’une algie pelvienne de la femme. Feuillets de Radiologie, 44, 5-13.
https://doi.org/10.1016/S0181-9801(04)94720-3
[9]
Boco, V., Takpara, I. and Adisso, S. (2003) Intérêt de l’échographie dans le diagnostic étiologique des douleurs pelviennes chez la femme en période d’activité génitale. Journal Africain d’imagerie Médicale, 1, 73-82.
[10]
Ardaens, Y., Guérin, B., Coquel, P., Levaillant, J.M. and Poncelet, E. (2010) Echographie et imagerie pelvienne en pratique gynécologique. Collection Imagerie médicale Précis. 5ème édition, Masson, Paris, 643 p.
[11]
Gallix, B., Maubon, A., Rouanet, J.P. and Borel, P. (1993) Echographie de l’utérus. In: Jouve, P., Ed., Manuel d’ultrasonologie de l’adulte, Masson, Paris, 231-244.
[12]
Kouamé, N., N’goan-Domoua, A., Konan, N., et al. (2012) Apport de l’échographie transvaginale associée à l’hystérosalpingographie dans la recherche étiologique de l’infertilité féminine à Abidjan (Côte d’Ivoire). African Journal of Reproductive Health, 16, 43.
[13]
Laghzaoui, M., Bouhya, S. and Hermas, S. (2001) Epidémiologie des fibromes utérins. Maroc médical A, 23, 266-270.
[14]
Chalal, N. and Demmouche, A. (2013) Profil épidémiologique des fibromes utérins dans la région de Sidi Bel Abbes Algérie. Pan African Med Journal, 15, 7.
https://doi.org/10.11604/pamj.2013.15.7.2690
[15]
Hanchi, Z., Berrada, R. and Fadli, A. (2003) Les hypertrophies de l’endomètre. Maroc Médical A, 25, 41-45.
[16]
Marret, H., Cosson, M. and Goffinet, F. (2001) Echographie et doppler dans le diagnostic des kystes ovariens: Indications, pertinence des critères diagnostiques. Journal de Gynécologie obstétrique et biologie de reproduction A, 30, 20-33.
[17]
Sétchéou, A., Kouamé, N., Touré, A., Garba, I., Konan, N.A., Tra bi, Z.O., et al. (2015) Apport de l’imagerie dans la recherche étiologique des aménorrhées primaires. Journal Africain Imagerie Médicale, 1, 64-72.
[18]
Bidet, M. (2013) Dysménorrhée de l’adolescente. Mt Médecine de la Reproduction, Gynécologie Endocrinologie, 15, 328-333.
