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 ObstetricsandGynecology
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 multiplesexual 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
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