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The Contribution of Ultrasound in Exploring Women Pelvic Pathologies in Two Teaching University Hospitals Maternities in Cotonou

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Document pages: 11 pages

Abstract: 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 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.

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