Ultrasound and epidemiological features of ectopic pregnancy in a suburb of Abidjan (Cote d'Ivoire)

• Published in: Médecine tropicale Vol. 71; no. 5; p. 481
• Main Authors: Kouamé, N, N'Goan-Domoua, A M, Méité, A, Konan, A N, Sétchéou, A, Koné, D, N'gbesso, R D, Kéita, A K
• Format: Magazine Article
• Language: French
• Published: France 01.10.2011
• Subjects: Adult; Cote d'Ivoire - epidemiology; Fallopian Tubes - surgery; Female; Humans; Parity; Pregnancy; Pregnancy, Ectopic - diagnostic imaging; Pregnancy, Ectopic - epidemiology; Prospective Studies; Risk Factors; Ultrasonography
• ISSN: 0025-682X

The aim of our study was to describe current ultrasound and epidemiological features of ectopic pregnancy in Abidjan, Côte d'Ivoire. This prospective study was carried out over a 24-month period (February 2006 to January 2008) at Nanglé Medical Clinic, i.e., a private clinic located in Abidjan's Yopougon suburb. A total of 32 cases of ectopic pregnancy were discovered by suprapubic and/or endovaginal ultrasound scan. The estimated frequency of ectopic pregnancy was 1.7%. Mean patient age was 26.2 years. The main risk factors were prior history of abortion (32%) and adnexal infection (20%). Most patients (52.5%) were nulliparous. The most frequent indication for ultrasound scan was metrorrhagia. Diagnosis of ectopic pregnancy was made at the ruptured stage in 65.6% of cases and nonruptured stage in 34.4%. The presenting lesions was hematosalpinx in 40.6% of cases and embryonate ectopic gestational sac in 31.3%. Salpingectomy and salpingorrhaphy were successful in 65.6% and 34.4% of cases respectivlely. In Abidjan, ectopic pregnancy involves young nulliparous women with a prior history of abortion and adnexal infection. Ultrasound allowed early diagnosis and, consequently, tube preservation in 34.4% of cases.