Introduction: Acute pelvic pain in women is common and systematically explored by ultrasound in our daily practice. Objective: Contribute to the aetiological research of women's acute pelvic pain (APD) in an area where the ultrasound tool is practically the only means of accessible imagery. Patient and methods: A prospective study lasting 6 months was carrried out at the Yopougon University Hospital Center (Abidjan-Ivory Coast). A continuous series of 153 women who had a pelvic ultrasound for DPA were enrolled. Ultrasound examinations were performed using 3 probes (convex, linear and endocavitary) in B and Doppler mode. Results: The mean age of the patients was 30, 2 years with extremes of 12 and 68 years. About a quarter (25.5%) of the ultrasound examinations were normal and in 74.5% of cases, a pathology was objectified. These pathologies concerned the internal genital organs in 89.5% of the cases and in 10.5% of cases they were extragenital pathologies. The ovaries were the most affected genitals (64.1%) 439 followed by the uterus (28.2%) and the fallopian tubes (7.7%). Extra-genital causes were inguinal hernia (4 cases), acute appendicitis (5 cases), sigmoiditis (1 case) and lithiasis of the lower ureter (2 cases). Conclusion: a significant proportion of extragenital causes of pelvic pain, objectified in our study, requires a careful clinical examination of the whole hypogastric or even all abdominal regions by clinicians and the use of the high frequency linear probe which is not not always solicited by sonographers, during the care of the DPA.