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

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 collection 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 motive for pelvic ultrasound request (39.8%). The abnormalities found by ultrasound were uterine and ovarian respectively in 55.4% and 38% of cases. Uterine 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 therapeutic decisions.

Diagnostic Value of Combined Detection of Pelvic Ultrasound and Serum LH, FSH, and E2 Levels in Children with Idiopathic Central Precocious Puberty

“…Children with ICPP grow faster in height than their peers during sexual development. Bone age can be used to assess a child's growth and development, to help predict the timing of a girl's menarche, and to aid in the diagnosis of endocrine disorders [ 21 , 22 ]. Leptin, a circulating hormone secreted by adipose tissue, is the basic protein product of obesity.…”