دورية أكاديمية
أعرض في EDS

[Epidemiological, clinical and therapeutic features of acute pelvic pain in female patients hospitalized in the Yaoundé Gynaecology-Obstetrics and Pediatrics Hospital].

التفاصيل البيبلوغرافية
العنوان: [Epidemiological, clinical and therapeutic features of acute pelvic pain in female patients hospitalized in the Yaoundé Gynaecology-Obstetrics and Pediatrics Hospital].
عنوان ترانسليتريتد: Aspects épidémiologiques, cliniques et thérapeutiques des algies pelviennes aiguës de la femme à l’Hôpital Gynéco-Obstétrique et Pédiatrique de Yaoundé (HGOPY).
المؤلفون: Tebeu PM; Département de Gynécologie-Obstétrique, Faculté de Médecine et de Sciences Biomédicales, Université de Yaoundé I, Centre Hospitalier et Universitaire, Cameroun.; Ligue d'Initiative et de Recherche Active pour la Santé et l'Education de la Femme (LIRASEF), Yaoundé, Cameroun., Belinga E; Département de Gynécologie-Obstétrique, Faculté de Médecine et de Sciences Biomédicales, Université de Yaoundé 1, Centre Hospitalier de Recherche et d'Application en Chirurgie Endoscopique et Reproduction Humaine, Yaoundé, Cameroun., Sama JD; Département de Gynécologie-Obstétrique, Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Hôpital Gynéco-Obstétrique et Pédiatrique de Yaoundé, Yaoundé, Cameroun., Kenmogne SA; Ligue d'Initiative et de Recherche Active pour la Santé et l'Education de la Femme (LIRASEF), Yaoundé, Cameroun., Tchente C; Faculté de Médecine et des Sciences Pharmaceutiques, Université de Douala, Douala, Cameroun., Sandjong I; Service de Gynécologie Obstétrique, Hôpital Gynéco-Obstétrique et Pédiatrique de Yaoundé, Yaoundé, Cameroun.
المصدر: The Pan African medical journal [Pan Afr Med J] 2020 Jan 23; Vol. 35, pp. 16. Date of Electronic Publication: 2020 Jan 23 (Print Publication: 2020).
نوع المنشور: Journal Article
اللغة: French
بيانات الدورية: Publisher: African Field Epidemiology Network Country of Publication: Uganda NLM ID: 101517926 Publication Model: eCollection Cited Medium: Internet ISSN: 1937-8688 (Electronic) NLM ISO Abbreviation: Pan Afr Med J Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Kampala, Uganda : African Field Epidemiology Network
مواضيع طبية MeSH: Acute Pain*/diagnosis , Acute Pain*/epidemiology , Acute Pain*/etiology , Acute Pain*/therapy , Pelvic Pain*/diagnosis , Pelvic Pain*/epidemiology , Pelvic Pain*/etiology , Pelvic Pain*/therapy, Adult ; Cameroon/epidemiology ; Cross-Sectional Studies ; Female ; Gynecology ; Hospitalization/statistics & numerical data ; Hospitals, Maternity/statistics & numerical data ; Hospitals, Pediatric/statistics & numerical data ; Humans ; Laparotomy/statistics & numerical data ; Obstetric Surgical Procedures/methods ; Obstetric Surgical Procedures/statistics & numerical data ; Obstetrics ; Pediatrics ; Pregnancy ; Pregnancy, Ectopic/diagnosis ; Pregnancy, Ectopic/epidemiology ; Pregnancy, Ectopic/surgery ; Reproductive Tract Infections/diagnosis ; Reproductive Tract Infections/epidemiology ; Reproductive Tract Infections/therapy ; Young Adult
مستخلص: Introduction: Acute pelvic pain is an important cause of morbi-mortality. The purpose of this study was to describe the epidemiological, clinical and therapeutic features of acute pelvic pain in Yaoundé.
Methods: We conducted a cross-sectional, descriptive study with collection of prospective data in the Department of Gynecology and Obstetrics at the Yaoundé Gynaecology-Obstetrics and Pediatrics Hospital over the period 1 st April-31 st July 2015. We included all female subjects admitted for pelvic pain whose course was less than one month and who agreed to participate in the study. All women who were in the third trimester of pregnancy or in the post-partum period were excluded. Epi info software, version 3.5.4 was used to analyze data. Data were shown as frequency and percentage.
Results: During the study period, a total of 5915 women presented to the Yaoundé Gynaecology-Obstetrics and Pediatrics Hospital, of whom 125 (2.11%) had acute pelvic pain. The average age of patients was 29.5 ± 6.9 years. Pain was caused by upper genital tract infections (36.8%) and ectopic pregnancy (18.4%). Most patients received medical treatment (92.8%), associated with antibiotics in 65.5% of cases, anti-inflammatory drugs in 56.9% of cases and analgesics in 39.7% of cases. Surgery was performed in 25 (20%) patients via laparotomy (80%) and coelioscopy (20%). Surgery was indicated in patients with ectopic pregnancy (76% of cases). Regression of pain was obtained in 99% of cases.
Conclusion: Acute pelvic pain mainly affected young women with upper genital tract infections and ectopic pregnancy. In the case of ectopic pregnancy surgical treatment via laparotomy was the gold standard treatment.
Competing Interests: Les auteurs ne déclarent aucun conflit d’intérêts.
(© Pierre-Marie Tebeu et al.)
References: Perspect Sex Reprod Health. 2004 Jan-Feb;36(1):6-10. (PMID: 14982671)
Int J Gynaecol Obstet. 1996 Mar;52(3):243-8. (PMID: 8775676)
Rev Prat. 1998 Sep 1;48(13):1465-8. (PMID: 10050630)
N Engl J Med. 2015 May 21;372(21):2039-48. (PMID: 25992748)
Ann Surg. 2006 Dec;244(6):881-6; discussion 886-8. (PMID: 17122613)
Emerg Med Clin North Am. 2019 May;37(2):207-218. (PMID: 30940367)
Arch Iran Med. 2013 Jul;16(7):397-400. (PMID: 23808776)
Obstet Gynecol. 2009 Feb;113(2 Pt 1):260-9. (PMID: 19155893)
Gynecol Obstet Invest. 1990;30(3):162-4. (PMID: 2148299)
Gynecol Obstet Fertil Senol. 2019 May;47(5):409-417. (PMID: 30878688)
Am Fam Physician. 2010 Jul 15;82(2):141-7. (PMID: 20642266)
Arch Inst Pasteur Madagascar. 2000;66(1-2):72-4. (PMID: 12463042)
Diagn Interv Imaging. 2015 Oct;96(10):985-95. (PMID: 26441019)
Hum Reprod. 2005 May;20(5):1404-9. (PMID: 15695311)
JAMA. 1991 Nov 13;266(18):2594-604. (PMID: 1834868)
Ann Surg. 1975 Apr;181(4):484-6. (PMID: 124158)
فهرسة مساهمة: Keywords: Acute pelvic pain; Yaoundé; ectopic pregnancy; upper genital infections
تواريخ الأحداث: Date Created: 20200429 Date Completed: 20201207 Latest Revision: 20220414
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC7170743
DOI: 10.11604/pamj.2020.35.16.14332
PMID: 32341737
قاعدة البيانات: MEDLINE
الوصف
تدمد:1937-8688
DOI:10.11604/pamj.2020.35.16.14332