title: [Gynecological emergencies: etiology and degree of gravity].
abstract: OBJECTIVE
  To evaluate the type and the emergency degree of the pathologies met in gynecological emergencies.
  
  
  METHODS
  prospective study including 205 patients presented to the Emergency department of a maternity level 3 between the 2011 January 4 and February 15.
  
  
  RESULTS
  One hundred and ninety-four patients (95%) came from their own initiative. One hundred and eighty-one patients (88%) consulted for abdominal/pelvic or lumbar pain and or metrorragia. The mean age of the patients was of 31 ± 11 years and the average waiting time before being examined was of 84 ± 101 minutes. For 94 patients (46%), the diagnosis was an asymptomatic intra-uterine pregnancy in 41 cases or associated with minor symptoms. 21 patients (8.9%) consulted for menstruation with or without dysmenorrhea, 17 (8,3%) had a miscarriage, 14 (7%) a genital infection, 11 (5%) an ovarian pathology and eight (4%) an ectopic pregnancy or its follow-up. Seven patients had an axillary lymphocele or a breast tumor and four symptomatic myomas. Six patients presented with non-gynecological pathologies. In 23 cases (11%) no organic cause was found. Only 24 patients (12%) were hospitalized and nine (4.5%) operated.
  
  
  CONCLUSIONS
  Most of the patients consulted for minor obstetrical or gynecological pathologies without relation with the function of Emergency department. Ectopic pregnancy remains a rare event. Better information of the users on the significance of the urgency is desirable. Consultation of a referent physician before emergency services should be privileged.
authors.affiliation: Département de chirurgie gynécologique et obstétrique, CHR Orléans, 1, Porte-Madeleine, 45000 Orléans, France. alouini.s@orange.fr
authors.forename: S
authors.initials: S
authors.lastname: Alouini
authors.forename: L
authors.initials: L
authors.lastname: Mesnard
authors.forename: S
authors.initials: S
authors.lastname: Coly
authors.forename: M
authors.initials: M
authors.lastname: Dolique
authors.forename: B
authors.initials: B
authors.lastname: Lemaire
mesh_terms: D000022:Abortion, Spontaneous / Q000453:epidemiology; D000328:Adult; D001365:Axilla; D001943:Breast Neoplasms / Q000453:epidemiology; D004412:Dysmenorrhea / Q000453:epidemiology; D004630:Emergencies / Q000453:epidemiology; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008210:Lymphocele / Q000453:epidemiology; D008599:Menstruation Disturbances / Q000453:epidemiology*; D009214:Myoma / Q000453:epidemiology; D010049:Ovarian Diseases / Q000453:epidemiology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D011271:Pregnancy, Ectopic / Q000453:epidemiology; D011446:Prospective Studies; D060737:Reproductive Tract Infections / Q000453:epidemiology*