title: [Ultrasound and epidemiological features of ectopic pregnancy in a suburb of Abidjan (Cote d'Ivoire)].
abstract: OBJECTIVE
  The aim of our study was to describe current ultrasound and epidemiological features of ectopic pregnancy in Abidjan, Côte d'Ivoire.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Service de radiologie, CHU de Yopougon, Abidjan, Côte d'Ivoire.
authors.forename: N
authors.initials: N
authors.lastname: Kouamé
authors.forename: A M
authors.initials: AM
authors.lastname: N'Goan-Domoua
authors.forename: A
authors.initials: A
authors.lastname: Méité
authors.forename: A N
authors.initials: AN
authors.lastname: Konan
authors.forename: A
authors.initials: A
authors.lastname: Sétchéou
authors.forename: D
authors.initials: D
authors.lastname: Koné
authors.forename: R D
authors.initials: RD
authors.lastname: N'gbesso
authors.forename: A K
authors.initials: AK
authors.lastname: Kéita
mesh_terms: D000328:Adult; D007560:Cote d'Ivoire / Q000453:epidemiology; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D010298:Parity; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging* / Q000453:epidemiology*; D011446:Prospective Studies; D012307:Risk Factors; D014463:Ultrasonography