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Traore, S.O., Doumbia, S., Berthé, B., Sangaré, R.T., Lefèvre, V., De Bièvre, P., Baharissoifa, M., Abdelilah, A., Abdelouahab, M., Guerin, C., Boubeker, H., Fagfouri, F., Kamdem, G., Denno, N., Timbely, O. and Mounkoro, N. (2019) Ectopic Pregnancy on Tubal Obstruction by Bilharzia Eggs at Meaux Medical Center (France). Mali Medical, 34, 51-54.

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• TITLE: Ectopic Pregnancy: Epidemiological, Clinical, Therapeutical, Anatomopathological Aspects and Prognosis at the Department of Obstetrics and Gynecology of the Teaching Hospital Souro Sanou of Bobo-Dioulasso: About 79 Cases and Literature Review

  AUTHORS: Bambara Moussa, Togbe Alihonou Eric Serge, Lankoande David, Dembele Adama, Ouedraogo Issa

  KEYWORDS: Ectopic Pregnancy, Surgical Emergency, Salpingectomy, Prognosis

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.12 No.1, January 13, 2022

  ABSTRACT: Objective: To study the epidemiological, clinical, therapeutical, anatomopathological aspects and prognosis of the ectopic pregnancy. Methodology: It was a transversal and descriptive study from January 1st to December 31st 2018 at the department of obstetrics and gynecology of the Teaching Hospital Sourô Sanou of Bobo-Dioulasso. Results: During the study period, we registered 4706 deliveries with 1272 cases of cesareans and 79 cases of ectopic pregnancy with a frequency of 1 ectopic pregnancy for 60 deliveries and 6 ectopic pregnancies for 100 caesareans. The average age of the patients in our study was 28.66 years old (19 - 45 years) and the average parity of 1.96 [0 - 6]. Married women represented 83.54 % of the workforce. The risk factors were dominated by sexual transmitted diseases (25.31%) and abortions (20.25%). Clinical signs were dominated by pelvic pain (100% of cases), metrorrhagea (86.5% of cases) and amenorrhea (64.6% of cases). Culdocentesis brought lysed incoagulable blood in 83.7% cases. The immunological pregnancy test was positive in 100% of cases. Plasma beta dosage was carried out in 2 cases. Salpingectomy was performed in 97.4% cases. The site of the ectopic pregnancy was interstitial in 11.3% cases, isthmic in 8.86% cases, infundibular in 11.3% cases, ampullar in 77.22% cases. On the anatomopathological level, we noted an acute salpingitis in 23.38% cases and a chronic salpingitis in 44.94% cases. Postoperative were simple in 97.7% of cases and we deplored one case maternal death. Conclusion: Ectopic pregnancy is a surgical emergency of the first trimester pregnancy. The delay in diagnosis is common in our context, with as consequence a mutilated treatment. The etiological factors are dominated by the chronic salpingitis and the acute salpingitis. The prevention is based on combatting genital infections, promoting contraceptive methods and a good post abortion care.