Keywords
metrorrhagia
diagnosis
salpingectomy
Zinder
How to Cite
Abstract
Introduction :
Ectopic pregnancy (EP) is a diagnostic and therapeutic emergency, frequent in under-medicalized countries. The objective of the study was to describe the epidemiological, diagnostic and therapeutic aspects of EP. Patients and Methods: This was a retrospective study carried out at the Mother and Child Health Center (CSME) in Zinder over a period of 4 years (January 1, 2013, to December 31, 2016). We have included cases of USG (ruptured or not).
Results :
During the study period, 12,099 pregnancies were recorded, including 82 cases of EP, an incidence of 0.67%. The average age was 29.20 ± 8.5 years. The antecedents of genital infection, abortion, pelvic surgery were found respectively in 25.61% (n=21), 21.95% (n=18) and 8.54% (n=7) of the cases. Amenorrhea and pelvic pain were found in 100% (n=82) and metrorrhagia in 61 cases (74.39%). Ultrasound had made in 74 patients, i.e. (90.24%), the pregnancy test was performed in 100% of cases. The USG was ruptured in 90.24% of cases. Salpingectomy was performed in 96.34% (n=79). Salpingotomy involved 2.44% (n=2) and adnexectomy was performed in 1.22% (n=1). Anemia was found in 90.24% (n=79), blood transfusion was performed in 50% of patients. No death cases were recorded.
Conclusion :
Ectopic pregnancy is a pathology that affects young women and late diagnosis at the rupture stage in our environment. Raising public awareness of risk factors and early consultation in the face of amenorrhea associated with pelvic pain could improve diagnosis and prognosis.
References
1. Tonick S, Conageski C. Ectopic Pregnancy. Obstet Gynecol Clin North Am. 2022 Sep;49(3):537-549.
2. Togas T. Ectopic pregnancy: epidemiology, risk factors and anatomic site. J Obstet Gynaecol India. 2015; 65(4): 284–285
3. Vanitha N, Sivalingam, Duncan C, Kirk E, Lucy AS, Andrew WH. Diagnosis and management of ectopic pregnancy. J Fam Plann Reprod Health Care 2011; 37: 231–240.
4. American College of Obstetricians and Gynecologists' Committee on Practice Bulletins—Gynecology. ACOG Practice Bulletin No. 193: Tubal Ectopic Pregnancy. Obstet Gynecol. 2018;131(3):e91-e103. doi: 10.1097/AOG.0000000000002560.
5. Anyanwu M, Titilope G. Grossesse extra-utérine dans un hôpital tertiaire en Gambie. Afri Health Sci. 2021;21(1):295-303.
6. Ononuju CN, Ogbe AE, Changkat LL, Okwaraoha BO, Chinaka UE. Ectopic pregnancy in Dalhatu Araf Specialist Hospital Lafia Nigeria - A 5-year review. Niger Postgrad Med J. 2019;26(4):235-238.
7. Randriambololona DM, Anjaharisoaniaina NT, Harioly M, Rekoronirina E, Randriambelomanana JA, Andrianampanalinarivo R. Prise en charge de la grossesse extra-utérine à l’Hôpital Universitaire. Rev Anesth Réanim Med Urgence. 2012;4(1):16-9.
8. Gabkika B Madoue, Abdelsalam S, Ilboudo SERGE RW, Adoum T, Domga K. Grossesse extra-utérine : Aspects épidémiologiques et Pronostic maternel à l’Hôpital de district de N’djamena sud (Tchad) Kis Med. 2015; 6(1) :111-6.
9. Kenfack B, Noubom M, Bongoe A, Tsatedem FA, Ngono M, Tsague GN, Mboudou E. La grossesse extra-utérine dans une région semi rurale en Afrique: Aspects épidémiologiques, cliniques et thérapeutiques à propos d'une série de 74 cas traités à l'Hôpital de District de Sangmelima au Sud-Cameroun. Pan Afr Med J. 2012; 13: 71.
10. Essiène Ebono AM, Anki Y, Niama AC, Mbou Essie D, Voumbo Y. Ndinga H et al. Facteurs de risque de la grossesse extra-utérine à l’hôpital de référence de Talangai, Brazzaville 2018-2019 : Facteurs de risque de la GEU à Talangai. Health Sci. Dis. 2022; 23 (5) :15-24.
11. Hssain H, Berreda R, Ghanmi A EL, Feerhati D. Grossesse extra-utérine. Maroc Med. 2011 ; 33 (2): https://doi.org/10.48408/IMIST.PRSM/mmv33i2.1267
12. Maman Z. Grossesse extra-utérine au Centre Hospitalier Régional de Niamey. Etude rétrospective à propos de 31 cas. Thèse de médecine 2014. FSS de Niamey 134p.
13. Bangambe BJ, Kangudia MJ, Mbanzulu PN, Yanga JJ, Monzango G, Kabongo R, Juakali SKV, Mboyo G.Profil épidémiologique et prise en charge de la grossesse extra-utérine à l’hopital de l’amitié Sino-Congolaise de N’djili Kinshasa-RDC. KisMed 2016, 7 (1) 255-8.
14. Mpiima DP, Wasswa Salongo G, Lugobe H, Ssemujju A, Mumbere Mulisya O, Masinda A, Twizerimana H, Ngonzi J. Association between Prior Chlamydia trachomatis Infection and Ectopic Pregnancy at a Tertiary Care Hospital in South Western Uganda. Obstet Gynecol IntHindawi. 2018;2018:4827353. doi: 10.1155/2018/4827353.
15. Dembele S, Diassana M, Macalou B, Sidibe A, Hamidou A, Sinayoko Y, Traore S.O, Sima M, Sylla C, Kane F, Traore S. Extra-utérine Pregnancy in the Obstétric Gynécology Departement of Fousseyni Daou Hospital in Kayes. Sch J App Med Sci 2021 9 (6) 822-6.
16. Fan YY, Liu YN, Mao XT, Fu Y. The Prevalence of Ectopic Gestation: A Five-Year Study of 1273 Cases. Int J Gen Med. 2021 Dec 14;14:9657-61.
17. Diarra L, Samaké A, Konaté M, Keita M, Diallo M, Traore S, Mariam M, Traore O, Traoré D. Grossesse Extra-Utérine Rompue de Diagnostic Tardif. Health Sci. Dis. 2020 ;21 (4) : www.hsdfmsb.org
18. Akaba GO, Agida TE, Onafowokan O. Ectopic pregnancy in Nigeria's federal capital territory: a six year review. Niger J Med. 2012; 21(2):241-5.
19. Nayama M, Gallais A, Ousmane N, Idi N, Tahirou A, Garba M, Djibrill B, Boukerrou M. Management of ectopic pregnancy in developing countries: example of a Nigerian reference maternity. Gynecologie, obstetrique & fertilite. 2006;34(1):14-8.
20. Achour A, Gabkika MB, Boudeya F, Gharsa A, Chelli D, Sfar E. .Prise en charge chirurgicale de la grossesse extra-utérine au Centre de Maternité et de Néonatologie de Tunis. Rev.méd.Madag. 2015, 5(3) : 634-9.
21. Baldé IS, Diallo FB, Conté I, Diallo MH, Sylla I, Diallo BS, et al. Grossesse extra-utérine dans la clinique de gynécologie-obstétrique IgnaceDeen du CHU de Conakry Aspects épidémiologique, sociodémographique, thérapeutique et pronostique. Med Santé Trop. 2014 ;24 (3):297-300.
Metrics
Downloads
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2026 S Oumarou Garba, Z Salifou Lankoande, M Hassane, P Dan Rani, A Tankora, H Maman, H Adamou, M Nayama