Abstract

The objective of this work was to give a working diagnosis if pelvic pains acute, the woman at University Hospital of Brazzaville. Methods: We carried out a descriptive and prospective study over a period of five months, from 2nd June to 2nd October 2015 in the Obstetrics and Gynecology Unit at CHU Brazzaville. Patients who presented with Acute Pelvic Pain and who gave their consent were included in the study. All those in the third trimester of pregnancy and in the post partum period were excluded. Data was analyzed using Epi info version 3.5.4. software Results: We registered a total of 410 cases of pelvic pain out of the 6345 patients representing 6.4%. Of these, 285 were cases of acute pelvic pain, representing 4.5% of the total consultations in the service. Acute Pelvic Pain was found to occur more often in women who were unemployed 31.5%(26.3-37.1); single 56.1% (50.3-61 .8) ; under educated 61.4%(55.6-66.9) ;had only one current sexual partner 68.8%(62.8-73.6) ; had no notion of contraception 64.2%(58.1-69.7) ; had no past history of dysmenorrhoea 94.3%(91.2-96.6) nor abortion 69.8%(64.3- 74.9) ; whose HIV status was unknown 80.7%(75.8-84.9) ; and who had previously suffered from a genital tract infection. The acute pelvic pain; evolved over 5 days; was of insidious onset 56.6% (52-64.2) ; diffuse 54.3% (48.5-60.1) ; not related to the menstrual cycle 86.6% ( 82.3-90.2); had no irradiations 78.9% (73.9-83.3); was crampy in nature 31.9% (26.7-37.5) ; associated to bleeding 52.6% (46.8-58.3) ; and severe 60%, with a tender abdomen 83.5% and tenderness on mobilization of the uterus 70.5%.A complete blood count 57.5% (51.1-63.1) and pelvic ultrasound 70%, were the tests usually carried out. The etiologies registered were mostly complications of pregnancy 60.6% and upper genital tract infections 13.9%. Conclusion: Acute Pelvic pain is a common presenting complaint in gynecology. The clinical and paraclinical characteristics are related to the etiologies. The most