Sonohysterography: Time to Step up its Use in Gynaecologic Imaging in West Africa
), Alexander T. Odoi(2), Edward T. Dassah(3), Yaw Amo-Wiafe(4),
(1)
(2)
(3)
(4)
Corresponding Author
Abstract
Sonohysterography is a simple, safe and convenient technique that is easily and rapidly performed in the ultrasound room; yet the technique seems to be underutilized in West Africa. We present two cases that were successfully carried out in our centre followed by detailed description, uses and challenges of the technique, with the hope of encouraging clinicians and sonographers in the sub-region to step up its use. Two women were referred for evaluation of their endometrial cavities on account of increasingly heavy menstrual bleeding. Sonohysterography revealed intracavity uterine masses with hyper-echoic focal thickening highly suggestive of endometrial polyps; histology confirmed the diagnosis of endometrial polyps. Sonohysterography is an affordable and feasible diagnostic modality for evaluating the endometrial cavity. Where equipment and skill permit, the technique should be used more often in the West African sub-region. Sonohysterography, Tansvaginal sonography, Gnaecologic imaging, West Africa (Afr J Reprod Health 2011; 15[3]:133-139).
Résumé
Sonohystérographie: Temps d’augmenter son emploi dans la visualisation gynécologique en Afrique de l’Ouest : La sonohystérographie est une technique simple, non dangereuse et commode, qui est accomplie dans la salle d’ultrason ; pourtant, il semble que la technique est sous utilisée en Afrique de l’Ouest. Nous présentons deux cas qui ont été accomplis dans notre centre, suivi d’une description détaillée, l’emploi et les défis de la technique, avec l’espoir d’aider des cliniciens et des sonographes de la sous–région à augmenter son emploi. Deux femmes nous ont été envoyées pour l’évaluation de leurs cavités endométriales à cause dune hémorragie menstruelle excessive. La sonohystérographie a révélé des masses utérines d’intra cavité, ayant un épaissement focaux hyperrésonnant qui indique la présence des polypes endométriales; l’histologie a confirmé le diagnostic de polypes endométriales. La sonohystérographie est une modalité diagnostique faisable et abordable pour évaluer la cavité endométriale. Là ou l’on se dispose des équipements et le savoir- faire, il faut se servir de la technique plus souvent dans la sous-région ouest africaine (Afr J Reprod Health 2011; 15[3]:133-139).
Keywords: Family Planning, Unwanted pregnancies, Misuse of drugs, Emergency contraception
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