Nigerian Journal of Surgery最新文献

{"title":"Cavernous Hemangioma of the Adrenal Gland: A Rare Adrenal Incidentaloma.","authors":"Amit Gupta,&nbsp;Ashish Gupta,&nbsp;Sweety Gupta,&nbsp;Prashant Durgapal,&nbsp;Rohik Anjum T Sideek,&nbsp;Shashank Verma","doi":"10.4103/njs.NJS_12_19","DOIUrl":"https://doi.org/10.4103/njs.NJS_12_19","url":null,"abstract":"<p><p>Cavernous hemangiomas of the adrenal gland are rare, benign, endocrinologically inactive tumors. They present as adrenal incidentalomas, mostly asymptomatic, but patients may have abdominal pain. Surgery is the mainstay of treatment.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 2","pages":"159-161"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b5/25/NJS-26-159.PMC7659751.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38631965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the Determinants, Characteristics and Management of Recurrent Urethral Strictures.","authors":"Nasir Oyelowo,&nbsp;Muhammed Ahmed,&nbsp;Musliu Adetola Tolani,&nbsp;Ahmad Tijani Lawal,&nbsp;Mudi Awaisu,&nbsp;Abdullahi Sudi,&nbsp;Olagunju Jemila,&nbsp;Ahmad Bello,&nbsp;Husseini Yusuf Maitama","doi":"10.4103/njs.NJS_54_19","DOIUrl":"https://doi.org/10.4103/njs.NJS_54_19","url":null,"abstract":"<p><strong>Background: </strong>The presentation and management of the recurrent urethral stricture varies and depends largely on the initial treatment and the characteristics of the recurrent stricture. What are the likely determinants of recurrence?</p><p><strong>Patients and methods: </strong>This is a retrospective review of all patients who had urethroplasties from January 2013 to December 2017 for anterior urethral strictures in our institution. Patients with a recurrence of the strictures were identified and reviewed, while patients with hypospadias and posterior urethral stenosis or contractures were excluded from the study. The etiology, length, site, and type of urethroplasties were evaluated as variables that may contribute to the recurrence of strictures using inferential statistics and logistic regression analysis. Time to recurrence was analyzed using the Kaplan-Meier method.</p><p><strong>Results: </strong>A total of 206 urethroplasties for anterior urethral strictures were evaluated with recurrence of strictures noted in 29 patients and a recurrence rate of 14.1%. Recurrence was higher in long-segment strictures, penobulbar strictures, and postinflammatory strictures. Pedicle flaps were used in 45% of the strictures that reoccurred. Using Chi-square, the length, site, of urethroplasties were statistically significant determinants of recurrence; however, only the site of stricture was found to be statistically significant following logistic regression analysis. The site of recurrence was in the bulbar urethra in 79% and the penile urethra in 21%. The choice of treatment of the recurrent strictures was anastomotic urethroplasty in 76.5%. The mean time to failure in this study was 13 months with a range of 6-120 months.</p><p><strong>Conclusion: </strong>In this study, the site of stricture was found to be the most determinant of stricture recurrence, with penobulbar strictures mostly implicated. Long-segment strictures were also noted to contribute to some extent in recurrence. These recurrent strictures were mostly short-segment strictures in the bulbar urethra which were amenable to excision and anastomosis to achieve cure.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 2","pages":"130-134"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f9/85/NJS-26-130.PMC7659749.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38725988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Desmoid-type Fibromatosis of the Splenic Hilum: A Rare Tumor at an Unusual Location.","authors":"Ana Sánchez-Gollarte,&nbsp;Fernando Mendoza-Moreno,&nbsp;Marina Pérez-González,&nbsp;Manuel Díez-Alonso,&nbsp;José María Mugüerza-Huguet,&nbsp;María Del Rocío Díez-Gago,&nbsp;Fernando Noguerales-Fraguas,&nbsp;Alberto José Gutiérrez-Calvo","doi":"10.4103/njs.NJS_35_19","DOIUrl":"https://doi.org/10.4103/njs.NJS_35_19","url":null,"abstract":"<p><p>Desmoid-type fibromatoses (DTFs), also known as desmoid tumors, are benign but infiltrative neoplasms that often appear next to previous surgical site. Intra-abdominal tumors usually involve the mesentery, but splenic hilum is an unusual localization. We present a case of a desmoid tumor of the splenic hilum laparoscopically resected in a 70-year-old male with a previous history of chromophobe renal cell carcinoma and ocular spindle melanoma. Although benign, desmoid tumors might be infiltrative and produce serious complications. Treatment remains controversial, ranging from surgery and medical therapies to observation. Management of DTF must be individualized, considering the risk of complications and recurrence.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 2","pages":"166-169"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/30/b9/NJS-26-166.PMC7659762.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38629837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Single-Dose Bupivacaine on Postoperative Iliac Crest Graft Donor Site Pain.","authors":"Olalere Omoyosola Gbolahan,&nbsp;Babatunde Babasola Osinaike,&nbsp;Adeola Olanike Olusanya,&nbsp;Michael Oluyinka Okunola","doi":"10.4103/njs.NJS_68_19","DOIUrl":"https://doi.org/10.4103/njs.NJS_68_19","url":null,"abstract":"<p><strong>Background: </strong>Postoperative donor site pain remains a major source of morbidity following iliac crest bone graft harvesting (ICBGH).</p><p><strong>Aim: </strong>The aim of this study was to investigate the effect of single-dose infiltration of bupivacaine on donor site pain following ICBGH.</p><p><strong>Subjects and methods: </strong>This study was a double-blind randomized controlled trial of 30 adult individuals that required an ICBG as part of the treatment for mandibular reconstruction. Individuals were divided into two groups, to receive a single-dose subcutaneous infiltration of either 0.25% bupivacaine or 0.9% normal saline at the iliac crest graft incision site following ICBGH. Length of incision at the ICBGH site, dimensions of harvested graft, time taken for the iliac crest harvest surgery, total daily dose of postoperative analgesics, pain from the ICBGH site as well as gait disturbance were recorded. Data were analyzed using SPSS version 17.0, and <i>P</i> < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>There was a progressive decrease in pain score from the 1^st to the 4^th postoperative day, with no significant difference between the two groups. There was no statistical difference between the two groups in terms of dynamic median pain score at the early postoperative period as well as at the 4^th and 12^th week postoperative period. The analgesic consumption between the two groups also did not show any significant difference.</p><p><strong>Conclusion: </strong>Local injection of single dose of 0.25% bupivacaine did not offer additional benefit in the management of postoperative iliac crest donor site pain following ICBGH.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 2","pages":"135-141"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1c/8d/NJS-26-135.PMC7659748.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38631961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urine Cytology as Seen in Uyo, Nigeria: How Relevant Is It to Medical Practice?","authors":"Chukwuemeka Charles Nwafor,&nbsp;Emmanuel Benjamin Etuk,&nbsp;Kanu Obioha,&nbsp;Elijah A Udoh","doi":"10.4103/njs.NJS_48_19","DOIUrl":"https://doi.org/10.4103/njs.NJS_48_19","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study is to know the pattern of urine cytology (UC) requests seen in Uyo and how relevant they were to the management of the patients.</p><p><strong>Materials and methods: </strong>This retrospective study was carried out in the Department of Pathology, University of Uyo Teaching Hospital. The extracted data from the cytology registers were analyzed using the Statistical Package for the Social Sciences version 17.</p><p><strong>Results: </strong>A total of 46 patients did UC during the period. The patients were aged between 21 years and 90 years, with a mean age of 56.89 ± 14.65. Thirty (67.4%) were male. The age group of 60-69 years accounted for most cases (37.8%). Suspicion of bladder cancer was the most common indication as it was seen in 28.9% (<i>n</i> = 13) of cases. Thirty-eight cases (84.4%) were referred from urology clinic, 2 each (4.4%) from general outpatient clinic, general surgery clinic, and from gynecology clinic. In 44.4% (<i>n</i> = 20) of cases, the cytological diagnosis was inflammatory smear, while the UC was normal in 24.4% (<i>n</i> = 11) cases. Malignant cells were seen in 11.1% of (<i>n</i> = 5) cases. Of the 13 cases that the indication was suspected bladder cancer, only four were positive for malignant cells and one was suspicious on UC. No malignant cell or suspicious cell was seen in any of the UC specimens from patients that had prostate cancer, lower urinary tract outlet obstruction with hematuria due to prostatic enlargement.</p><p><strong>Conclusion: </strong>UC should not be requested for in prostatic diseases since the reports are always negative or at most inflammatory. The department should start using The Paris System of UC reporting to assist the managing physician/surgeon to take the best decision.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 2","pages":"95-98"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e3/61/NJS-26-95.PMC7659756.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38631962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Effect of pH Modulation on Wound Healing with Topical Application of Citric Acid Versus Superoxide Ions.","authors":"Sunit Tandon,&nbsp;Baldev Singh,&nbsp;Sudarshan Kapoor,&nbsp;Suruchi Mangal","doi":"10.4103/njs.NJS_14_19","DOIUrl":"https://doi.org/10.4103/njs.NJS_14_19","url":null,"abstract":"<p><strong>Background: </strong>Wound healing is a dynamic process involving tissue repair and regeneration. Nonhealing and chronic wounds are a significant health problem that many patients all over the world are suffering from. Proper wound care is hence very important. Wound dressings have undergone continuous and significant changes over the time period. Optimal dressing should ensure a moist wound bed, help drainage, remove debris, and be anti-allergic and without immunogenicity.</p><p><strong>Objectives: </strong>The objective of the study is compare the effect of pH modulation on wound healing with topical application of citric acid versus superoxide ions. The aim is to study the efficacy and safety of citric acid versus superoxide ions in the prevention and control of infection and their effect on wound healing in similar wound types.</p><p><strong>Materials and methods: </strong>We conducted randomized, prospective comparative study in a total of 100 patients admitted at Guru Nanak Dev Hospital, attached to Government Medical College, Amritsar. The patients were divided into two groups: Group A where wound management was done using superoxide ions and Group B where citric acid was used. A standard grading was done in terms of a decrease in wound size, an increase in granulation tissue, and a reduction in wound discharge.</p><p><strong>Results: </strong>The wounds treated with citric acid showed an average reduction in wound size of 73.43% by the 14^th day as compared to 66.52% in the control group. The difference seen in the average reduction of wound size was statistically significant (<i>P</i> = 0.032). The wounds treated by citric acid application showed an average increase in granulation tissue of 56.66% as compared to 50.87% in the wounds treated by superoxide ions. The average hospital stay in patients of Group B was comparatively less than that of patients in Group A.</p><p><strong>Conclusion: </strong>Citric acid is safe and effective in all types of wound management and gives better efficacy and faster response as compared to superoxide ions. Citric acid promotes wound healing by the formation of granulation tissue and fibroblast proliferation.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 2","pages":"122-126"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/60/f0/NJS-26-122.PMC7659760.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38631964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delay of Surgery Start Time: Experience in a Nigerian Teaching Hospital.","authors":"Chike John Okeke,&nbsp;Chukwudi Ogonnaya Okorie,&nbsp;Rufus Wale Ojewola,&nbsp;Njoku Isaac Omoke,&nbsp;Anselm Okwudili Obi,&nbsp;Agama Nnachi Egwu,&nbsp;Okechukwu Valentine Onyebum","doi":"10.4103/njs.NJS_61_19","DOIUrl":"https://doi.org/10.4103/njs.NJS_61_19","url":null,"abstract":"<p><strong>Background: </strong>Operating room delay has multiple negative effects on the patients, surgical team, and the hospital system. Maximum utilization of the operating room requires on-time knife on the skin and efficient turnover. Knowledge of the reasons for the delay will form a basis toward proffering solutions.</p><p><strong>Patients and methods: </strong>This was a prospective study of all consecutive elective cases done over a 15-month period from January 2016 to March 2017. Using our departmental protocol that \"knife on skin\" for the first elective case should be 8.00am, the delay was defined as a surgery starting later than 8.00am for the first cases while the interval between the cases of >30 min for the knife on the skin was used for subsequent cases. Reasons for delay in all cases of delay were documented. The prevalence and causes of the delays were analyzed. <i>P</i> < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Of 1178 surgeries performed during the period of study, 1170 (99.3%) of cases were delayed. The mean delay time was 151 min for all cases. First on the list had a longer delay time than others; 198.9 min versus 108.5 min (<i>P</i> = 0.000). Delay in the first cases accounted for 47.5% of all delayed cases. Overall, patient-related factor was the most common cause of delay (31.3%) followed in descending order by surgeon-related factor (28.5%) and hospital-related factor (26.2%). Patient-related factors accounted for 43.2% of first-case delays.</p><p><strong>Conclusion: </strong>Delays encountered in this study were multifactorial and are preventable. Efforts should be directed at these different causes of delay in the theater to mitigate these delays and improve productivity.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 2","pages":"110-116"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6c/14/NJS-26-110.PMC7659763.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38632407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gastric Glomus Tumor.","authors":"Sumitoj Singh,&nbsp;Ashok Kumar,&nbsp;Vikas Singh","doi":"10.4103/njs.NJS_8_19","DOIUrl":"https://doi.org/10.4103/njs.NJS_8_19","url":null,"abstract":"<p><p>This case report describes glomus tumor of the stomach, a rare entity, which is a mesenchymal origin tumor. They are generally benign and account for nearly 1% of all gastrointestinal (GI) soft-tissue tumors. They are almost impossible to diagnose preoperatively because of the lack of specific characteristics and are often mistaken for GI stromal tumors (GISTs). In our hospital setup, a female aged 24 years, presented with right lumbar abdominal pain which after a thorough workup leads to the preoperative diagnosis of GIST, and distal gastrectomy with Roux-en-y anastomosis was done. However, pathological and immunohistochemical findings done after the surgery were found consistent with the diagnosis of gastric glomus tumor. Discovered on GIST-1 (DOG-1) nonreactivity is considered for the diagnosis of glomus tumor which helps in excluding the diagnosis of GIST, which is positive for DOG-1. Hence, it was concluded that differential diagnosis on the basis of immunohistochemical findings can lead to an accurate preoperative diagnosis and further targeted surgical intervention.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 2","pages":"162-165"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cd/2b/NJS-26-162.PMC7659754.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38630998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative Dye Test in Total Laryngectomy: A Technique to Reduce the Incidence of Pharyngocutaneous Fistula.","authors":"Adekunle Daniel,&nbsp;Segun Ayodeji Ogunkeyede,&nbsp;Ayotunde James Fasunla,&nbsp;Onyekwere George Benjamin Nwaorgu","doi":"10.4103/njs.NJS_69_19","DOIUrl":"https://doi.org/10.4103/njs.NJS_69_19","url":null,"abstract":"<p><strong>Background: </strong>Pharyngocutaneous fistula (PCF) could complicate laryngectomy in advanced disease. The cause is multifactorial, and this may include poor technique in pharyngeal repair. Intraoperative assessment of the repaired mucosa integrity for adequate closure may reduce PCF, but this is not routinely done.</p><p><strong>Objective: </strong>The objective of this study is to describe a novel technique that has been successfully used to ascertain intraoperative pharyngeal repair integrity.</p><p><strong>Methods: </strong>Thirty-one patients who had total laryngectomy and pharyngeal reconstruction for locally advanced laryngeal squamous cell carcinoma were studied. Connell extramucosal suturing technique was used for the mucosal repair. Thereafter, a small feeding tube was introduced through the oral cavity to the site of the pharyngeal repair, and diluted methylene-blue dye was injected through it while digitally occluding the cervical esophagus. Whenever leakage of the dye was seen, the leakage site (s) was repaired. Thereafter, the dye test would be repeated to confirm the integrity of the repair.</p><p><strong>Results: </strong>Their mean age was 53.4 ± 10.9 years. Seven (22.6%) patients had Stage 3 disease and 24 (77.4%) had Stage 4 disease. All the patients had neck dissection, whereas 3 (9.7%) patients had salvage laryngectomy postradiotherapy. Dye test was performed intraoperatively for all the patients and leakages were seen in 4 (12.9%) patients which were successfully repaired. Oral feeding was commenced on the fifth postoperative day, and none of the patients had PCF.</p><p><strong>Conclusion: </strong>Performing a dye test intraoperatively helps detect the point of leakage and immediate repair will prevent PCF.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 2","pages":"127-129"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/92/77/NJS-26-127.PMC7659752.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38630996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adult Intussusception at a Tertiary Care Center: A Retrospective Study.","authors":"Sulfekar Meera Sainaba,&nbsp;Aravind S Ganapath,&nbsp;Anoop Sivakumar,&nbsp;A V Gayathri,&nbsp;I P Yadev","doi":"10.4103/njs.NJS_38_19","DOIUrl":"https://doi.org/10.4103/njs.NJS_38_19","url":null,"abstract":"<p><strong>Background: </strong>In adults, the majority of cases of intussusception are due to malignancy.</p><p><strong>Aims: </strong>The aim of the study is to describe the pattern of intussusception in the adult population diagnosed and treated at a tertiary care center.</p><p><strong>Subjects and methods: </strong>Study Design: This is a retrospective cross-sectional study based on chart review, and data collection was made from the computer database and inpatient case records. Study Setting: Adult intussusception cases diagnosed and treated at a tertiary care referral center in South India. All inpatient case sheets including investigations and histopathology information on the computer database of all patients diagnosed with intussusception in the period of August 2012 to July 2016 were retracted based on a pretested and standardized form. Demographic data and other baseline data were summarized with descriptive statistics. SPSS software was used for data analysis.</p><p><strong>Results: </strong>Of the 77 patients, 47 (61%) were male. The common presentations were abdominal pain (95%), vomiting (64%), and rectal bleeding (29%). Common examination findings were abdominal tenderness (45%), guarding (39%), and abdominal mass (38%). On ultrasonography, fifty (65%) patients had intussusception with ileocolic (25) as the most common type. Computed tomography abdomen was taken for 28 (36%) patients, in which 23 (82%) had intussusception with ileocolic (9) as the most common type. Surgery was done for 53 (69%) patients, and the most common procedure was right hemicolectomy (25) followed by resection and anastomosis of the small bowel (23). Intraoperatively, 42 (79%) patients had intussusception with ileocolic (23) as the most common type. Intraoperatively, 14 (26%) patients had a bowel gangrene. Biopsy-proven cause for intussusception was present in 46 patients, with malignancy (21) as the most common cause. The patients were on regular follow-up. Recurrence of intussusception occurred in six patients of the small bowel intussusception who had polyposis.</p><p><strong>Conclusions: </strong>Adult intussusception is often associated with malignancy. Hence, a formal resection without reduction is needed and surgery should be done following oncological principles.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 1","pages":"63-65"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/40/NJS-26-63.PMC7041356.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37733123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}