Annals of Ibadan postgraduate medicine最新文献

{"title":"MODELLING TELECOM-DRIVEN HEALTH INSURANCE FINANCING IN NIGERIA: A TECHNO-ECONOMIC NARRATIVE REVIEW.","authors":"G A Obute, A I Akyala, S Usen-Obong, S O Samuel, A A Salami, K K Kammodi, E B Okeke","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Nigeria's path to Universal Health Coverage is constrained by high out-of-pocket spending and low health-insurance enrolment. Although the National Health Insurance Authority Act of 2022 strengthened the legal basis for coverage, financing and service-delivery gaps remain. With more than 220 million mobile subscriptions, the telecommunications sector offers a practical route for linking digital payments with health-insurance financing. This review examines how telecommunications can support health-insurance financing in Nigeria through a techno-economic lens, highlighting opportunities, barriers, and policy requirements.</p><p><strong>Methods: </strong>A narrative literature review was conducted between March and August 2025 using PubMed, Scopus, and Web of Science. English-language publications from 2010 to 2025 focusing on digital health, telecommunications, health financing, and health insurance in Nigeria and comparable low- and middle-income countries were included. Additional evidence from policy documents, regulatory frameworks, institutional reports, and grey literature was integrated. Data were thematically synthesised across five domains: health financing, telecom and fintech infrastructure, techno-economic frameworks, operational models, and governance.</p><p><strong>Results: </strong>The review found that telecom-supported initiatives, including MTN Y'ello Health, Airtel-AXA Mansard, and WellaHealth, show potential to improve enrolment, affordability, premium collection, and claims processing through mobile payment systems. These models may strengthen financial inclusion and administrative efficiency, particularly for informal-sector and underserved populations. However, persistent challenges include poor broadband access, high data costs, regulatory overlap, low public awareness, limited benefit coverage, and uncertain long-term sustainability. Technoeconomic evaluation highlights the need for interoperability, scalability, equity, and sustainable financing.</p><p><strong>Conclusion: </strong>Telecom-driven health insurance can contribute to more equitable coverage in Nigeria if embedded within the national healthfinancing architecture and supported by interoperable data systems, strong consumer protection, affordable benefit design, and inclusive implementation. Adaptive techno-economic evaluation should guide pricing, subsidies, regulation, and scale-up.</p>","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"21 1","pages":"74-83"},"PeriodicalIF":0.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148586091","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":"PERCEPTIONS OF STUDENT ENGAGEMENT IN MEDICAL EDUCATION: A CROSS-SECTIONAL STUDY OF STUDENTS AND FACULTY IN NIGERIA.","authors":"A A Adesola, D M Akoki, M I Abraham, S W Jegede, L A Labaika, B A Yusuf, O M Femi-Akinlosotu","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Student engagement in medical education encompasses the various ways students participate in institutional management, educational processes, research activities, and community-oriented initiatives. Alignment between student and faculty perceptions is essential for the successful design and implementation of engagement strategies. This study uses the AMEE ASPIRE framework to measure the perceptions of students and faculty across key domains.</p><p><strong>Methods: </strong>This cross-sectional study surveyed 555 medical students from the University of Ibadan and University of Ilorin and 65 faculty members from the University of Ibadan. Data analysis was done using IBM SPSS Statistics version 27. Frequencies and percentages were generated for all AMEE ASPIRE perception items. Chi-square tests were used to examine differences between perception levels and respondent category (students versus faculty), with statistical significance set at p < 0.05.</p><p><strong>Results: </strong>While both students and faculty generally reported positive perceptions of student engagement, there were notable differences in perception about institutional governance. Students reported significantly stronger perception for involvement in vision and mission development (89.7% vs 66.2%; p<0.001), committee representation (95.7% vs 87.7%; p=0.006), policy development (92.1% vs 64.6%; p<0.001), and leadership roles in curriculum development (86.1% vs 56.9%; p<0.001). Conversely, both groups showed high support for student participation in the school's education programmes, academic environment and in service delivery.</p><p><strong>Conclusion: </strong>Significant perception gaps were identified in institutional governance engagement. Addressing these disparities will require formalising faculty-student partnerships and enhancing existing platforms for meaningful collaboration.</p>","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"23 3","pages":"33-39"},"PeriodicalIF":0.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13007325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517076","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":"FROM EVIDENCE TO IMPACT: IMPROVING NON-COMMUNICABLE DISEASES CARE THROUGH IMPLEMENTATION RESEARCH.","authors":"O M Adebayo, H A Alimi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"23 3","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12998622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488787","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 IBADAN ACUTE AND CHRONIC HEART FAILURE PROJECT: RATIONALE AND DESIGN.","authors":"O S Ogah, F E Obiekwe, C S Onuigbo, B D Elusiyan, O A Orimolade, A Aje, O M Adebayo, O G Alabi, O Z Makinde, A M Adeoye, O O Oladapo, A Adebiyi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Until recently, little was known about the emerging problem of non-communicable forms of heart failure supplementing traditional pathways to the syndrome in sub-Saharan Africa due to infections and infestations. Contemporary studies have built on historical reports to demonstrate that the aetiology and indeed case profile of heart failure (i.e., more women and younger individuals affected in the prime of their lives) is different from that of high-income countries.</p><p><strong>Objective: </strong>This study will assess the long-term outcomes, risk factors, clinical phenotypes, and genomics of heart failure in Ibadan, Nigeria, estimate the healthcare cost associated with heart failure and how it affects evidence-based care, and understand the cultural and social conceptions of heart failure in the city and, by extension, in Nigeria.</p><p><strong>Methodology: </strong>Data from each subject shall be obtained using a uniform and standardized case report form. A detailed clinical documentation on cases of heart failure will be undertaken. The following data shall be obtained: study identification number, centre code, demographic data, date of diagnosis of HF, and pre-admission history (previous heart failurerelated admissions). Others include New York Heart Association functional class, symptoms, signs, self-reported cardiovascular risk factors, aetiology of heart failure, comorbidities, blood investigations, point-of-care biomarker, Chest X-ray, 12-lead ECG, echocardiography, medications, barriers to care, quality of life data, etc. Blood samples will be obtained during enrollment for analysis of biochemical biomarkers.</p><p><strong>Results: </strong>The primary outcome of the study will be mortality by any cause. Secondary outcomes will include non-fatal major events (both resulting in and not resulting in admission).</p><p><strong>Conclusion: </strong>The project will provide data on the contemporary aetiology, clinical profile management and outcomes of heart failure in Ibadan, which may be extrapolated to other parts of the country.</p>","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"23 3","pages":"40-47"},"PeriodicalIF":0.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12998619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488435","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":"EPIDEMIOLOGY, DIAGNOSIS, MANAGEMENT AND PREVENTION OF STROKE: A NARRATIVE REVIEW.","authors":"I A Azeez, O A Oguniyi, O J Osarenkhoe, A K Adeyemo, A Adetona, A J Lasis, Y A Aderibigbe, H K Alade, O O Oyelayo, A B Abdulraheem, R D Agbana","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Stroke is a major public health problem globally, and surviving patients have very high risks of recurrence. Age, sex, ethnicity, transient ischaemic attack(TIA), and hereditary characteristics are non-modifiable risk factors while the major modifiable risk factors for stroke are hypertension, diabetes, lack of physical exercise, alcohol and drug abuse, cholesterol, diet management and cardiac diseases.</p><p><strong>Objective: </strong>The aim of this narrative review was to discuss the current management and prevention of stroke.</p><p><strong>Methods: </strong>In this review, the databases of Medline (PubMed), Scopus, Web of Science and Google Scholar were used for literature search. The MESH terms used included \"Diagnosis of Stroke\", \"Epidemiology of Stroke\", \"Management of Stroke\" and \"Prevention of Stroke\". The other terms were \"Stroke Mimicks\" and \"Biomarkers of Stroke\". Studies that evaluated the current management of stroke in adult patients were included. This article is guided by the Scale for the Assessment of Narrative Review Articles (SANRA).</p><p><strong>Results: </strong>A total of 800 studies were found. After excluding duplicate papers and applying the inclusion and exclusion criteria, 72 studies were included for review. The included studies were published between 2010 and 2025. These studies included 9 Randomised Controlled Ttrials, a cohort study and other studies.</p><p><strong>Conclusion: </strong>Computed tomography (CT) scan of the brain is the most common form of clinical imaging procedure used in the treatment of stroke and Non-contrast CT Scans are usually the first step in imaging process. Diffusion-weighted magnetic resonance imaging (MRI) is the most sensitive imaging technique, it shows ischaemic changes very early and is effective in the evaluation of cerebral changes in ischaemic stroke. Magnetic resonance imaging is more precise in excluding intracranial hemorrhage and MRI with DWI is more accurate in the revealing acute ischemic stroke. Stroke treatment mainly focuses on restoring blood flow to the brain and treating stroke-induced neurological injury.</p>","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"23 3","pages":"54-66"},"PeriodicalIF":0.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13007323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517092","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":"BEHAVIOURAL PATTERN DURING COVID 19 AND EFFECT OF VARIOUS HYGIENE PROTOCOLS ON DISEASE PREVENTION AMONG SECURITY PERSONNEL IN UNIVERSITY OF MAIDIGURI TEACHING HOSPITAL.","authors":"M E Ogbezode, F N Ngene, I Kabiru, I K Suleiman, E A Oromakinde, H Adedapo","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Human behaviours have huge impact on disease prevention and how the attitudes and behaviour of security personnel in UMTH Maiduguri affect disease prevention during Covid-19 is the core of this study.</p><p><strong>Objective: </strong>To ascertain the knowledge, attitudes, behaviour and effects of disease preventive protocols of security personnel working within University of Maiduguri Teaching Hospital (UMTH) towards Covid-19. Methods: This is a cross-sectional descriptive study which took place from September 2020 to March 2021, approved by the Ethical Review Board of the Borno State Ministry of Health, carried out among security personnel selected through a simple random sampling technique. The data from this study was entered into Statistical Product and Service Solution (SPSS Statistics) soft version 29.0. The data was tested for normality; discreet variables were tested using Chi square while continuous variables were tested using either T-test or Analysis of Variance (ANOVA) for parametric data and their non-parametric equivalent for non-parametric data. P- Value of less than 0.05(P< 0.05) was set as statistically significant.</p><p><strong>Results: </strong>Total of 64 people completed the survey, 57(89.9%) males and 7(10.1%) females. The mean age is 28.1yrs, range of 42yrs, and standard deviation of 9.3yrs. The Prevalence of physical distancing, use of face mask and hand washing before and after onset of Covid-19 pandemic 49(76.6%);53(82.8%), 45(70.3%);56(87.5%), 52(81.3%); 53(82.8%). Majority have one form of misconception or the other for their non-adherent to Covid-19 protocols, there was also statistical significant improvement in the use of face mask and physical distancing when we compared before and after Covid-19 pandemic declaration with P-values of 0.023 and 0.038 respectively but no significant difference in the frequency of hand washing (P-value 0.44) and there was no major change in the level of Covid-19 related signs and symptoms before and after declaration of Covid-19 pandemic in Maiduguri.</p><p><strong>Conclusion: </strong>The study showed a significant improvement in the attitude and behaviour of the security personnel towards Covid-19. There was still a high level of misconception of the security personnel towards Covid-19 as most respondents would rather pray over Covid-19 or visit the herbalist than seek medical care. Overall, there was some level of improvement in their preventive measures towards Covid-19.</p>","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"23 3","pages":"107-121"},"PeriodicalIF":0.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13007330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517078","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":"A RARE CASE OF DISCORDANT ANOMALY IN A DICHORIONIC DIAMNIOTIC TWIN PREGNANCY: TESSIER CLEFT WITH SEVERE HYDROCEPHALUS IN A LOW RESOURCE SETTING.","authors":"J Ifebude, S Adeyanju, R Kuboye, S Adebayo","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Congenital anomalies in twin pregnancies pose significant challenges for prenatal diagnosis and management, especially in low-resource settings. Discordant anomalies, especially those involving the central nervous system (CNS) and craniofacial structures, are rare but associated with high perinatal morbidity and mortality rates.</p><p><strong>Case presentation: </strong>We report a rare case of Severe Tessier cleft in a discordant twin of a 27-year-old Gravida 5 Para 0+4 woman who booked for antenatal care at 31 weeks and 5 days' gestation with no prior fetal anomaly scans. She had a dichorionic diamniotic twin pregnancy, with ultrasound revealing one of the fetuses affected by severe hydrocephalus. She presented at 37 weeks and 6 days of gestation and had an elective cesarean section. The first twin, a healthy female, had a birth weight of 3.2 kg and good APGAR scores. The second twin, a male with multiple craniofacial and skeletal congenital anomalies. The APGAR scores were 6 at the first minute and 7 at the fifth minute, but died at about the third hour of life.</p><p><strong>Conclusion: </strong>This case underscores the importance of prenatal anomaly assessment and care. Multidisciplinary care, including in-depth counseling and timely intervention, is crucial to optimizing maternal and neonatal outcomes.</p>","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"23 3","pages":"128-132"},"PeriodicalIF":0.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13007326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517156","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-ONSET RASMUSSEN ENCEPHALITIS MIMICKING CHRONIC CEREBRAL INFARCT - A CASE REPORT.","authors":"S J Ayilara, O I Lawrence, A I Makanjuola","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Rasmussen Encephalitis (RE) is a rare, chronic, immune-mediated inflammatory disease of the brain that results in progressive unilateral cerebral atrophy, severe neurological deterioration, and drug-resistant focal seizures. Although classically described in children, particularly those under the age of ten, a small but growing number of adult-onset cases have been documented in recent years, with a notable predominance among females. Neuroimaging plays a pivotal role in the diagnosis and differentiation of RE from other unilateral cerebral pathologies. Given the scarcity of imaging mimics and the significant therapeutic implications, it is essential that radiologists and clinicians recognize its characteristic imaging patterns to facilitate early and accurate diagnosis, thereby preventing delays in the initiation of appropriate treatment.</p><p><strong>Case summary: </strong>We present a case of Rasmussen Encephalitis in an adult female, which was initially misdiagnosed as a chronic cerebral infarct on magnetic resonance imaging (MRI). A detailed review of subsequent imaging revealed typical features of RE, including progressive unilateral cortical atrophy and signal changes confined to one cerebral hemisphere.</p><p><strong>Conclusion: </strong>This case highlights the diagnostic challenge of adult-onset RE, which may mimic chronic vascular insults on imaging. Awareness of its distinctive radiological features and characteristic electroencephalogram (EEG) abnormalities are crucial for early and accurate diagnosis. Early recognition also allows for timely institution of appropriate therapy, which may slow disease progression, improve seizure management, and preserve neurological dysfunction.</p>","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"23 3","pages":"122-127"},"PeriodicalIF":0.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13278350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148297413","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":"ATYPICAL MYIASIS IN A FEMALE INFANT IN OSOGBO, SOUTH-WEST NIGERIA; A CASE REPORT.","authors":"O A Oyedeji, N O Aderinto, O A Arogundade, A O Omoboyeje","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Cutaneous Myiasis is uncommon in early infancy. Also, scalp involvement is unusual in sub-Saharan Africa, which is a site of predilection in the America continent where the vector is the Botfly. The Tumbu fly vector found in Africa has a predilection for the trunk and abdomen. We report the case of an infant with scalp Myiasis and highlight possible implications of the disease.</p><p><strong>Conclusion: </strong>We present a case of a A 2-month-old girl who presented at the Paediatric Emergency Unit of University of Osun Teaching Hospital, Osogbo, Nigeria with boil-like skin lesions on the trunk and fever of two days duration. The skin lesions progressively increased in size and subsequently ruptured, releasing motile larvae. The infant, exclusively breastfed and with no known exposure to individuals with similar symptoms. She received multiple inappropriate medications at a rural primary health centre without improvement. On examination, she was febrile but otherwise stable, with multiple papular and ruptured lesions with visible larvae. A diagnosis of cutaneous myiasis was made. Application of Vaseline (petroleum jelly) to the intact lesions led to complete extrusion of the larvae within 48 hours.</p><p><strong>Conclusion: </strong>This case draws attention to an unusual pattern of myiasis in an infant and raises questions about possible changes in vector behaviour or species distribution. It also highlights gaps in early diagnosis, the problem of inappropriate antibiotic use, and the influence of environmental and socioeconomic factors including unreliable electricity on preventable parasitic infections.</p>","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"23 3","pages":"142-145"},"PeriodicalIF":0.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13007324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517143","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":"A MISSED SPONTANEOUS SPLENIC RUPTURE IN A NIGERIAN NEONATE - A RARE AND CHALLENGING CASE REPORT AND REVIEW OF LITERATURE.","authors":"K I Egbuchulem, M M Awodiji, D Efe, O S Idowu, D I Olulana","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Splenic rupture is relatively uncommon in newborns but could occur from birth trauma, increase intra-abdominal pressure such as polyhydramnios and fetal ascites. Abdominal ultrasonography remains the radiologic investigation of choice in this clime. We present this rare finding, first in the literature from sub-Saharan Africa, to raise awareness, and improve our index of suspicion of this extremely fatal condition.</p><p><strong>Case summary: </strong>A 2-day old male who was delivered via elective caesarian section at 39 weeks gestational age. He cried well at birth but was noticed to have a distended abdomen and respiratory distress 4 hours after birth with a reduction of the packed cell volume from 40% at 5 hours of life to 23% on the second day after birth. Abdominal ultrasound scan showed hepatosplenomegaly with moderate ascites. An initial diagnosis of malrotation with midgut volvulus was made. Exploratory laparotomy was done on the 36th hour of life after optimization of the hematocrit level with intra-operative findings of a 3cm sub capsular splenic laceration and 100 mls of haemoperitoneum with clots. The bleeding point was identified and a haemostatic agent applied. Six hours post-surgery, he suffered a cardiopulmonary arrest and all efforts at resuscitation were unsuccessful.</p><p><strong>Conclusion: </strong>Management of this condition may be non-operative or surgical. Irrespective of the treatment approach, it is associated with high mortality in the setting of delayed diagnosis and intervention. Thus, it is important to have a high index of suspicion on any neonate.</p>","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"23 3","pages":"133-137"},"PeriodicalIF":0.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13007327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517148","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}