Journal of the West African College of Surgeons最新文献

{"title":"Comparison of post-decompressive haematuria in rapid versus gradual bladder decompression in patients with chronic urinary retention.","authors":"Peter Olalekan Odeyemi, Najeem Adedamola Idowu","doi":"10.4103/jwas.jwas_5_24","DOIUrl":"10.4103/jwas.jwas_5_24","url":null,"abstract":"<p><strong>Background: </strong>Chronic urinary retention (CUR) is a common urological emergency. Initial management involves the drainage of the bladder by urethral catheterisation. Relief of CUR may be associated with post-decompressive haematuria. The two primary methods of emptying the obstructed bladder are rapid and gradual emptying. The method of relief of CUR to reduce this complication has been debated for decades.</p><p><strong>Objective: </strong>To compare the risk of post-decompressive haematuria following rapid versus gradual urinary bladder decompression in patients with CUR.</p><p><strong>Materials and methods: </strong>This was a prospective, randomised study in which patients with CUR were randomised into two groups: group A and group B. Group A had rapid urinary decompression with an 18 Fr urethral catheter attached to a urine bag, whereas group B had gradual decompression using a urethral catheter attached to an intravenous fluid-giving set, which was then attached to the urine bag. Post-decompressive haematuria in each group was assessed at designated times and documented based on a research protocol.</p><p><strong>Data analysis and result presentation: </strong>Data were analysed using the Statistical Package for Social Sciences (IBM) SPSS version 21. Data were summarised by descriptive statistics. The two arms were compared for similarities in demographic variables. Continuous and categorical variables were compared using the Student's <i>t</i> test and Pearson's chi-square test, respectively. The results of the analysis were presented with the aid of bar charts and tables for clarity. Significant <i>P</i> value was ≤0.05.</p><p><strong>Result: </strong>Sixty patients were recruited into the study and randomised into groups A (rapid urinary decompression) and B (gradual urinary decompression) with 30 patients in each arm of the study. The mean age was 70.92 ± 13.98 years (range 20-96 years). The mean age of the patients recruited into group A was 68.50 ± 14.77 years, whereas that of group B was 73.33 ± 13.19 years. The <i>P</i> value was 0.187. Fifteen patients (50%) developed gross haematuria in group A compared with 7 patients (23.3%) in group B with a statistically significant <i>p</i> value of 0.032. Four (26.7%) of the patients with gross haematuria had blood transfusions in group A, whereas only 1 (16.7%) of the patients with gross haematuria in group B had a blood transfusion. The <i>P</i> value was 0.920.</p><p><strong>Conclusion: </strong>The rate of haematuria is significantly higher in group A with a higher rate of blood transfusion than that of group B. Though gradual urinary decompression is cumbersome, it is recommended to reduce the rate of haematuria and blood transfusion with its associated complications.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"14 3","pages":"249-254"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581679","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":"Attitude and concerns on antenatal pelvic floor exercises among pregnant women in Ibadan, Nigeria.","authors":"Oluwatimilehin Azeezat Yusuf, Olatunji Okikiola Lawal, Gbolahan Oladele Obajimi, Kelechukwu Peter Ughagwu, Iseoluwa Philip Owoeye, Boluwaduro Ogooluwa Alebiosu, Victoria Oyindamola Moradeyo, David Oluwasayo Babalola, Offorbuike Chiamaka Bianca, Yusuf Olatunji Bello, Temitayo Victor Lawal, Adeniyi Francis Fagbamigbe, Imran Oludare Morhason-Bello","doi":"10.4103/jwas.jwas_142_23","DOIUrl":"10.4103/jwas.jwas_142_23","url":null,"abstract":"<p><strong>Aim: </strong>Several studies had investigated the importance and benefit of pelvic floor exercises (PFEs) to the pregnant women and their unborn babies, however, the concerns of antenatal women on the exercise have been sparsely investigated. This study examined the attitude and concerns of pregnant women towards engaging in PFEs in Ibadan, Nigeria.</p><p><strong>Materials and methods: </strong>This was cross-sectional study of pregnant women aged ≥15 years. Participants were recruited at primary, secondary and tertiary health facilities. A face-to-face interview was conducted using a structured questionnaire with open and close-ended questions for data collection. Bivariate analysis was performed using chi-square and Fisher's exact test to investigate the association between categorical variables. Multivariate analysis was performed with log-binomial and multinomial regressions to select significant variables that affect the attitude of pregnant women.</p><p><strong>Results: </strong>Of the 373 pregnant women recruited, 118 had ever practiced PFEs. A little below average (43%) performed PFE for less than 3 days a week. Ability to have easy childbirth was the most common motivator for practicing PFE. Participants were most concerned about abdominal pain. No association between any of the factors and participants' attitudes.</p><p><strong>Conclusion: </strong>Though there was a positive attitude of pregnant women towards the PFE but the practice was low. This might be due to inadequate availability of information. We recommend health promotional messages to encourage pregnant women to engage in PFE as part of antenatal messages for healthy living.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"14 3","pages":"295-300"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581751","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":"Evaluation of the proximal femur using the digital photographs: Does change in proximal femur position due to anteversion affect the measurement of the size of the femoral head diameter?","authors":"Olasode Israel Akinmokun, Utibeabasi Ime Edem, Olanrewaju Matthew Adeoye","doi":"10.4103/jwas.jwas_145_23","DOIUrl":"10.4103/jwas.jwas_145_23","url":null,"abstract":"<p><strong>Background: </strong>A plain pelvic radiograph is usually conducted with the lower limbs in internal rotation. This is to correct the anteversion of the femur. However, in the fracture neck of the femur, internal rotation of the fractured limb is avoided, because it would be painful. We examined the effect of correction of anteversion or otherwise on the diameter of the head of the femur using imaging.</p><p><strong>Objectives: </strong>This study aimed to determine if there was a significant difference between the femoral head diameter at two different positions, at the normal anatomical position (without correcting the anteversion) and at the corrected anteversion position. It also aimed to document the correlation and the statistical significance between the differences in the size of the diameter at these two different positions with the anteversion angles of the femoral bone.</p><p><strong>Materials and methods: </strong>Two sets of digital photographs of the proximal part of 55 non-sexed, non-paired femoral bones were taken. Images obtained were at two positions: normal anatomical (with anteversion uncorrected) and anteversion corrected positions. The diameters of the head of the femur were documented at these two different positions. The anteversion angles and actual femoral head (AFH) diameters were also measured and documented.</p><p><strong>Results: </strong>The femoral head diameters at anatomical positions were persistently larger than those measured after the anteversion was corrected, except in three femoral bones (5%) where no differences were observed. The difference in the two measurements was statistically significant to the anteversion angle of the femoral bone. (<i>P</i> = 0.0005). The means of the two sets of measurements were statistically different from each other. Pairwise correlation showed that both were strongly associated with the AFH diameter but the measurements from images with corrected anteversion had a higher value (0.8166) than the measurements from normal anatomical position (0.7526).</p><p><strong>Conclusion: </strong>The correction of femoral anteversion produced femoral head size measurements that were closer to AFH diameters compared to those without the correction of the femoral anteversion. Femoral anteversion should always be corrected as per protocol.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"14 3","pages":"314-318"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581752","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":"Vesical Endometriosis in a male patient on treatment for papillary urothelial carcinoma.","authors":"Pallab Kumar Sarkar, Matthias Koslowski, Edward Streeter","doi":"10.4103/jwas.jwas_130_23","DOIUrl":"10.4103/jwas.jwas_130_23","url":null,"abstract":"<p><p>Endometriosis denotes the abnormal growth of tissue resembling endometrium in ectopic sites and has largely been studied in women of reproductive age. It is an extremely rare phenomenon in men. We came across an exceptional clinical scenario of histologically proven bladder endometriosis in a 66-year-old man in relook bladder biopsy following completion of adjuvant intravesical Bacillus Calmette-Guerin induction course for G3pTa bladder cancer. We have pencilled down pathophysiology and commonly seen predisposing factors for \"endometriosis in male patients\" from available case reports and applied those findings to hypothesise the disease profile of our patient in this case report.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"14 3","pages":"345-347"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581760","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":"Acute abdomen secondary to ovarian tumour incarcerated in an umbilical hernia: A case report.","authors":"Kehinde Micheal Duromola, Anisah Yahya, Umoru Odoje Raymond, Bilkisu Kankia Lawal, Abimbola Omolara Kolawole, Adekunle Olarenwaju Oguntayo, Aisha Mustapha","doi":"10.4103/jwas.jwas_138_23","DOIUrl":"10.4103/jwas.jwas_138_23","url":null,"abstract":"<p><p>Acute abdomen due to incarcerated umbilical hernia is a surgical emergency. Acute abdomen secondary to gynaecological conditions is not uncommon. However, acute abdomen due to incarceration of a gynaecological tumour in an umbilical hernia is rare. A 25-year-old nullipara was admitted to the accident and emergency unit with a history of recurrent lower abdominal pain and abdominal swelling for 4 weeks. Pain worsened within the last 24 h necessitating presentation. Examination revealed a low-grade pyrexia, tachypnoea, an umbilical swelling with generalised abdominal tenderness, and a pelvic mass more in the right iliac fossa. Bedside abdomino-pelvic ultrasound scan confirmed bilateral adnexal masses with features suggestive of mature teratoma. A diagnosis of acute abdomen secondary to ovarian tumour accident was made. An emergency exploratory laparotomy revealed a huge right ovarian tumour incarcerated in an umbilical hernia. She had bilateral ovarian cystectomy and herniorrhaphy. Gynaecological tumours presenting as incarcerated or strangulated hernias are extremely rare but can be a cause of acute abdomen in women.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"14 3","pages":"355-357"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581749","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 comparison of fascia iliaca compartment block with intravenous analgesia to improve pain control in patients with femoral fracture.","authors":"Mohammed Adinoyi Usman, Mohammed Bashir Rabiu, Dalhat Salahu","doi":"10.4103/jwas.jwas_66_23","DOIUrl":"10.4103/jwas.jwas_66_23","url":null,"abstract":"<p><strong>Background: </strong>The most common approach to managing severe pain following femoral fracture is with intravenous systemic analgesics, such as opioid analgesics and non-steroidal anti-inflammatory drugs associated with side effects such as respiratory depression, nausea, and vomiting. These side effects might be intolerable in trauma patients and may result in under treatment of pain. Improving the quality of analgesia may reduce these intolerable side effects. Our study compared the efficacy of fascia iliaca compartment block (FICB) with intravenous analgesics for preoperative pain management of femoral fractures.</p><p><strong>Patients and methods: </strong>The study was a quality improvement prospective randomised study, where 50 patients aged between 18 and 65 years, and American society of anesthesiologists I and II were recruited into two groups. Group A received FICB with a combination of 0.4 mL/kg of 0.5% plain bupivacaine and adrenaline 1:200,000 made up to 30 mL, while group B received placebo FICB using 30 mL normal saline. Also, group B received a combination of intravenous paracetamol 15 mg/kg not exceeding 900 mg and tramadol 1 mg/kg not exceeding 100 mg, while group A received an equal volume as normal saline intravenously.</p><p><strong>Results: </strong>The study revealed no significant difference in age, gender, associated injuries, X-ray description of fractures, and mechanism of injuries; however, there was a significant difference in the NRS-pain score at 30 min, summed pain intensity difference for 4 h and patient satisfaction in the FICB group compared to the standard group.</p><p><strong>Conclusion: </strong>The study revealed that FICB results in better pain control compared to a combination of intravenous tramadol and paracetamol in patients with femoral fractures.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"14 3","pages":"255-261"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581748","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":"Management outcome of congenital talipes equinovarus (clubfoot) using Ponseti protocol at Lagos University Teaching Hospital.","authors":"George Okwudilichukwu Enweluzo, Adaugo G Ohadugha, Ikenna C Ezenwa-Ahanene, Obinna I Udechukwu, UtibeAbasi Ime Edem","doi":"10.4103/jwas.jwas_106_23","DOIUrl":"10.4103/jwas.jwas_106_23","url":null,"abstract":"<p><strong>Background: </strong>Idiopathic clubfoot occurs commonly in children with a prevalence of 1 in 1000. The Pirani scoring system, which consists of a midfoot contracture score and hindfoot contracture score, is traditionally used in assessing the severity of clubfoot deformity. Ponseti protocol is used in the management of clubfoot deformity. The study aimed to evaluate the outcome of the management of clubfoot using the Ponseti protocol and to correlate the outcome with the initial Pirani score.</p><p><strong>Materials and methods: </strong>Eighty-two children aged 1 week-2 years with 128 idiopathic clubfeet were recruited into the study. The severity of their clubfoot deformities was scored using the Pirani scoring system on recruitment. They were managed with weekly serial manipulation and cast application with or without tendon-Achilles tenotomy according to Ponseti protocol.</p><p><strong>Results: </strong>The average initial Pirani score was 3.6 ± 0.9. The average number of casts used was 5.9 ± 1.3 (range: 4-9 casts). Tenotomy was done in 51.56% of the feet. The group that required tenotomy required more casts and as such longer duration of treatment than the \"no tenotomy\" group. There was a relapse rate of 2% in the feet of the compliant group, whereas the relapse rate was 69% in the group that was not compliant with the use of foot-abduction brace. The success rate at 6 months follow-up was 84.4%.</p><p><strong>Conclusions: </strong>Ponseti protocol is an excellent method of management of idiopathic clubfoot, and the Pirani scoring system was useful in assessing the initial severity and the outcome. The initial Pirani score correlates with the duration of treatment.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"14 3","pages":"270-274"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581754","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":"Sociodemographic patterns of spinal tuberculosis patients from a tertiary care teaching hospital: A 5-year cross-sectional study.","authors":"Syed Ifthekar, Kaustubh Ahuja, Gagandeep Yadav, Samarth Mittal, Vaibhav Trivedi, Pankaj Kandwal","doi":"10.4103/jwas.jwas_158_23","DOIUrl":"10.4103/jwas.jwas_158_23","url":null,"abstract":"<p><strong>Background: </strong>The distribution of spinal tuberculosis (STB) differs due to variations in lifestyles, socio-economic conditions, geographical locations, available medical services, and other factors. In the literature, very few studies have been done on demographic profile and morphological distribution of tuberculosis (TB) spine. We conducted this study to identify the disease distribution and various parameters affecting the disease in our area which caters to populations from both plains and hills.</p><p><strong>Materials and methods: </strong>This was a cross-sectional study using 5-year retrospective data retrieved from medical records, Department of Orthopaedics of a tertiary care teaching hospital, from April 2015 to October 2020. The patient distribution was studied according to the different variables.</p><p><strong>Results: </strong>A total of 286 patients were enrolled in the study. Females amounted to 54.96% (<i>n</i> = 159) of the total and 46.1% (<i>n =</i> 127) were males. The mean age of the demographic group was 36.9 years (2.5-80 years) (±SD = 17.63). The majority (46.5%) of the patients were young adults in the age group (21-40 years). The majority of deficits were seen in the dorsal spine (<i>n =</i> 27) followed by multifocal contiguous lesions (<i>n =</i> 22). Among the patients having single-segment disease, 33.9% (<i>n =</i> 61) involved the lumbar spine and 28.7% (<i>n =</i> 52) involved the dorsolumbar spine. Multifocal Potts disease amounted to 36.25% (<i>n =</i> 105) of the total patients.</p><p><strong>Conclusions: </strong>Female preponderance was observed in our study. Involvement of the lumbar spine was the most common form involving single-segment disease followed by dorsolumbar, dorsal, and cervical spine. The multifocal contiguous type of affection of STB was found to be the most common type of STB.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"14 3","pages":"339-344"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581758","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":"Spectrum of carotid arterial Doppler abnormalities among stroke patients at a tertiary care centre in North West Nigeria.","authors":"Mustapha Shu'aibu Hikima, Yusuf Lawal, Kabir Isyaku, Idris Sule Kazaure, Muhammad Abba Suwaid, Anas Ismail","doi":"10.4103/jwas.jwas_34_23","DOIUrl":"10.4103/jwas.jwas_34_23","url":null,"abstract":"<p><strong>Background: </strong>Stroke is the second most common cause of death worldwide. It also represents one of the most common causes of disability, affecting both children and adults. The identification of risk factors for stroke is critical in preventing its occurrence. Carotid atherosclerosis is one of the most significant risk factors of stroke, yet it is not routinely evaluated in these patients.</p><p><strong>Materials and methods: </strong>We prospectively recruited 119 patients aged ≥18 years with stroke confirmed by computed tomography scan. The risk factors for stroke in these patients were identified, and carotid artery Doppler was performed to identify those with atherosclerosis.</p><p><strong>Results: </strong>Eighty-one (68%) of the 119 subjects showed abnormalities in the carotid arteries in the form of increased IMT or atheromatous plaque. The mean ± SD IMT of the right common carotid artery (CCA) was 1.07 ± 0.25 mm and 1.08 ± 0.26 mm for the left CCA. The IMT mean ± SD of the right and left ICA were 0.99 ± 0.18 mm and 0.99 ± 0.17 mm, respectively. There were 36 patients (30.2%) with atheromatous plaques, of which 57.8% were unstable and liable to rupture. The carotid bulbs were the most common sites for plaques, accounting for 47.2% of cases. No abnormalities in velocimetric indices were recorded.</p><p><strong>Conclusion: </strong>Carotid atherosclerosis is common in stroke patients and is a major risk factor. The evaluation of stroke patients for carotid atherosclerosis is rarely done, as most of the subjects examined only had it for the first time in this study after development of stroke.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"14 3","pages":"262-269"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581759","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":"Internist's tumour into thyroid: A case report.","authors":"Pallab Kumar Sarkar, Eranga Nissanka-Jayasuria, Muhammad Eraibey, Sashi Kommu","doi":"10.4103/jwas.jwas_131_23","DOIUrl":"10.4103/jwas.jwas_131_23","url":null,"abstract":"<p><p>Renal cell carcinoma (RCC) is well known for its unpredictable and diverse behaviour, with tendency to cause synchronous or metachronous metastasis to unusual site, which is why it is called the \"internist's tumour.\"Although thyroid gland is an infrequent site for metastasis of different primary malignancies, metastatic RCC is one of the most common secondary thyroid malignancies. Diagnosis relies on a high index of suspicion in patients with prior RCC, combined with cross-sectional imaging and biopsy. A case of secondary thyroid neoplasm from RCC after 13 years of radical nephrectomy is described with clinicopathological features and literature review.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"14 3","pages":"348-351"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141582022","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}