O. Ezejiofor, Angela G Ozor, Chibuzo I Okpala, N. Enechukwu, H. Nwankwo
{"title":"Dermatomyositis in a patient with nasopharyngeal carcinoma","authors":"O. Ezejiofor, Angela G Ozor, Chibuzo I Okpala, N. Enechukwu, H. Nwankwo","doi":"10.4103/1116-5898.182677","DOIUrl":"https://doi.org/10.4103/1116-5898.182677","url":null,"abstract":"Dermatomyositis (DM) is a rare inflammatory autoimmune disease of the muscle and skin characterized primarily by proximal myopathy and various cutaneous signs, with multi-systemic manifestations. The hallmark cutaneous changes are confluent macular violaceous erythema and edema in characteristic anatomic locations including eyelids (heliotrope rash), posterior neck, shoulder girdle and upper arm (shawl sign), extensor elbow, knee, and knuckles (Gottron′s sign).Proximal muscle weakness is also a common manifestation of the disorder.Dermatomyositis can occur as manifestation of internal malignancy.This case report is that of a 53 year old man with Dermatomyositis and Nasopharyngeal carcinoma.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"25 1","pages":"32 - 36"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70381404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Isolated duodenal duplication cyst: A review","authors":"A. Hussain, Mohinder Singh, Sarabjit Singh","doi":"10.4103/1116-5898.182676","DOIUrl":"https://doi.org/10.4103/1116-5898.182676","url":null,"abstract":"Duodenal duplication cyst is a rare condition but can be associated with serious complications. Keeping this in mind, we are reviewing the topic and presenting a rare case report of isolated duodenal duplication cyst emphasizing the importance of computed tomography scan in reaching the diagnosis.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"25 1","pages":"29 - 31"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70381381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diverticular disease of the colon in Calabar, Nigeria: A case report and review of the African literature","authors":"G. Inah, G. Kajogbola, R. Ndoma-egba","doi":"10.4103/1116-5898.161220","DOIUrl":"https://doi.org/10.4103/1116-5898.161220","url":null,"abstract":"Diverticular disease of the colon, though common in the western world, was thought to be rare in sub-Saharan Africa. Studies have however shown that it may not be uncommon in Nigeria. This is a case report of a 61-year-old male patient who presented with rectal bleeding in Calabar, South-South Nigeria. Clinical examination revealed mild pallor and blood stained hard stool in the rectum. Barium enema showed multiple diverticular along the whole colon but sparing the rectum. Diagnosis of diverticular disease of the colon was made. Diverticular disease may be more widespread in Nigeria than previously thought and should be considered an important differential diagnosis in rectal bleeding.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"14 1","pages":"18 - 21"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70381279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Anthropometric study of bicipital groove and its clinical implication","authors":"C. Gupta, Sakshi Jaiswal, A. D’souza","doi":"10.4103/1116-5898.161210","DOIUrl":"https://doi.org/10.4103/1116-5898.161210","url":null,"abstract":"Objective: Bicipital groove along with the transverse humeral ligament bridging it offers stability and smooth functioning of the tendon of long head of biceps brachii muscle and prevents its subluxation during multidirectional biomechanical movements of arms. Hence, various anatomical information of the bicipital groove is vital as deformities of the bicipital tendon and its synovial sheath have been associated with a variety of reasons of shoulder pain and disability. Therefore, an attempt is made in this study to determine the length, width, and depth of bicipital groove along with the transverse diameter, anterior-posterior diameter and length of the humerus. Materials and Methods: The study was carried out on 60 unpaired dry humeri (right = 33, left = 27). The length, depth and width of the bicipital groove were measured using the vernier caliper. Results: The mean length, width and depth of the bicipital groove in the present study were 7.41, 1.08 and 0.55 cm. The mean length, width and A-P diameter of the humerus in the present study were 30.4, 3.0 and 2.6 cm. In the present study, the mean length of the bicipital groove corresponded to 24.37% of the total length of humerus, the mean width was 36% of the total humeral width, and the mean depth was 21.1% of the total anteroposterior width of the humerus. There was no significant correlation between right and left side as P > 0.05. Conclusion: This study determined the morphometric parameters of the bicipital groove and will be important for anthropologists, orthopedic surgeons, and clinical anatomists.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"25 1","pages":"1 - 3"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70380864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ischiopagus parasitic twin: A rare case report","authors":"K. Rattan, Poonam Dalal, M. Gupta, A. Rattan","doi":"10.4103/1116-5898.161218","DOIUrl":"https://doi.org/10.4103/1116-5898.161218","url":null,"abstract":"Parasitic conjoined twinning is a rare clinical entity with a reported incidence of only 1/1 million births. The most common site of attachment of the parasite is epigastrium. The parasitic attachment at ischium is among the least common subtypes. Here, we report a case of ischiopagus parasitic twin with a favorable outcome. The host twin had no major anomaly, and the twins did not share any organ. Surgical separation of parasitic twin and primary closure of the defect of autosite was done without challenges. The aim of this communication is to add to the literature another rare case of parasitic twinning and to highlight the fact that ischiopagus parasitic twinning although, rare, has a good prognosis in the absence of associated anomalies.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"25 1","pages":"15 - 17"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70381053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An audit of postpartum referrals by traditional birth attendants in rural Southeast Nigeria","authors":"O. Umeora, J. Eze, G. Igberase, B. Ejikeme","doi":"10.4103/1116-5898.161212","DOIUrl":"https://doi.org/10.4103/1116-5898.161212","url":null,"abstract":"Context: Immediate recognition of postpartum complications, prompt, and due management are key to reduction in maternal mortality ratio (MMR). Aims and Objectives: To evaluate the pattern and outcomes of postpartum referrals from traditional birth attendants (TBAs) in rural Nigeria. Materials and Methods: A prospective observational study of patients referred after delivery from TBAs to a Mission Hospital in rural Nigeria. Analysis was by Epi Info statistical software. Results: Two hundred and sixty-two patients were so referred. Perineal injury (29.4%) was the most common diagnosis followed by pyrexia (22.5%), postpartum hemorrhage (18.3%), and genital sepsis (10.3%). The MMR was 4961.8/100,000 live births with PPH accounting for the majority (53.8%). Conclusion: Delay in referral and transportation difficulties were major impediments to prompt access of care from the Mission Hospital. TBAs should be encouraged to refer all cases to well-equipped orthodox medical facilities and get paid for each case as if managed by them.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"25 1","pages":"4 - 8"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70380872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pneumatosis cystoides intestinalis","authors":"R. Amita, S. Sandhyamani","doi":"10.4103/1116-5898.161221","DOIUrl":"https://doi.org/10.4103/1116-5898.161221","url":null,"abstract":"We present an 88-year-old man who was reviewed in a regional hospital with nausea, vomiting, generalized abdominal distension and vague pain for 3 days. Computed tomography (CT) was performed, and this was reported as perforated viscus with intramural gas and pneumoperitoneum (Figs 1,2). The patient was urgently transferred to a tertiary referral hospital for an urgent laparotomy. He was assessed in the emergency department following transfer and clinically had a soft, slightly tender and distended abdomen but with no clinical signs of peritonism. However, based on the radiological findings of intramural gas, pneumoperitoneum and suggestions of a partial small bowel obstruction without a transition point, a decision was made to perform a laparotomy. There was no evidence of necrotizing enterocolitis at laparotomy. There was a small bowel obstruction without any ischaemic segment, and careful adhesiolysis was performed. Incidentally, there were numerous segments of jejunal and ileal air-filled cysts and large jejunal diverticula and several small bowel cystic lesions were excised for histology. Post-operatively, the pathologist confirmed the diagnosis of pneumatosis cystoides intestinalis (PCI) (Fig. 3). The cysts ranged in size from 1 to 20 mm in diameter. Microscopically, the specimens consisted of cystic spaces lined by histiocytes and multinucleated foreign body giant cells on a background of dilated and congested blood vessels. PCI is a rare benign condition that has a similar CT appearance to perforated viscus. In the literature, there have been a number of case reports and series on PCI. Most are found incidentally during laparoscopy or laparotomy for other conditions. Fig. 2. Computed tomographic findings suggestive of free locules of gas and pneumoperitoneum.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"25 1","pages":"22 - 23"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70381302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Etonyeaku, O. Olasehinde, A. Talabi, Akinbolaji A Akinkuolie, E. Agbakwuru, R. David
{"title":"Groin Hernias at the Wesley Guild Hospital Ilesa, Nigeria: Characteristics and emerging patterns of repair","authors":"A. Etonyeaku, O. Olasehinde, A. Talabi, Akinbolaji A Akinkuolie, E. Agbakwuru, R. David","doi":"10.4103/1116-5898.161215","DOIUrl":"https://doi.org/10.4103/1116-5898.161215","url":null,"abstract":"Objectives: We sought to determine the current trends in groin hernia characteristics and surgical care in our hospital. Materials and Methods: A prospective descriptive study from Wesley Guild Hospital Ilesa Nigeria: A tertiary hospital unit in a semi-urban community. All adults who had groin hernia repair between September 2008 and August 2013 were reviewed for age, gender, occupation, hernia type, repair technique and anaesthesia, complications of surgery and duration of hospital stay were analyzed for descriptive and inferential statistics. The main outcome measures were post-operative complications and recurrence. Results: Totally, 270 patients with 296 hernias were treated. Majority were males (256; 94.8%). The modal age group was 51-60 years (20.4%). Hernias were unilateral in most patients (251; 93%) with the majority of them right-sided (162/270; 60%). There were 295 inguinal hernias and one femoral hernia. Indirect inguinal hernia was most common (205 patients; 73.3%); while 79 (27.7%) were direct and 11 (4%) pantaloon hernias. Repairs were for recurrent hernias in 17 cases (3.8%) while 64 patients (23.7%) presented with complications requiring emergency operation. Local anesthesia (LA) was most commonly used (80.7%), and day-case surgery was common (206, 76.3%). Nylon darn (155; 52.4%), mesh hernioplasty (94, 31.8%) and Bassini (43; 14.5%) techniques were commonly used. Morbidity (17, 6.3%) was mainly from the surgical site infection (6, 2.2%). Mortality rate was 0.7%. Follow-up ranged from 3 to 30 months (mean = 9.8 months); no recurrence was recorded. Conclusion: Most repairs are now done using LA as day-case procedures. Mesh hernioplasty is becoming popular.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"25 1","pages":"9 - 14"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70380914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Low-grade endometrioid adenocarcinomas presenting as stage III carcinoma","authors":"M. Rathi, S. Budania, M. Khalid","doi":"10.4103/1116-5898.149605","DOIUrl":"https://doi.org/10.4103/1116-5898.149605","url":null,"abstract":"Endometrioid adenocarcinomas are the most common form of endometrial adenocarcinoma in postmenopausal women. It is stressed that histological grade corresponds to the stage of the tumor and has an impact on the prognosis and survival of the patient. We present a case of 45-year-old female patient who presented with grade 1 endometrioid adenocarcinoma involving bilateral ovaries and peritoneal washings, corresponding to stage IIIa tumor. She also showed the synchronous presence of serous cystadenoma of the right ovary. We report this case as it is an advanced stage endometrioid adenocarcinoma with lower histological grade and also due to the synchronous presence of right ovarian serous cystadenoma.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"24 1","pages":"56 - 59"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70380804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supraglottoplasty in a 2-month-old child with laryngomalacia","authors":"N. G. Vellimuttam, S. Badhwar","doi":"10.4103/1116-5898.149607","DOIUrl":"https://doi.org/10.4103/1116-5898.149607","url":null,"abstract":"Laryngomalacia is the most common cause of stridor in infants. It is diagnosed clinically. Treatment is not required in the majority of cases, only 10% require some surgical intervention. We present a case report of a 2-month-old child with severe laryngomalacia for whom we did supraglottoplasty and achieved good results.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"24 1","pages":"65 - 67"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70380852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}