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Biomedical subjects

N Eke

Publications and source records attributed to N Eke.

At least 37 records · Page 2Linked to original sources
PubMed1987

Gallstone ileus.

Explore the source record for details and available documents.

Cholelithiasis↗
PubMed1982

An embedded fingernail.

A case of an embedded fingernail is reported. The increased curvature of the nail plates is considered aetiologically important. Treatment was by the method first described by Winograd for an embedded toenail.

Aged↗
PubMed1981

Ossification in abdominal scars.

Three cases of heterotopic ossification in abdominal scars are presented. The aetiology and pathogenesis of this condition are discussed with reference to the literature. Awareness of its occurrence will prevent anxiety and unnecessary investigations. When symptomatic, the treatment is local excision with or without local irradiation.

Abdomen↗
PubMedDate not supplied

Urethral prolapse in a woman in her reproductive age--a very rare occurrence.

BACKGROUND: Urethral prolapse is a rare condition occurring in prepubertal girls and postmenopausal women. Even most rare is that occurring in the reproductive age grade. METHOD: A report of a woman in her reproductive age who presented in the gynaecology clinic of a private hospital is presented together with a brief review of the literature. RESULTS: Urethral prolapse associated with uterovaginal prolapse, lower abdominal pain and dysuria in a 48-year old grand multiparous (para 8 + 0) farmer who is still observing her monthly menstrual cycle was seen. Her pregnancies and deliveries were unsupervised. A urine culture revealed moderate growth of Escherichia coli sensitive to ciprofloxacin. The urethral prolapse resolved satisfactorily on this. CONCLUSION: It is advocated that antenatal care, education and women empowerment be made a priority. This will almost eradicate this very rare condition in our society.

Female↗
PubMedDate not supplied

Fournier's gangrene in Nigeria: a review of 21 consecutive patients.

A review of 21 consecutive cases of Fournier's gangrene seen at the University of Port Harcourt Teaching Hospital (UPTH) in the period 1994-1998 is presented. All the patients were males with an average age of 43.4 years. Most of the patients had a predisposing factor. There was a low incidence of pre-existing medical conditions. The commonest organisms isolated were of the enterobacteria group. All the patients were treated with antibiotics, surgical debridement and frequent wound dressings with hypertonic saline, hydrogen peroxide and Eusol. In 71.4% of the cases, the wounds healed by secondary intention. The mortality was 9.5%. The deaths occurred in the older age group. We recommend surgical debridement of necrotic tissues as they present and suggest that the surgical procedures be minimal as scrotal wounds heal satisfactorily.

Adult↗
PubMedDate not supplied

Iatrogenic urological trauma: a 10-year experience from Port Harcourt.

A retrospective study was done to define the clinical characteristics and outcome of treatment of iatrogenic urological injuries in Port Harcourt, Nigeria. Consecutive cases of iatrogenic urological injuries treated by consultant surgeons based in the University of Port Harcourt Teaching Hospital over a period of 10 years were reviewed. A total of 37 injuries occurred in 34 patients. The ages ranged from two weeks to 74 years with a mean of 30 years. The distribution of these injuries by sex was 23 males and 14 females. The operations in which the injuries occurred were: hysterectomy 12 cases (32%), hernia repairs 8 cases (22%) and male circumcision 6 cases (16%). The organs injured were ureter 13 times (35%), the bladder 12 times (32%) and the glans penis and distal urethra 12 times (32%). The surgeons responsible were mainly as follows: Gynecologist/Obstetrician 14 (38%), General Practitioner 9 (24%), Nurses 4 (11%), Non-medical persons 4 (11%), Not disclosed 3 (8%). The outcome of treatment was satisfactory in 33 (90%). There were two deaths. Strategies to prevent these injuries include adequate surgical training and meticulous surgical techniques.

Adolescent↗
PubMedDate not supplied

Postoperative intussusception, causal or casual relationships?

Postoperative intussusception (POI) is a recognised but uncommon condition. Primary intussusception has been reported several times from Africa, but there are only two reports of postoperative intussusception. A literature review on POI was performed by searching the Medline between 1966 and 1998 together with relevant references in publications on the subject. Postoperative intussusception occurs within a month of an operation. It differs from primary intussusception. No specific aetiology has been found. Predisposing factors based on disorder of peristalsis have been proposed. At risk are patients with prolonged postoperative ileus after prolonged surgery with extensive dissection or after a postoperative regimen of radiation and/or chemotherapy. The diagnosis requires a high index of suspicion. Contrast radiology is not reliable in the diagnosis. The preferred treatment is operative reduction, but resection may be indicated. There are no reports of recurrence after surgical treatment. Preventive measures include gentle handling and avoidance of drying of intestines at operation. The paucity of reports from Africa may mean that the diagnosis is being overlooked.

Adult↗
PubMedDate not supplied

Urogenital tract trauma in Port Harcourt.

A retrospective study of urogenital tract injuries treated in the Urology Unit of Port Harcourt University Teaching Hospital from January 1985 to December 1994 was done. There were 67 injuries in 62 patients. Fifty-five (82%) of these were blunt injuries. Males were more frequently injured (85%) than females. Patients younger than 60 years sustained 61 of the 67 injuries (91%) with peak incidence in the age groups 0-10 years (22%) and 21-30 years (28%). The urethra was the most frequently injured structure (49%) followed by the bladder (24%). The anatomically secured kidney and ureter as well as the fairly mobile penis and scrotum were much less frequently injured. The commonest aetiological factor was road traffic accident (57%). There were ten injuries (15%) resulting from industrial activities. Eight injuries (12%) were iatrogenic. Treatment was successful in 52 injuries (78%). It was satisfactory in the few urethral injuries that required repeated dilations. Four injuries (6%) resulted in permanent disability. There were two deaths (2%) both from iatrogenic causes involving an ureteric injury at hysterectomy and haemorrhage from cultural circumcision in the village. Prevention is the most effective way to avoid these injuries.

Adolescent↗
PubMedDate not supplied

Medical journals of Nigeria, quo vadis?

The Nigerian health sector is beset with an underdeveloped Continuing Medical Education (CME) programme, a scarcity of reading materials and the lack of a reading culture. Recent issues of available journals were obtained and read to identify data such as: the ownership and base, presence of mission statement, print quality, administrative and editorial matters, abstract format, CME value of articles, advertisements, subscription information and communication channels and practice. The availability of the journals in the libraries of the three 'first generation' teaching hospitals and accessibility through the Medline were ascertained. Twenty-eight current journals were obtained. Lagos has the highest number of editorial bases. Fifteen journals belong to national medical associations, 2 to regions and 11 to institutions. The journal title was considered appropriate in 13, cover design was good in 15, paper quality was good in 20 and legibility was good in 11 journals. Poor editing was manifested by bad grammar, spelling and punctuation. Six journals contained review articles of good CME value. Eight journals had a full compliment of communication facilities. The existence of a functional independent administrative office or staff was indicated in 7 journals. No journal indicated the dates of submission and acceptance of articles. Twenty-one journals were on the shelf of the library of ABUTH, Zaria. Two journals are accessible through the Medline and another is on-line. Adequate funding and improved management will effectively address most of the problems identified.

Humans↗
PubMedDate not supplied

A monoblock resection for malignant phaeochromocytoma.

BACKGROUND: Phaeochromocytoma is a rare surgically treatable cause of hypertension. The aim of this paper is to present a case of phaeochromocytoma treated in Port Harcourt. METHOD: The case record of a patent with phaeochromocytoma and a review of the relevant literature. RESULT: A 40 year-old man presented with episodic malignant hypertension resistant to several anti-hypertensive drugs. A 24-hour urinary Vanillyl Mandelic Acid estimation was high at 68 mmol. An ultrasound scan revealed a huge right suprarenal mass. Preoperative medication was given to reduce the blood pressure and prevent perioperative arrhythmias. Under general anaesthesia with propofol, the tumour was explored. It appeared to invade the kidney and there were multiple hepatic secondaries. It was resected in block with the kidney. Intra- and postoperatively he had episodes of hypertension which were successfully controlled with a combination of intravenous chlorpromazine 50 mg, tramadol 100 mg and lorazepam 4 mg. Histopathology examination showed that the suprarenal mass and hepatic lesions were identical showing malignant phaeochromocytoma. The post-operative period was satisfactory. Cytotoxic drugs were not given because they were not available. On review 8 weeks later, the patient remained well. CONCLUSION: Meticulous anaesthetic and surgical skills are essential in the resection of a phaeochromocytoma.

Adrenal Gland Neoplasms↗