O B Shittu — Page 2 | Search PubMed

PubMedDate not supplied

Pattern of mechanical intestinal obstruction in Ibadan: a ten year review.

A retrospective review of 232 patients with (mechanical) instestinal obstruction managed at the University College Hospital, Ibadan over a ten-year period: 1978 to 1987. The leading aetiological factor was obstructed inguinal hernia (45.7%), although its incidence seems to be on the decline. Ileo-colic type instussusception was the most prevalent variety (62.8%) with preponderance of the paediatric age group. There is an observed increase in the proportion of obstruction due to tumours. Ascaris infestation is no longer a prominent aetiological factor. One third of the 8.2% mortality rate observed was in neonates.

Adolescent↗

PubMedDate not supplied

A review of cases of posterior urethral valves seen at the University College Hospital, Ibadan (Nigeria).

A cohort of 40 male children with Posterior Urethral Valves (PUV) seen in the Paediatric Nephrology/Urology Unit of the University College Hospital, Ibadan are presented. They were reviewed with the aim of determining the clinical course of the disease in a developing country where the facilities for active intervention are not always available. Even though 50% of the patients became symptomatic in the first week of life only 22.5% presented in the whole of the neonatal period. Thirty-seven and a half per-cent (37.5%) presented in the post-neonatal infancy period and the rest beond the first year of life. The interval between the onset of symptoms and definitive therapy was up to three years in some patients. Only 2 patients had antenatal diagnosis of the PUV by ultrasonography. The major renal complications were: (1) Urinary Tract Infections in 40%; (2) Acute Renal failure--10%; (3) Chronic Renal failure--7%; 4) Type IV Renal Tubular Acidosis--10% (5) Sustained hypertension--4.8%. The extra-renal complications were anaemia (30%), malnutrition (10%). Five of the patients died giving a case fatality rate of 12.5%, mainly from overwhelming infections and renal failure. Many of our patients had delayed presentation even though symptomatic and that may partly explain the complications and the poor outcome seen in the short term.

Child, Preschool↗

PubMedDate not supplied

Localised amyloidosis of the urinary bladder: a case report and review of treatment.

Since the first case of primary amyloidosis of the bladder was reported by Solomin in 1871, only about 50 other case reports have appeared in the English literature to our knowledge. Due to rarity of this condition, no unit has treated enough patients to formulate a standard protocol of management which in most cases is empiric. The clinical importance of this condition is to differentiate it from a neoplasm of the bladders.

Adult↗