Relationship between placenta location and adverse pregnancy outcomes in a nigerian tertiary health facility.

Background: There is evidence that placenta site location might be associated with some adverse maternal and fetal outcomes, however, there is lack of information on this observation in Nigeria and many other developing countries where routine ultrasound is performed as part of antenatal care.

Aim: To determine the relationship between placenta location on ultrasonography and adverse pregnancy outcomes among a cohort of women with singleton pregnancies.

Materials And Methods: In a longitudinal study among pregnant women from the antenatal clinic of a tertiary health institution in Nigeria.

A RARE CASE OF PREPERITONEAL ABSCESS IN A NIGERIAN FEMALE: ULTRASOUND DIAGNOSIS AND PERCUTANEOUS CATHETER DRAINAGE.

A preperitoneal abscess is an uncommon manifestation of extraperitoneal collection. We present a case of an anterior abdominal wall preperitoneal abscess in a 30-year-old Nigerian female with abdominal pain and purulent abdominal wall discharge ten days after an initial admission for spontaneous bacterial peritonitis. This report underscores the role of ultrasound in diagnosis and follow-up and percutaneous ultrasound-guided continuous percutaneous catheter drainage and management of an extraperitoneal abscess.

Utilization of Uterine and Umbilical Artery Doppler in the Second and Third Trimesters to Predict Adverse Pregnancy Outcomes: A Nigerian Experience.

To assess the utility of uterine and umbilical artery Doppler in the second and third-trimester in predicting adverse pregnancy outcomes. In a prospective longitudinal study, the demographic, clinical, Doppler ultrasound parameters of the uterine and umbilical arteries of 84 consecutive women attending the antenatal clinic at 22-24 weeks and 116 women at 30-34 weeks gestation and pregnancy outcomes were documented and analyzed. Pregnant women with adverse pregnancy outcomes had significantly higher second-trimester mean uterine systolic/diastolic (S/D) ratio ( = 0.

Uterine and umbilical artery doppler in women with pre-eclampsia and their pregnancy outcomes.

Background: Pre-eclampsia (PE) is an important public health menace in both developed and developing countries with high maternal and perinatal morbidity and mortality globally. A major goal towards improving antenatal management of PE is to develop accurate prediction models that identify women at high risk of this disease for appropriate interventions.

Methodology: In a longitudinal cohort study, high-risk singleton pregnant women enroled between April 2015 and February 2016 had uterine and umbilical artery Doppler sonography at 22-24 weeks and 32-34 weeks gestation and had their delivery outcomes documented by the obstetrician and gynaecologist.

ROLE OF TRANSCRANIAL COLOUR-CODED DUPLEX SONOGRAPHY IN STROKE MANAGEMENT - REVIEW ARTICLE.

The development of transcranial colour-coded duplex sonography (TCCS) has resurrected the hope of safe, real time bedside brain imaging beyond childhood. This review article provides an overview of the role of TCCS in the management of patients with stroke. The objective is to stimulate interest in the field of neurosonology as a potential means of improving neurological outcome for stroke patients and a area for stroke research endeavors in Africa.

Ultrasound prevalence and characteristics of incidental thyroid lesions in Nigerian adults.

Aim/objective: Thyroid lesions are common and range from the incidental, asymptomatic, small solitary nodule to the large and partly intrathoracic masses. Thyroid lesions that are not palpable but identified by radiological imaging for unrelated symptoms are defined as incidentalomas of the thyroid gland.

Objective: The aim of this study was to determine the ultrasound prevalence of thyroid incidentalomas and describe the ultrasound characteristics of such detected incidentalomas in Nigerian adults.

Evaluation of the effectiveness of computed tomography in the diagnosis of orbital tumours in ibadan, southwest Nigeria.

Background: The orbit is a bony cavity within the skull that is composed of many structures which may undergo neoplastic transformation. Failure to diagnose the tumour and determine its extent may lead to high morbidity and mortality. The aim of this study was to evaluate the role of computed tomography in the diagnosis of orbital tumours in our centre.

Ultrasound evaluation of intima-media thickness of carotid arteries in adults with primary hypertension at Ibadan, Nigeria.

Background: Ultrasound measured Carotid Intima-Media Thickness (CIMT) is a simple and inexpensive tool for assessing the cumulative effects of hypertension on the carotid arterial walls. It is also an independent predictor of future myocardial infarction and stroke risk.

Objectives: This study compared ultrasound measured CIMT in hypertensive adults with non-smoking normotensive controls.

Magnetic resonance imaging: Clinical experience with an open low-field-strength scanner in a resource challenged African state.

Introduction: Despite the fact that an magnetic resonance imaging (MRI) has been in clinical use for over 20 years, its use and availability in Nigeria, a West African state, is still extremely low. Hence, only few publications are available on the clinical experience with MRI from Nigeria. We set out to evaluate our initial clinical experience with a low-field-strength MRI in a Nigeria's foremost university hospital.

Complications of chronic sinusitis on orbital sonography and craniofacial computed tomography--a case report.

A 15-year-old boy without a previous history of sinusitis presented with life threatening complications from chronic pansinusitis. This report highlights the role of ultrasound and computed tomography (CT) in the diagnosis and management of occult sinusitis and its complications.

Mediastinal bronchogenic cyst with back pain.

We report a case of a mediastinal bronchogenic cyst with back pain. The rarity of this lesion and even the more uncommon association of this lesion with symptoms of back pain prompted the report of this case.

Evaluation of renal volume by ultrasonography in patients with essential hypertension in Ile-Ife, south western Nigeria.

Background And Aims: To determine renal volume in adult patients with essential hypertension and correlate it with age, sex, body mass index (BMI), body surface area (BSA) and duration of hypertension.

Patients And Methods: A total of 150 patients (75 males, 75 females) with essential hypertension and normal renal status were evaluated sonographically in this prospective study. Fifty healthy individuals (25 males, 25 females) without hypertension were also evaluated as control.

Pneumatic reduction of intussusception in children at the Komfo Anokye Hospital, Kumasi, Ghana.

Objective: To evaluate the role of pneumatic reduction in the management of intussusception in children in the setting of a sub-Saharan African nation.

Design: Prospective case series.

Setting: Tertiary care teaching hospital in Kumasi, Ghana.

Myelographic abnormalities of spinal cord and nerve roots lesions in conventional myelography.

The authors review the myelographic abnormalities of spinal lesions on 90 patients evaluated with conventional or fluoroscopy myelography between 1989 and 1995. The value of Conventional myelography in spinal lesions involving the spinal cord and nerve roots are assessed. The subjects include 49 (45.

Assessment of diaphragmatic levels on plain chest radiograph--a new approach.

Background: The aim of this study was to provide an alternate simple linear measurement of diaphragmatic levels from a relatively fixed position, the lung apex, on chest radiographs.

Study Design: 526 consecutive posteroanterior (PA) chest radiographs of Nigerian adult subjects reported as normal were evaluated. The 'Lung apex to diaphragmatic apex' (LATDA) distances in centimeters for both hemidiaphragms were obtained from the chest radiographs.

Hunter syndrome: case report and review of literature.

Hunter syndrome is one of the mucopolysaccharidosis, which are a rare group of genetic diseases. It is due to a deficiency in the enzyme Iduronate 2-sulphatase. This in turn leads to the accumulation of glycosaminoglycans, dermatan and heparan sulphate.

Expression of adult polycystic renal disease in a 17-year-old male.

Autosomal Dominant Polycystic Kidney Disease (ADPKD) is found mostly in the middle-aged group. We report a rare occurrence of ADPKD in a 17-year-old male student with clinical presentation of bilateral loin pains and total haematuria. Clinical diagnosis of Acute-on-Chronic Glomerulonephritis was made.

Ultrasonographic assessment of fetal gender.

The purpose of this study is to evaluate the value and accuracy of ultrasonography in the detection and determination of the gender of the fetus. This prospective study involves the Ultrasound examination of a total of 415 fetuses including 216 (52%) females and 199 (48%) males. The mean gestational age at which the fetuses were scanned was 32 weeks 1 day, with a range of 15 to 40 weeks.

Intradural spinal arteriovenous malformation of the glomus type: a case report.

Spinal arteriovenous malformations (AVMs) being even rarer than cranial ones, constitute 3 - 4% of all spinal tumours, with an overall male:female ratio of 4:1. We report the case of a 24-year old female Youth Corps member who presented with an apoplectic onset of a left hemiparesis, progressively deteriorating to an incomplete quadriplegia with motor power of 2 and 0 in the right and left lower limb muscle groups, respectively. Magnetic resonance imaging (MRI) showed a vascular malformation whose precise nature was indeterminate; the definitive diagnosis of a Glomus AVM was only made intra-operatively.

On-site physicians at a major sporting event in Nigeria.

Introduction: Although the need for on-site physicians at mass gatherings has been investigated in developed countries, it has not been studied in a developing country, where resources are limited, paramedical services are unavailable, and transportation and other facilities are inadequate.

Hypothesis: The presence of on-site physicians would result in the effective management and prehospital care of casualties at mass gatherings or major sporting events in a developing country.

Methods: A retrospective review of the planning procedures and medical records of the 19th Nigerian University games was conducted.

Computerised tomography of intracranial subdural haematoma in Ibadan.

The high mortality and morbidity associated with intra-cranial subdural hematoma (SDH), has declined significantly with the introduction of Computerised Tomography (CT) for the evaluation of the brain in suspected cases. One hundred patients with CT-diagnosed SDH at the Radiology department of the University College Hospital, Ibadan between January 1999 and December 2000 were reviewed. The mean age was 47.

Incidence of dementia and Alzheimer disease in 2 communities: Yoruba residing in Ibadan, Nigeria, and African Americans residing in Indianapolis, Indiana.

Context: Alzheimer disease (AD) represents a major and increasing public health problem. If populations were identified with significantly lower or higher incidence rates of AD, the search for risk factors in the genesis of AD could be greatly enhanced.

Objective: To compare incidence rates of dementia and AD in 2 diverse, elderly community-dwelling populations.

Computerized tomography measures of brain slice area and ventricular sizes in protein energy malnutrition: a preliminary study.

The brain tissues of thirty-eight Nigerian children suffering from severe protein energy malnutrition (PEM) were evaluated within 24 hours of admission by computerized tomography. The brain slice area (B.S.

The computed axial tomography of the brain in protein energy malnutrition.

Forty consecutive new cases of protein energy malnutrition were evaluated clinically and biochemically; in addition, the brain morphology was assessed by computed tomography within 24 hours of admission. Cerebral shrinkage was shown in six of 14 (42.9%) cases of marasmus, ten of 14 (71.