Pattern of Emergency Presentation of Patients with Breast Cancer at the University of Benin Teaching Hospital.

Background: Breast cancer is the most common malignancy affecting women in Nigeria. Presentation is usually elective. However, some patients present as an emergency with complications of the disease and its treatment.

Intussusception in pregnancy--a rarely considered diagnosis.

Intussusception in pregnancy is rare and making a preoperative diagnosis is extremely difficult. The objective of this paper is to report a case of intussusception in a pregnant woman and to review the literature on the subject with a view to highlighting the peculiarities of this condition. The case file of a 26 year old Gravida 3, Para(0+2) lady who had appendectomy 5 years earlier and now presented at 33 weeks of gestation with features of intestinal obstruction was evaluated.

Small bowel obstruction following perforation of the uterus at induced abortion.

Background: Unsafe abortion is an important contributor to maternal morbidity and mortality.

Objective: To present a case of small bowel obstruction following perforation of the uterus at induced abortion.

Methods: A 36-year-old woman, presented at a private hospital, with abdominal pain and weight loss.

Gastric carcinoma--a big challenge in a poor economy.

Background: Gastric carcinoma is usually characterized with significant morbidity and mortality mainly because of late presentation. Late presentation of gastric carcinoma is a prominent feature in developing and poor countries.

Aim Of Study: The purpose of this study is to present our experience with the pattern and outcome of gastric tumors at the University of Benin Teaching Hospital, Benin City, Nigeria; with emphasis on late presentation of the patients.

Knowledge attitude and practice about breast cancer among civil servants in Benin City, Nigeria.

Background: Breast cancer is often associated with severe morbidity and mortality especially when the patients present late. A major reason why patients present late is the lack of awareness about breast cancer, its complications and the management.

Methods: The study was carried out using a structured questionnaire.

Analysis of five-year breast biopsies carried out in the University of Benin Teaching Hospital Benin City.

Objective: To review the histology of breast biopsies carried out in our hospital with a view to designing management and preventive strategies.

Patients And Methods: 179 patients who had breast biopsies over a five year-period (January 1999 - December 2003) were included in the study. The patients were sorted out from the records in both the casualty and main theatres of the hospital.

Urethral fibrosis with pyonephrosis in a patient with situs inversus totalis: a case report.

Background: Cases of a case of situs inversus totalis are very rare and therefore when encountered, they are likely to be missed or poorly managed.

Objective: To present a case of situs inversus totalis with a view to creating more awareness about this rare clinical entity.

Patient And Method: The patient, a 22 year old boy was referred from a private clinic after a failed and complicated attempted appendicectomy carried out by a general medical practitioner.

Some malignant tumours in HIV -infected individuals in Benin City Nigeria.

Aim And Objectives: The aim of the study was to report the cases of some malignancies seen in Human Immune Deficiency Virus (HIV) - positive patients seen at the UBTH between January 1999 and December 2003.

Patients And Methods: All patients that presented to the medical and surgical units of the UBTH within the period of the study and who had histologically confirmed malignant conditions and also tested to HIV were included in the study.

Results: The male: female ratio of HIV-seropositivity within the period of study was 1:1.

Patterns of trauma deaths in an accident and emergency unit.

Introduction: Trauma is a leading cause of death in most countries. Different patterns of trauma deaths are recorded in different countries. The purpose of this study was to evaluate retrospectively the pattern of trauma deaths in the emergency unit of a University Teaching Hospital in Nigeria.

Torsed intraabdominal testis: a rarely considered diagnosis.

Cryptorchidism, or maldescended testis, is a common problem encountered in pediatric age groups. Despite more than 100 years of research, many aspects of cryptorchidism are not well defined and remain controversial. However, cryptorchidism clearly has deleterious effects on the testis over time.

Incidence of negative appendectomy: experience from a company hospital in Nigeria.

Objective: The aim of this study was to determine the rate of negative appendectomy in a company hospital in Nigeria.

Background: Appendicitis is one of the most common abdominal conditions requiring surgical intervention. Appendectomy, like most surgical procedures, has its complications and therefore should only be undertaken when indicated.

Current practices and medico-legal aspects of pre-operative consent.

Background: Written informed consent is a pre requisite for surgical intervention as it provides the forum for the patient to appreciate implications of the procedure and the doctor to explain details and effects of the surgery.

Objectives: To evaluate the practice of obtaining informed consent pre-operatively by surgeons in Benin City and proffer solutions that would enhance its practice.

Design: Cross-sectional study involving surgical patients or their relations or gurdian (in cases involving minors and unconscious patients) who were interviewed with structured ended questionnaires.