Spontaneous knotting of a feeding tube in the bladder.

Urinary catheterization is often performed in the pediatric age group. The procedure although safe, is not free of complications. Knotting of the urinary catheter is a rare but serious complication.

Prospective evaluation of the Bengezi and Al-Fallouji modified Alvarado score for presumptive accurate diagnosis of acute appendicitis in University of Port Harcourt Teaching Hospital, Port Harcourt.

Background: The accurate diagnosis of acute appendicitis (AP) in a patient is valuable to the busy clinician. Decision making in cases of AP poses a clinical challenge especially in developing countries where advanced radiological investigations are not readily available and do not appear cost effective, clinical parameters remain the mainstay of diagnosis. Time and resources wasted on surgical intervention, with the added risks of surgery and anaesthesia, only to discover that this was unnecessary remains a big challenge.

Dual implant application in the treatment of aseptic femoral shaft nonunions--case series.

Background: Femoral shaft nonunion is not uncommon in orthopaedic practice in the developing economy and it can pose a management challenge. There is no single standard method of treatment.

Objective: To report four patients with femoral shaft nonunion treated by dual implant application in a private Orthotrauma practice in Port Harcourt, Nigeria.

Spectrum of urological procedures in University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.

Aim: To determine the relative frequencies of types of operations, age and gender distribution of the patients and the indications for operation in the Urology Unit over a 10-year period between 1989 and 1998.

Setting: The Urology Unit of the University of Port Harcourt Teaching Hospital.

Type Of Study: Retrospective.

Slow, gradual external fixator distraction in acquired ankle and foot contracture.

Background: External fixators have been noted to have a place in the orthopaedic management of problems involving the ankle and foot. We here report a case of ankle and foot contracture managed by soft tissue release and slow, gradual external fixator distraction.

Method: A case report of a patient with acquired ankle and foot contracture and discussion of relevant literature.