Aberrant pancreatic tissue in a giant mediastinal cyst: an uncommon entity.

Background: Heterotopia of pancreatic tissue in the thorax and mediastinum is uncommon, although, a common developmental anomaly in the gastrointestinal tract where the aberrant tissue is a component of gastrointestinal duplication cysts, intralobular pulmonary sequestration or teratomas.

Case Presentation: We report a case of an ectopic pancreas located in a giant mediastinal cyst in a 2-year old girl who presented with severe dyspnoea due to external compression of the intra-thoracic structures, mainly the right main bronchus. Surgical resection was carried out with complete relief of symptoms.

Evaluating the evaluators in postgraduate fellowship examinations - a viewpoint.

When the result of a medical examination for a group of candidates is bad, it may be because the candidates are bad; or the questions and the format of the examination are improper. The reason may also be because there is no teaching and preparation of the residents or the mode of examination and the methods of assessment are flawed. This paper tries to focus attention on the role of the examiners in conducting a medical postgraduate examination.

Typhoid intestinal perforation in north central Nigeria.

Background: Typhoid intestinal perforation is a surgical problem with severe morbidity and high mortality in North Central Nigeria.

Patients And Methods: In order to determine the pattern and the prognostic indices, we studied 101 patients with typhoid intestinal perforation managed over a ten-year period

Results: Children constituted 49% of the cases and majority (78%) of the patients were in the low socio-economic strata. The incidence peaked to 67% between November and March - the dry season in Nigeria.