Torsion of a pelvic wandering spleen as a cause of acute abdomen in a woman: a case report and review of the literature.

Wandering spleen is a rare clinical condition in which the spleen is devoid of its normal peritoneal attachment associated with a long vascular pedicle. Women between the ages of 20-40 years are more likely affected. The common clinical presentation is abdominal mass with pain.

Rhinocerebral mucormycosis in an 11-year-old boy.

A patient with diabetic ketoacidosis admitted for treatment developed features characteristic of rhinocerebral mucormycosis, confirmed by histopathologic examination, is presented. The patient had been experiencing symptoms of diabetes for one month before presentation to the hospital in state of diabetic ketoacidosis. Within a few days of admission he developed mucormycosis of the nasal cavity and the orbit which extended to the brain very fast and resulted in death.

Skin diseases seen in Kazanchis health center.

Studies concerning the prevalence of skin diseases and the general dermatologic services in Ethiopia are limited. A total of 7760 patients with 9725 dermatological diseases were seen by a dermatovenereologist from September 1995 to August 1996 at Kazanchis Health center in Addis Ababa. Male to female ratio was 1.

A case-control study on determinants of rickets.

A case-control study on rickets was performed on 156 cases and 307 controls admitted to Birla pediatric wards, Yekatit 12 Hospital. The following factors were significantly (p < 0.05) associated with diagnosis of rickets in univariate analysis: male gender, being a twin, abnormal birth weight, malnutrition, higher birth order, higher number of siblings, having a caretaker who is not the mother, lower education of the caretaker, having a caretaker who is not housewife, and with protective effect, exposure to sunshine (in number of days per week, duration of daily exposure in minutes, and not wearing clothes during exposure).

Otitis media seen in Yekatit 12 Hospital.

Two thousand three hundred and thirty four selected patients with ear problem were seen in one of the ENT out patients department of Yekatit 12 Hospital from September 1994 to August 1996 were prospectively studied. Most of the patients came from Addis Ababa. Major clinical presentations were ear pain, purulent ear discharge, uni or bilateral decreased hearing ability.

Multiforme skin lesions in Yekatit 12 Hospital, 1976-1994.

Because the number of cases of multiforme skin lesions encountered in the medical department of Yekatit 12 Hospital has increased in recent years, we conducted a retrospective study to identify the likely precipitating factors and the possible relationship of these with HIV infection. Forty-seven patients with Multiforme Skin Lesions (29 males, 18 females) were admitted between 1976 and January 1994, of whom 43 (92%) were admitted in the past 5 years. Most patients were aged 15-49 years.

Rubber ring clamping of the umbilical cord: a randomized trial.

A randomized trial to compare two methods of umbilical cord tying in neonates, immediately after birth, was undertaken from February to April 1997 in the Department of Obstetrics & Gynaecology, Zewditu Memorial Hospital, Addis Ababa, Ethiopia. In less than 3 months, we investigated 300 neonates, of whom 150 infants were randomly assigned to the traditional ligation of the umbilical cord (using a piece of thread) and the rest to a rubber ring clamping method. Among the former group, 13.

Anthropometric measurements of the Nilotic tribes in a refugee camp.

The heights and weights of 2,233 randomly selected adult Nilotic immigrants from Southern Sudan (50.8% Dinkas, 43.8% Nuers, 3.

Breech delivery and foetal outcome: a review of 291 cases.

In a three year period (September 1989 to August 1992), among 7,170 consecutive deliveries at Yekatit 12 Hospital, Addis Abeba, Ethiopia, there were 291 singleton breech deliveries with a 4% incidence rate at a gestational age of 28 weeks and above. In 28% and 57% of the infants, weight was below 2,500 grams and Apgar score was less than 7 in the first minute, respectively. The gross perinatal mortality rate for breech delivery in the first 24 hours was 330 per 1,000 deliveries, which was significantly higher than for the total number of deliveries (70 per 1,000; p < 0.

Amputations in patients attending a diabetic clinic in Addis Abeba, Ethiopia.

During 18 years, 1976 to 1994, 43(1.9%) of the 2,250 patients registered in the Diabetic Clinic at Yekatit 12 Hospital, Addis Abeba, Ethiopia (six patients) required an amputation at diagnosis or during the course of diabetes mellitus. Male to female ratios was 2:1; eight patients had Type 1 and 35 Type 2 diabetes.

Caesarean section and foetal outcome at Yekatit 12 Hospital, Addis Abeba, Ethiopia, 1987-1992.

This retrospective study was carried out to examine indications for Caesarean section (CS), foetal outcome and postoperative complications and to recommend ways of reducing maternal and neonatal deaths. In a five year period (September 1987 to August 1992), among 11,657 consecutive deliveries at Yekatit 12 Hospital, Addis Abeba, Ethiopia, there were 645 CSs, an overall CS rate of 5.5%.

Induction of abortion by condom-Foley catheter method in pregnant women with intra-uterine foetal death.

To induce abortion in women with intra-uterine foetal death (IUFD), during a two-year period (August 1990 to October 1992), at Yekatit 12 Hospital, Addis Abeba, Ethiopia, condom-Foley catheter method (CFCM) with oxytocin, and oxytocin infusion alone were compared. All 25 pregnant women randomly assigned to the CFCM aborted within 24 hr, a 100% success rate with an induction-abortion time interval of 14.6 hr (p < 0.

Clinical features, complications and mortality in type 2 (non-insulin dependent) diabetic patients in Addis Abeba, Ethiopia, 1976-1990.

Clinical features and prognosis in 1386 consecutively registered Ethiopian Type 2 (non-insulin-dependent) diabetic patients seen between 1976 and 1990 in the Diabetic Clinic in Yekatit 12 Hospital in Addis Abeba, Ethiopia, are described. Of the 1386, 52% (95% confidence interval CI 2%) were diagnosed diabetic between the ages of 40 and 59, and only 7% CI 1.4%) at age 60 or more.

A search for malnutrition-related diabetes mellitus among Ethiopian patients.

Objective: To search for evidence of MRDM among Ethiopian patients.

Research Design And Methods: We reviewed the records from March 1976 to January 1991 of 1835 Ethiopian diabetic patients registered consecutively in the Diabetic Clinic of Yekatit 12 Hospital in Addis Ababa, Ethiopia.

Results: Of those aged 15-30 at onset, 41.

Clinical features, complications and mortality in type 1 (insulin-dependent) diabetic patients in Addis Ababa, Ethiopia, 1976-1990.

Clinical features, complications and prognosis of 431 consecutively registered Ethiopian Type 1 (insulin-dependent) diabetic patients seen in the Diabetic Clinic in Yekatit 12 Hospital in Addis Ababa, Ethiopia, from 1976-1990 are reported. Male:female ratio was 1.4:1; mean age at diagnosis was 18.

Helicobacter pylori infection in patients with upper gastrointestinal symptoms in Arba Minch Hospital: southwestern Ethiopia.

A prospective study was conducted to determine the frequency of occurrence of Helicobacter pylori infection in outpatients presenting with upper gastro intestinal symptoms to Arba Minch Hospital over a one year period. Four hundred and forty four patient, 309 males and 135 females, underwent upper gastro intestinal fiberoptic endoscopy between March 1989 and April 1990. The age range was 14 to 75 years (mean = 35).

Clinical status of Ethiopian diabetic patients after 20 years of diabetes.

By January 1990, over a period of 14 years, the Diabetic Clinic at Yekatit 12 Hospital, Addis Ababa had registered 1699 diabetic patients, of whom 204 were first diagnosed in or before 1969. Of these, 68 are known to have died after 11 to 36 years of diabetes (29% in renal failure), and 69 have been lost to follow-up for 3 or more years. Of the 121 who had been diabetic at least 20 years when last seen, 67 are attending, 18 are lost to follow-up, and 36 have died.

Insulin injection technique can be taught without hospitalization.

Although hospitalization of the diabetic may be seen as a failure of management, and places the patient in an artificial situation, admission for initiation of insulin therapy is the custom in most Ethiopian hospitals. From January 1987 to January 1988, 144 diabetics were taught insulin injection technique in the Diabetic Clinic of Yekatit 12 Hospital in Addis Ababa, Ethiopia, by two nurses in early morning, six days weekly, sessions. Of these, 85 were inpatients aged 6 to 73 years from all wards, admitted because of ketoacidosis, intercurrent illnesses or rural home.

The association of serum proteins with preeclampsia.

In 239 pregnant women, 107 with preeclampsia and 132 controls, phenotype frequency distribution of serum group-specific component (Gc) and haptoglobin (Hp) was studied by disc-electrophoresis in polyacrylamide gel. The results demonstrate a significant statistical difference in phenotype frequency distribution of the Gc-system. Gc 2-1 phenotype was expressed significantly in women with preeclampsia compared to controls.

Actinomycosis of the ear.

A case of primary actinomycosis of the ear in a 15 year old Ethiopian girl is described and discussed.

Nutritional status of young adult Ethiopians before onset and after treatment of diabetes mellitus.

Young diabetics in tropical countries are often undernourished, insulin-requiring and ketosis-resistant, and are sometimes considered to have a distinct type of diabetes. Therefore, a survey of young adult diabetics attending Yekatit 12 Hospital, Addis Ababa, was made to determine clinical features and the relation between their diabetes and their nutritional state. In May, 1988, 894 of 1490 registered diabetic patients were attending regularly, of whom 248 became diabetic between the ages of 15 and 35 years.

Macrovascular disease in middle-aged diabetic patients in Addis Ababa, Ethiopia.

To define the prevalence of large vessel disease in Ethiopian diabetic patients, the protocol of the World Health Organisation Multinational Study of Vascular disease in Diabetics was used in the Diabetic Clinic of Yekatit 12 Hospital, Addis Ababa: 221 of the possible 261 patients aged 35 to 54 years were examined during 6 months. One hundred seven were diagnosed diabetic 1 to 6 years before study, 74, 7 to 13 years and 40, 14 years or more before the study. Forty-two percent were taking insulin; 18% had retinopathy, 7% heavy albuminuria.