Testicular and paratesticular non- neoplastic lesions in university of maiduguri teaching hospital: a 10-year retrospective review

Objectives: The present study is undertaken to describe the spectrum of histopathological features and age distribution of non-neoplastic testicular and paratesticular lesions in the University of Maiduguri Teaching Hospital (UMTH). Materials and methods: A retrospective descriptive study of 70 testicular and paratesticular nonneoplastic lesions was conducted over a period of 10 years; between January-2005 and December2014 in the Department of Histopathology, UMTH. Histopathological examination was done after routine processing and staining with Haematoxylin and Eosin. Special stain (Ziehl-Neelsen stain) was done to confirm the presence of acid fast bacilli in cases of tuberculous epididymoorchitis. Results: There were of which (24.3%) followed by testicular torsion and infarction (14.3%). The youngest patient was 2 years old and the oldest was 80 years of age. The highest incidence occurred in the age range of 30 ­ 59 years with a total of 25 cases representing 35.7%. The lowest incidence was observed in the elderly (= 60 years) with a total of 21 cases (30%). Conclusion: This study shows that inflammatory disorders are the predominant causes of the testicular and paratesticular non-neoplastic lesions capable of interfering with fertility and mimicking malignancy. There is also the need to emphasise the necessity of proper evaluation and treatment of acute orchitis and microabscess to avoid unnecessary orchidectomy.70 cases of non-neoplastic testicular and paratesticular lesions the majority were inflammatory disorders accounting for 53 cases (75.7%). They included acute orchitis (4.3%), tuberculosis (12.9%), schistosomiasis (8.6%), hydrocoele (24.3%), chronic orchitis (10.0%), epididymal cyst (11.4%) and tumoral calcinosis (4.3%). Other categories of the lesions included congenital abnormalities (10.0%) and traumatic disorder (14.3%). Long-standing hydrocoele was the commonest lesion

Pedestrian Injuries Resulting from Road Traffic Accidents : the Azare Experience

BACKGROUND: Road traffic accident (RTA) is a leading cause of serious morbidity and mortality world wide. The pedestrians are not spared from this epidemic. OBJECTIVE: The aim of this study is to identify factors that puts the pedestrian at risk of injuries from RTA and the anatomical regions most commonly involved in our environment and suggest ways of curbing them. METHODS : This was a one-year retrospective study of 122 pedestrian casualties resulting from road traffic accident attending the Accident and Emergency (A/E) Unit of the Federal Medical Centre; Azare. RESULTS : Majority of the patients (72) were males with a male to female ratio of 2.6 :1. Children and adolescents constitute 54;1 of the casualties. Motorcycles were responsible for most of the pedestrian injuries (73). The head and neck was the most frequently injured anatomical region of the body (43.4); followed by the extremities (37). The months of August and January were the peak periods of injuries. CONCLUSION: The safety of pedestrian is seriously threatened by the growing popularity of commercial motorcycles on our roads. Preventive measures are advocated to ensure only licensed cyclists are allowed on the roads. Adequate personnel training to manage head injury in our centers is also advised. More patrol by the road safety agents is advised in the months of January and August

Severe Burns as a Consequence of Epilepsy in a Rural Community of North Eastern Nigeria

Objective: Epilepsy; a common clinical disorder usually presents with generalized tonic clonic seizures resulting in a fall and loss of consciousness. Seizures occurring near a burning agent may lead to a fall onto the burning agent and result in severe burns. A prospective study of all patients who sustained burns during an epilepsy seizure presenting to Federal Medical Center Azare; Bauchi State; Nigeria between January 2003 and June 2005 was conducted. Methods: The age; sex; place of incidence; site and extent of injury; cause of burns and treatment outcome were analyzed. Results: A total of 79 patients presented with burns during the study period; nine (11) were as a result of an epileptic seizure. The nine patients comprised of 6 adults and 3 children. Majority were mothers and their children. The place of accident was the home in 7 patients while 2 occurred on the farm. Seven were flame burns and two scalds. Conclusion: This study highlights that epilepsy is an important cause of severe burns in our environment. Women at home and children dependent on them are more at risk hence the need for public enlightenment