ABSTRACT
Background:Hypertension has direct effect on abdominal aortic diameter. Some of its manifestations are aortic aneurysm and dissection. Aims: To compare the AAD among adult normotensive and hypertensive subjects as well as correlating with age, sex and blood pressure. Materials and Methods: Participants will be randomly selected from hypertensives attending Cardiology Clinic, in University of Nigeria teaching hospital (UNTH) Enugu,Nigeria. Controls will be apparently healthy normotensive volunteers. Participants’ demographics, weight, height and blood pressure will be documented. Ultrasound measurements of infrarenal AAD will be taken at 2 cm below the origin of the superior mesenteric artery. Data will be statistically analyzed and a p-value of ≤ 0.05 will be considered significant. Results:300 participants: comprising of 150 normotensives and 150 hypertensives were studied. The mean values for AAD in normotensive males and females were 16.66 ± 2.04 mm and 15.36 ± 1.97 mm respectively. Whereas the values for hypertensives, changed to 18.89 ± 2.64 mm and 16.57 ± 2.54 mm respectively. The AAD showed a positive correlation with systolic blood pressure (r2= 0.317, P ≤ 0.001) but not with diastolic blood pressure. Conclusion: Abdominal aortic diameter was significantly larger among hypertensives than normotensives. The diameter increased with age in both normotensive and hypertensive subjects
ABSTRACT
Objective/Purpose: We aim to determine the basis for the routine surgical treatment of intussusception in southeast Nigeria. Methods: We analyzed 71 children operated for intussusception between June 1998 and May 2006 at the University of Nigeria Teaching Hospital Enugu; southeastern Nigeria. Results: The median age at presentation was 6 months (range 3 months to 7 years); and the average duration from onset to presentation 3.2 days (range 4 hours to 7 days). Forty-six (64.8) had ileocolic intussusception; 7 (9.9) colocolic; and 5 (7.0) ileoileal. In 31 (43.7); there was no identifiable cause; while mesenteric lymphadenopathy and inflamed Peyer's patches were noted in 37 (52.1); and polyp in 3 (4.2). Manual reduction was successful in 39 (55); while 32 (45) required bowel resection for gangrene; or irreducibility. After average follow up of 9.7 months (range 4-22 months) there was no recurrence; but overall mortality was 6 (8.5) from septicemia. Late presentation; dearth of facilities and trained manpower; and lack of multidisciplinary collaboration may contribute to the regular surgical treatment. Conclusion: Intussusception in our setting is characterized by late presentation; high rate of bowel resection; and high mortality. Surgery may remain our main stay of treatment until deficiencies in time to diagnosis; specialized facilities; and personnel improvement
Subject(s)
Child , Intussusception , Surgical Procedures, OperativeABSTRACT
To conduct a retrospective review of the indications; clinical data and myelographic appearances. Also to reappraise the current indications of myelography in clinical practice. The request forms; case materials; plain films; myelographic; surgical and histological findings on 227 patients who underwent non- fluoroscopic water soluble myelography for various forms of spinal disease were collected; analysed and reviewed. Of the 227 myelograms done; 55 (24.2