Duodenal duplication: a rare congenital abnormality two case reports

Duodenal duplication is an extremely rare congenital malformation. Two cases seen at the Korle-Bu Teaching Hospital are reported here - one in a 3 year old and the other in a 2 week old neonate. Diagnosis was made by ultrasound and treatment was by partial excision in one case and by entrotomy and complete excision of the mucosa in the other. Both cases are doing well two years postoperatively

Korle-Bu Paediatric surgical experience of Buruli ulcer

Buruli ulcer is a chronic skin ulcer caused by the organism Mycobacterium ulcerans. In the paediatric surgical practice at the Korle-Bu Teaching Hospital; 15 patients with confirmed Buruli ulcers aged from 3 to 10 years were seen and treated over the period 1989-1991. Diagnosis was by biopsy which was positive in all cases in which it was done. Surgery by wide excision was the mainstay of treatment. Skin grafting was done in 3 cases. Length of hospital stay was in excess of 2 months. There were no deaths in the group presented; however; residual deformity occurred in all cases. The experience of these cases is presented here with a review of the literature

Infantile hypertrophic pyloric stenosis in Ghana

In a retrospective study of 84 Ghanaian infants with hypertrophic pyloric stenosis seen over a 15-year period between 1974 and 1988; the male/female incidence ratio was 9:1. The peak-age of presentation and diagnosis was between the second and sixth weeks of life. The operative mortality was 3.6 percent