Surgical treatment of perineal giant condylomata acuminata (Buschke Lowenstein tumor): Case series from a developing country.

INTRODUCTION: Giant condylomata acuminatum (GCA) also referred to as Buschke-Lowenstein tumor (BLT) is a rare tumor primarily associated with low-risk HPV 6 and 11, which is believed to be a slow growing intermediate tumor with low potential to transform into invasive cancer. CASE PRESENTATION: We presented our experience with three cases of BLT (one woman and two men). CLINICAL DISCUSSION: The three patients had surgical excision and two of them had reconstruction of the surgical defect with good clinical outcome. CONCLUSION: We highlighted the importance of early identification of symptoms, treatment options and risk of recurrence as well as primary preventive strategies.

INTESTINAL OBSTRUCTION FROM MECKEL'S DIVERTICULUM IN AN ADULT; UNSUSPECTED BUT FOUND- A CASE REPORT.

Introduction: Most cases of Meckel's Diverticulum (MD) are asymptomatic and when symptomatic, preoperative diagnosis of MD maybe a dilemma. Intestinal obstruction is a major complication in the adult population. Case presentation: We report a case of a 24-year-old female presenting with intestinal obstruction from Meckels Diverticulum. Conclusion: MD is largely asymptomatic in adults, however may be present and should be included in our array of differential diagnoses.

A RARE METACHRONOUS COLONIC VOLVULUS.

Introduction: Colonic volvulus is a common cause of large bowel obstruction with the sigmoid colon most commonly affected. Volvulus of the transverse colon is an uncommon occurrence. Rarer still is a transverse colon volvulus developing after surgery for a sigmoid colon volvulus. Early diagnosis is critical as delay in detection and intervention is associated with the risk of complications - perforation, peritonitis, and death. Case presentation: We report the case of an 86-year-old man who presented with features of large bowel obstruction 14 months following a sigmoid colectomy for a sigmoid colon volvulus. Conclusion: A metachronous transverse colonic volvulus is uncommon. Preoperative diagnosis is challenging as there are no defining radiographic features compared to the volvulus of the sigmoid colon with the classical omega sign. Most cases are diagnosed intra-operatively. Bowel resection and anastomosis in a single stage is a safe option.

VOLUMETRIC CLASSIFICATION OF INGUINOSCROTAL SWELLINGS.

Background: External hernias and scrotal swellings are diverse in presentation and are described in many subjective ways. Aim: To create an objective classification of inguinoscrotal swellings in the rural setting. Patients and methods: It was a prospective study on the measurement of inguinoscrotal swellings volume/contents in a cohort of surgical patients in a provincial general hospital in the north of Sierra Leone over a three-year period. For inguinal hernias and other scrotal swellings, the volume ranges of 0- 500ml were used in the classification; for femoral and other external hernias which generally do not reach 'huge' sizes, the volume ranges of 0-100 ml were used. Results: A total of 962 external hernias and hydroceles were classified over a 3- year period. Most, 610 (63.4%) were inguino-scrotal hernias, others were hydroceles, 303 (31.0%) and femoral hernias, 42 (4.3%). The remaining small number consisted of umbilical (4) and epigastric (3) hernias. For the common conditions of hydroceles, inguinal and femoral hernias, about 50% were 'small', more than 40% were 'large', the rest were giant. The same findings were true for epigastric and umbilical hernias. Conclusion: Using the scale that we adopted, majority of the groin hernias and hydroceles were in the small and large categories with a few giant varieties. Volumetric-based classification of hernias and hydroceles can help surgeons communicate more clearly based on standard rather than arbitrary ascription of descriptive terminologies to these very common surgical entities.

Serosurvey on Sheep Unravel Circulation of Rift Valley Fever Virus in Nigeria.

Rift Valley fever is an arboviral zoonoses causing severe morbidity and mortality among humans and animals in many African countries. A cross-sectional study in populations of sheep reared around the Gidan-Waya Forest Reserve located in Jema'a LGA of Kaduna State, Nigeria to determine the serological evidence of exposure to Rift Valley fever virus (RVFV) using a commercial competitive enzyme-linked immunosorbent assay. Of the 200 sheep sampled, 9 (4.5%; 95 CI 2.23-8.33) were positive for antibodies to the RVFV. The detection of antibodies suggests a covert circulation among the sheep and may be indicative of a subclinical infection.

Serological survey for emerging canine H3N8 and H3N2 influenza viruses in pet and village dogs in Nigeria.

BACKGROUND: In Nigeria, keeping of dogs as pets and guards is gaining popularity. To determine whether infection of dogs with novel canine influenza virus (CIV) of equine (H3N8) and avian (H3N2) origins had occurred in Nigeria, we screened pet and village dogs from Lagos, Ibadan, Odeda and Sagamu in southwestern Nigeria for antibodies to CIV H3N8 and H3N2. METHODS: Sera from 96 pet dogs presented at veterinary clinics in Lagos and Ibadan, and 89 village dogs from hunting communities in Odeda and Sagamu were tested for antibodies to CIV H3N8 and H3N2 using the hemagglutination inhibition test. RESULTS: Anti-CIV H3N8 antibodies were detected in 51 (53.1%) and 24 (27.0%) pet and village dogs, respectively. Overall, 40.5% (75/185) of the sera were positive for CIV H3N8 antibodies while none contained anti-CIV H3N2 antibodies. CONCLUSION: The presence of CIV H3N8 antibodies in pet and village dogs in this study suggests that they had natural exposure to the virus since dogs are not currently vaccinated against canine influenza in Nigeria. It is possible that the pet dogs acquired infection through contact with imported dogs in veterinary clinics, breeding kennels and dog shows while the village dogs could have been exposed through consumption of offal of infected animals killed during hunting. Considering the potential public health risk of this disease arising from the close relationship between pet and hunting dogs and their owners in Nigeria, systematic epidemiological surveillance of the Nigerian dog population for CIV H3N8, H3N2 and other influenza A virus subtypes is advocated.

Inflammatory papillary hyperplasia: review of literature and case report involving a 10-year-old child.

Inflammatory papillary hyperplasia is a benign lesion of the palate seen most often in patients with a history of ill-fitting dentures or poor oral hygiene. The specific cause is unknown. Inflammatory papillary hyperplasia can occur at any age. However, it is most often seen in patients in the third to fifth decades. It occurs more frequently in males and whites. The best treatment is surgical removal. The prognosis is excellent, once the lesion is removed. The patient presented in this case report is a 10-year-old black girl without a history of a dental prosthesis. It is conjectured that poor oral hygiene and a habit of mouth breathing contributed to the occurrence of inflammatory papillary hyperplasia in this patient. The lesion was surgically removed, and the patient was followed up for a period of 18 months without recurrence of the lesion.

Osseous repair with Le Fort I osteotomy.

The effectiveness of rigid and semirigid fixation at various distances between Le Fort I osteotomy segments after different healing periods was evaluated in 16 Macaca fasicularis monkeys. The histologic findings revealed better healing with semirigid fixation.