Swollen Forearm in an 11 year Old Nigerian Boy

The diagnostic challenges in an 11 year old boy with a swollen forearm in a resource limited country; Nigeria; is discussed; with a brief review of literature of the causes of forearm swelling in a child and vascular malformations. This case is presented because of the rarity of arteriovenous malformation and the difficulty in making a diagnosis due to its low level of suspicion as a differential diagnosis. In this country where there is paucity of vascular surgeons; the challenges of management of arteriovenous malformations and the various imaging modalities are discussed

Foreign bodies in the tracheobronchial tree: management and complications.

Accidental inhalation of a foreign body into the air passages is not an uncommon occurrence in any age group, but it is more frequent in the younger age group. Thirty-seven of the 47 patients (78.7 percent) in the present study were under 16 years of age. Most of the foreign bodies were found in the right bronchus. In this series, 73.9 percent of the interbronchial foreign bodies were recovered by bronchoscopy, while 6.5 and 19.6 percent were recovered during emergency tracheotomy and bronchotomy, respectively. The mortality in this series was 6.4 percent.