Clinicopathological pattern of breast lesions in children and adolescents.

Background: Breast lesions are not common in children and adolescents. The aim of this study is to retrospectively survey the clinicopathological pattern of breast lesions in children and adolescents in our setting. Materials and method: This is a retrospective study of all breast specimens from children and adolescents that were histopathologically diagnosed in University of Uyo Teaching Hospital. Results: The youngest patients seen were 11 years old, with mean age of 17.1 ± 1.91. The commonest clinical diagnoses were fibroadenoma (n=134, 72.4%). Thirty-five-point seven percent of the patients presented within 6 months of noticing the lump. The mean size of the lumps was 6.2cm ± 3.9. Fibroadenoma was the most common benign diagnosis and the most common histopathologic diagnosis in this study. The mean age of patients with fibroadenoma was 17.15±1.83. Conclusion: The pattern of breast lesions in adolescents in Uyo is similar to that from other parts of Nigeria.

A retrospective survey of death care practices and procedures in handling suspected and confirmed COVID-19 deceased bodies in the mortuary of a resource-poor tertiary healthcare facility in Uyo, South-South Nigeria.

Introduction: the death care of deceased bodies of confirmed COVID-19 cases is a critical component of holistic healthcare provision for COVID-19 cases particularly from the public health perspective of infection prevention/control. Regrettably, there is a dearth of research-based information on the management (death care) of COVID-19 deceased bodies. Thus, we aimed to determine the preservation/storage death care practices and procedures in accordance with infection prevention/control measures used for deceased bodies of suspected/confirmed COVID-19 cases deposited in our mortuary and explore their antemortem age/sex distribution. Methods: a retrospective hospital-based cross-sectional survey done at the mortuary unit of Department of Histopathology, University of Uyo Teaching Hospital (UUTH), Uyo, Akwa Ibom State (covering January 2020 to September 2021). Our study participants were all deceased bodies of suspected/confirmed COVID-19 cases deposited in/cared for at UUTH mortuary within this period. Results: we found 28 suspected/confirmed COVID-19 deceased bodies, of which 51.86% were within the 6th and 7t hdecade of life and 71.43% were males (M/F = 2.5/1). They constituted 5.93% of the deceased bodies deposited in UUTH mortuary within this period. All (100%) were embalmed, and 75% were embalmed by immersion. The peak periods of their deposition were within the first halves of the two years affected by the COVID-19 pandemic. Conclusion: we provided death care (mainly through embalmment) for deceased bodies of suspected/confirmed COVID-19 cases in our resource poor setting using locally derived innovative means while still adhering to infection prevention/control measures to protect our death care workers in the mortuary.

Giant hydronephrosis associated with angiomyolipoma in an adult male: A case report.

Giant Hydronephrosis in the adult can reach elephantoid proportions, containing several liters of fluid. It can be associated with rare renal neoplasms. We present a 27 year old man with progressive painless abdominal distention whose imaging investigations (ultrasound and CT scan) disclosed a left GH. This was successfully removed en-bloc by simple nephrectomy via a midline laparotomy. Obstruction was at the UPJ, the mass contained 13.5L of fluid and histopathologic examination revealed Angiomyolipoma of the kidney and pelvis. This is a rare discovery in a rare pathology.

Retrospective Study of Abandoned Dead Bodies in the Morgue of a Tertiary Health Institution: The Identified, Unidentified and Unclaimed.

Background: Dead bodies in a morgue can be grouped into any of the following: identified- but-not-abandoned, unidentified/unclaimed and identified-but-abandoned. The first group, usually poses no challenge. The unidentified/unclaimed group is always a challenge to every morgue management, while little or nothing is known about the identified-but-abandoned group. Methodology: This is a retrospective study of all the unidentified/unclaimed dead bodies and the identified-but-abandoned dead bodies seen in the morgue of University of Uyo Teaching Hospital (UUTH), Uyo, Akwa Ibom State, Nigeria. The information for this study were gotten from UUTH morgue register and the data obtained were analyzed using Standard Package for Social Science (SPSS) version 20. Results: 114 dead bodies deposited in the morgue were studied, 89 of these bodies were identified-but-abandoned, while 25 were unidentified/unclaimed.For the identified-but-abandoned, the youngest bodies were that of day old neonates and the oldest body was an 87 year old male giving a mean age of 37.01 ± 20.88. Males accounted for 57.3% (n=51), while females accounted for 42.7% (n=38), with a male to female ratio of 1.3:1. Age groups 0-39 years accounted for 60.7% of the identified-but-abandoned bodies.The 25 unidentified/unclaimed bodies include 22 males and 3 females giving a male to female sex ratio of 7.3:1. There ages were not known. About 73.7% of the study population (n=84) were in-patients on treatment in the various wards of the hospital and died during the course of treatment while 30 dead bodies (26.3%), were brought in dead (BID). Direct relatives of the deceased (siblings or parents or children or spouse) deposited the bodies in the morgue in 37.8% of occasions, potters (ward maids) in 23.7% and security/uniform agencies in 23.7%. Conclusion: Identified-but-abandoned dead bodies exist. Relatives should be made to understand that the only right a dead person has, is at least a decent burial.