Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria
Haematoma is a common complication of surgical operations. Haematoma of traumatic origin is often... more Haematoma is a common complication of surgical operations. Haematoma of traumatic origin is often associated with severe and extensive injuries. In patients with disorders of blood coagulation, haematoma may occur even after trivial injuries. This paper aims to report a case of massive penoscrotal haematoma. The case record of a haemophiliac with massive penoscrotal haematoma and relevant literature on the disease were reviewed. A 43 year old haemophiliac who developed extensive penoscrotal haematoma following trivial injury to his left groin which had to be evacuated operatively and his haemostatic function stabilised with factor VIII concentrate. He developed secondary haemorrhage post operatively and had antibiotics and further transfusion of whole blood and factor VIII concentrate. His wounds healed and he was discharged after two months of hospitalisation. He was followed up in the out-patient clinic for six months without any further bleeding. Operative evacuation of the haema...
Background:Urine stone disease is increasingly becoming a common diagnosis in Sub-Saharan Africa.... more Background:Urine stone disease is increasingly becoming a common diagnosis in Sub-Saharan Africa. Different factors have been outlined as the cause. The incidence of associated renal function loss is also on the increase. Different management protocols and techniques have been proposed. Availability of newer technological adjuncts is not universal. Aim: to present management of urinary tract stones in a resource limited centre. Material and methods: A ten-year retrospective study of patients treated for urolithiasis was conducted in the University of Port-Harcourt teaching hospital from Jan 2007 to Nov 2017. Data on the age, sex, underlying clinical condition, location of the stone as well as surgical procedures done were collected. Qualitative analysis of the stones was carried out. Data was analysed with SPSS version 20.0 Results: Eighty-nine patients were treated with urinary calculi within the study period. The occurrence of urinary tract stones was found to be greater in males ...
Journal of the West African College of Surgeons, 2012
This is a follow up to a study done at the University of Port Harcourt Teaching Hospital (UPTH) 1... more This is a follow up to a study done at the University of Port Harcourt Teaching Hospital (UPTH) 11 years ago on the management of prostate cancer. To assess the current pattern in the management of prostate cancer in Port Harcourt, Nigeria and the impact of changes in diagnosis and treatment. All the case notes of prostate cancer presenting in the University of Port Harcourt Teaching Hospital between January 2003 and December 2012 were reviewed. Data on demography, clinical presentations, co-morbidities, investigations, treatment, complications and outcome of treatment were extracted and analyzed using SPSS 20.0 0 RESULTS: A total of 294 histologically confirmed patients with cancer of the prostate were treated within the study period. Out of these, 216 (73.5%) case notes were analysed. The mean age was 69.9 years (51 -90 years). All the patients had lower urinary tract symptoms, 30 (14.0%) had haematuria while 19(8.8%) presented with paraplegia. The prostate specific antigen (PSA) ...
Background: Prostate cancer causes significant morbidity and mortality among African men. Anaemia... more Background: Prostate cancer causes significant morbidity and mortality among African men. Anaemia is a known association of cancer patients. Aim: To determine the prevalence and risk factors for anaemia in prostate cancer (CaP) patients in Nigeria. Method: A prospective study of prostate cancer patients and matched healthy controls, clinical data were obtained and samples were taken for Haemoglobin estimation. Data analysed using EPI Info, version 6.0 . Result: A total of 128 men were recruited for the study, 88 men with histologically proven prostate cancer and 40 otherwise healthy male controls. The mean haemoglobin for the cancer patients’ population was 10.79 ± 2.20g/dl and 13.59± 2.02g/dl in controls (p=0.001). Thirty four patients (38.64%) had anaemia. There was a statistically significant reduction in the haemoglobin levels of the patients with metastasis, compared with those with localized disease, (p=0.001). Increased number of co-morbidities in the patients significantly a...
ABSTRACT Background: Patients with chronic myeloid leukemia (CML) have diverse modes of clinical ... more ABSTRACT Background: Patients with chronic myeloid leukemia (CML) have diverse modes of clinical presentation. Priapism is a rare clinical presentation of CML. Aim: To report two cases of CML who first presented as priapism at the University of Port Harcourt Teaching Hospital (UPTH). Case report: Case notes of two patients who presented to the Urology Unit of UPTH between December 2008 and October 2011 with priapism and CML were reviewed. Their clinical features, findings on physical examination, results of investigations, treatment modalities and outcome of treatment were documented. Case 1 was a 60-year-old man who had splenomegaly for two years and six months after splenectomy developed priapism. White cell count at presentation was 360 x 109/L; he was Philadelphia chromosome positive. Case 2 was a 26-year-old man who presented with priapism. In the course of evaluation, he was discovered to have a White Blood Cell (WBC) count of 365 x 109/L. Both cases had surgical intervention to achieve detumescence. Thereafter, they were commenced on chemotherapy. Both patients developed erectile dysfunction after treatment because of late presentation. Conclusion: Though rare, CML may present as priapism. A high index of suspicion will aid diagnosis. Full haematological work-up should be the standard practice in all patients presenting with priapism. Surgical intervention is necessary in cases due to myeloproliferative disorders. Keywords: Priapism, Chronic myeloid leukaemia, Hyperleucocytosis
ABSTRACT Background: The infant feeding tube is a cheap and readily available device with many us... more ABSTRACT Background: The infant feeding tube is a cheap and readily available device with many uses in the urinary tract. Many types of stents are available in the market but among other factors, cost and affordability limit their use in developing countries and remote areas. Aim: To document experience with infant feeding tubes as stents in the urinary tract. Methods: Data from the hospital records of patients who required stents at the University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria were obtained from their case notes from May 2003 to May 2006. Information extracted from these case notes included: age and sex of patient, indications for stenting, stent-related complications and outcome of surgery. The data were analysed using Microsoft Excel Software. Results: Thirty-three patients who required stents within the period were included in the study. In nineteen patients (57.6%) feeding tubes were used as urethral stents while in 14 (42.4%) as ureteric stents. Operations requiring stents include: dismembered pyeloplasty 9.1% (3), ureteric re-implantation 24.3% (8), ureterolithotomy 9.1% (3), and urethroplasty 57.6% (19). The stents were left in situ for 2-3 weeks depending on the indication. Ureteric stents were left for 3 weeks while urethral stents were usually left for 2 weeks. However, where a significant complication was noted, the stent was removed. Complications noted in 4 patients (12.1%) which were probably stent-related include: bladder spasm, infection and wound dehiscence. Conclusion: Infant feeding tubes can be used as suitable urinary tract stents where expensive stents are not available.
Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria
Haematoma is a common complication of surgical operations. Haematoma of traumatic origin is often... more Haematoma is a common complication of surgical operations. Haematoma of traumatic origin is often associated with severe and extensive injuries. In patients with disorders of blood coagulation, haematoma may occur even after trivial injuries. This paper aims to report a case of massive penoscrotal haematoma. The case record of a haemophiliac with massive penoscrotal haematoma and relevant literature on the disease were reviewed. A 43 year old haemophiliac who developed extensive penoscrotal haematoma following trivial injury to his left groin which had to be evacuated operatively and his haemostatic function stabilised with factor VIII concentrate. He developed secondary haemorrhage post operatively and had antibiotics and further transfusion of whole blood and factor VIII concentrate. His wounds healed and he was discharged after two months of hospitalisation. He was followed up in the out-patient clinic for six months without any further bleeding. Operative evacuation of the haema...
Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria
Haematoma is a common complication of surgical operations. Haematoma of traumatic origin is often... more Haematoma is a common complication of surgical operations. Haematoma of traumatic origin is often associated with severe and extensive injuries. In patients with disorders of blood coagulation, haematoma may occur even after trivial injuries. This paper aims to report a case of massive penoscrotal haematoma. The case record of a haemophiliac with massive penoscrotal haematoma and relevant literature on the disease were reviewed. A 43 year old haemophiliac who developed extensive penoscrotal haematoma following trivial injury to his left groin which had to be evacuated operatively and his haemostatic function stabilised with factor VIII concentrate. He developed secondary haemorrhage post operatively and had antibiotics and further transfusion of whole blood and factor VIII concentrate. His wounds healed and he was discharged after two months of hospitalisation. He was followed up in the out-patient clinic for six months without any further bleeding. Operative evacuation of the haema...
Background:Urine stone disease is increasingly becoming a common diagnosis in Sub-Saharan Africa.... more Background:Urine stone disease is increasingly becoming a common diagnosis in Sub-Saharan Africa. Different factors have been outlined as the cause. The incidence of associated renal function loss is also on the increase. Different management protocols and techniques have been proposed. Availability of newer technological adjuncts is not universal. Aim: to present management of urinary tract stones in a resource limited centre. Material and methods: A ten-year retrospective study of patients treated for urolithiasis was conducted in the University of Port-Harcourt teaching hospital from Jan 2007 to Nov 2017. Data on the age, sex, underlying clinical condition, location of the stone as well as surgical procedures done were collected. Qualitative analysis of the stones was carried out. Data was analysed with SPSS version 20.0 Results: Eighty-nine patients were treated with urinary calculi within the study period. The occurrence of urinary tract stones was found to be greater in males ...
Journal of the West African College of Surgeons, 2012
This is a follow up to a study done at the University of Port Harcourt Teaching Hospital (UPTH) 1... more This is a follow up to a study done at the University of Port Harcourt Teaching Hospital (UPTH) 11 years ago on the management of prostate cancer. To assess the current pattern in the management of prostate cancer in Port Harcourt, Nigeria and the impact of changes in diagnosis and treatment. All the case notes of prostate cancer presenting in the University of Port Harcourt Teaching Hospital between January 2003 and December 2012 were reviewed. Data on demography, clinical presentations, co-morbidities, investigations, treatment, complications and outcome of treatment were extracted and analyzed using SPSS 20.0 0 RESULTS: A total of 294 histologically confirmed patients with cancer of the prostate were treated within the study period. Out of these, 216 (73.5%) case notes were analysed. The mean age was 69.9 years (51 -90 years). All the patients had lower urinary tract symptoms, 30 (14.0%) had haematuria while 19(8.8%) presented with paraplegia. The prostate specific antigen (PSA) ...
Background: Prostate cancer causes significant morbidity and mortality among African men. Anaemia... more Background: Prostate cancer causes significant morbidity and mortality among African men. Anaemia is a known association of cancer patients. Aim: To determine the prevalence and risk factors for anaemia in prostate cancer (CaP) patients in Nigeria. Method: A prospective study of prostate cancer patients and matched healthy controls, clinical data were obtained and samples were taken for Haemoglobin estimation. Data analysed using EPI Info, version 6.0 . Result: A total of 128 men were recruited for the study, 88 men with histologically proven prostate cancer and 40 otherwise healthy male controls. The mean haemoglobin for the cancer patients’ population was 10.79 ± 2.20g/dl and 13.59± 2.02g/dl in controls (p=0.001). Thirty four patients (38.64%) had anaemia. There was a statistically significant reduction in the haemoglobin levels of the patients with metastasis, compared with those with localized disease, (p=0.001). Increased number of co-morbidities in the patients significantly a...
ABSTRACT Background: Patients with chronic myeloid leukemia (CML) have diverse modes of clinical ... more ABSTRACT Background: Patients with chronic myeloid leukemia (CML) have diverse modes of clinical presentation. Priapism is a rare clinical presentation of CML. Aim: To report two cases of CML who first presented as priapism at the University of Port Harcourt Teaching Hospital (UPTH). Case report: Case notes of two patients who presented to the Urology Unit of UPTH between December 2008 and October 2011 with priapism and CML were reviewed. Their clinical features, findings on physical examination, results of investigations, treatment modalities and outcome of treatment were documented. Case 1 was a 60-year-old man who had splenomegaly for two years and six months after splenectomy developed priapism. White cell count at presentation was 360 x 109/L; he was Philadelphia chromosome positive. Case 2 was a 26-year-old man who presented with priapism. In the course of evaluation, he was discovered to have a White Blood Cell (WBC) count of 365 x 109/L. Both cases had surgical intervention to achieve detumescence. Thereafter, they were commenced on chemotherapy. Both patients developed erectile dysfunction after treatment because of late presentation. Conclusion: Though rare, CML may present as priapism. A high index of suspicion will aid diagnosis. Full haematological work-up should be the standard practice in all patients presenting with priapism. Surgical intervention is necessary in cases due to myeloproliferative disorders. Keywords: Priapism, Chronic myeloid leukaemia, Hyperleucocytosis
ABSTRACT Background: The infant feeding tube is a cheap and readily available device with many us... more ABSTRACT Background: The infant feeding tube is a cheap and readily available device with many uses in the urinary tract. Many types of stents are available in the market but among other factors, cost and affordability limit their use in developing countries and remote areas. Aim: To document experience with infant feeding tubes as stents in the urinary tract. Methods: Data from the hospital records of patients who required stents at the University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria were obtained from their case notes from May 2003 to May 2006. Information extracted from these case notes included: age and sex of patient, indications for stenting, stent-related complications and outcome of surgery. The data were analysed using Microsoft Excel Software. Results: Thirty-three patients who required stents within the period were included in the study. In nineteen patients (57.6%) feeding tubes were used as urethral stents while in 14 (42.4%) as ureteric stents. Operations requiring stents include: dismembered pyeloplasty 9.1% (3), ureteric re-implantation 24.3% (8), ureterolithotomy 9.1% (3), and urethroplasty 57.6% (19). The stents were left in situ for 2-3 weeks depending on the indication. Ureteric stents were left for 3 weeks while urethral stents were usually left for 2 weeks. However, where a significant complication was noted, the stent was removed. Complications noted in 4 patients (12.1%) which were probably stent-related include: bladder spasm, infection and wound dehiscence. Conclusion: Infant feeding tubes can be used as suitable urinary tract stents where expensive stents are not available.
Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria
Haematoma is a common complication of surgical operations. Haematoma of traumatic origin is often... more Haematoma is a common complication of surgical operations. Haematoma of traumatic origin is often associated with severe and extensive injuries. In patients with disorders of blood coagulation, haematoma may occur even after trivial injuries. This paper aims to report a case of massive penoscrotal haematoma. The case record of a haemophiliac with massive penoscrotal haematoma and relevant literature on the disease were reviewed. A 43 year old haemophiliac who developed extensive penoscrotal haematoma following trivial injury to his left groin which had to be evacuated operatively and his haemostatic function stabilised with factor VIII concentrate. He developed secondary haemorrhage post operatively and had antibiotics and further transfusion of whole blood and factor VIII concentrate. His wounds healed and he was discharged after two months of hospitalisation. He was followed up in the out-patient clinic for six months without any further bleeding. Operative evacuation of the haema...
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