Childhood Bone Tumours Seen at the National Orthopaedic Hospital Enugu

Objective: To study the pattern of bone tumours seen in children aged 0 – 14 years presenting at the National Orthopaedic Hospital Enugu from January 1982 to December 1991. Method: A retrospective study. Results: A total of 51 children aged 2-15 years presented with bone tumours out of a total of 2,216 children aged 0-15 years who presented to the hospital during the period under study. 27 were males while 24 were females giving a male: female ratio of 1.1:1. 60.8% of the patients were between 11 and 15 years of age. 68.6% of the tumours were benign while the rest were malignant. The commonest benign tumour was Osteochondroma (27.5% of all bone tumours) while the commonest malignant tumour was osteosarcoma (21.6% of all bone tumours). Conclusions: Bone tumours are relatively rare in children. The commonest benign bone tumour in children is osteochondroma while the commonest malignant bone tumour in children is osteosarcoma. Ewing's Sarcoma occurs in Nigerian children. Key Words: Bone Tumour, Children Jnl of Medical Investigation and Practice Vol.1 2000: 49-5

Colitis Cystica Profunda Presenting As Colo Colic Intussusception In An Adult: A Case Report

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Management of Pleural Fluid Collection with Tube Thoracostomy in a Tertiary Health Facility in Abakaliki, Nigeria.

Context: Fluid collection in the pleural space following pleural and pulmonary disease and trauma remain a major problem in developing countries. The judicious use of antibiotics and tube thoracostomy remains a management modality. Objective: To determine the pattern, indications and complications associated with tube thoracostomy in a tertiary health centre. Methods: Descriptive analysis of retrospective data on all patients who underwent tube thoracostomy at the Ebonyi State University Teaching Hospital, Abakaliki betweem 2000 and 2005. Results: There was a total of eigty five cases during the study period with a male to female ratio of 2:1. Twenty patients (23.5%) were below 10 years of age. Infective cases accounted for 52 (61.2%) of the cases that had thoracostomy. Fifty-two patients had tube drainage for twelve days or less. Complications were recorded in 22 (25.9%) patients, and dislodgement of the tube accounted for about half of the cases. There were eight failures (9.4%) and four deaths (4.7%). However, no death was related to the procedure. Conclusion: Closed tube thoracostomy is a simple and efficacious procedure for the treatment of pleural space collections such as empyema. The safety of the procedure can be improved upon by adequate training of residents in the insertion procedure, while proper selection of cases will reduce failure rate and unnecessary morbidity. Early resort to thoracoscopic op open surgery when closed tube thoracostomy has failed will improve the success rate in the overall management of pleural fluid collections.Key words: Tube thoracostomy, indications, outcome and complications

Case report - Lassa Fever Mimicking Ectopic Pregnancy: A Report Of Three Cases

No Abstrac