Oropharyngeal fetus-in fetu in Ilero Nigeria: A case report

Fetus-in-fetu is a rare congenital condition in which a malformed parasitic twin is found within the body of its partner. Although a few had been documented worldwide, none has been reported in Nigeria. In this report, we document the history of a concoction of drugs of an indeterminate nature taken in pregnancy, the wrong diagnosis by the rural based sonographer and the presence of polyhydraminos. Our finding of a previously misdiagnosed oropharyngeal fetus-in fetu with dichorionic and cardiac features calls for a revision of the current definition of fetus-in fetu. It also raises an important hypothesis of the likely associations between drugs, infections, pregnancy induced hypertension and fetus-in-fetu.Key words: Fetal abnormality; oropharyngeal fetus-in fetu; pregnancy

Quality of sleep and psychological morbidity among paramedical and medical students in Southwest Nigeria

Objective: The objective of this study was to compare the quality of sleep and psychological morbidity between medical students and paramedical students.Methods: A cross sectional survey of one hundred and eighty-six students of the College of Medicine, Olabisi Onabanjo University, Ogun State, Nigeria, were surveyed using socio-demographic questionnaires, Pittsburgh Sleep Questionnaire and General Health questionnaire.Results: The mean ages among paramedical students was 20.63±1.6 and medical students was 22.80±2.93 respectively. Medical Students had a higher percentage of those who had poor sleep quality (86.7% ,≥ 5, n=85) than the paramedical students (38.6%, n=34) and higher mean scores on General Health Questionnaire, M(SD) = 8.75(5.01) than the Paramedical group, M(SD) = 6.53(2.97) respectively.Conclusion: The findings in our study showed that medical students had poorer sleep quality and higher psychological morbidity in comparison to paramedical students, efforts should be made to reduce academic stress and improving sleep quality.Keywords: Sleep, Psychological Morbidity, Medical Students, Paramedical Students, Medical Educatio

Abortion Deaths in a Teaching Hospital in Nigeria

Abortion deaths remain in the forefront of causes of maternal deaths in many developing countries. Most of these deaths are the end point of complications arising from unsafe abortions. This study was to determine the size of the problem, its contribution to maternal mortality, biosocial stratification of the women and the causes of death in most cases. Abortion contributes 13.5% of maternal deaths during the period of study. Women between the ages 20 and 24 years constituted the majority (35.3%). These deaths occurred mainly in women who are petty traders (58.9%), married (64.7%) and at gestational age mostly between 13 and 17 weeks (58.9%). Infection as a composite group and hemorrhage were the leading complications that resulted in maternal death. The study emphasizes the role of quality post abortal services as a major remedy to the problem. Keywords: Abortion deaths, Teaching Hospital, Nigeria.Nigerian Journal of Health and Biomedical Sciences Vol. 6 (2) 2007: pp. 58-6

Extra Ovarian Serous Cystadenocarcinoma in the Broad Ligament

The embryonic remnants of the gonadal ridge and the genital duct apparatus, the Mullerian apparatus, remain atretic throughout the life of a woman. The definitive organs arising from these, the Ovary, Fallopian tubes, Uterus, Cervix and the Broad ligaments share common coelomic origin. Epithelial metaplasia in any of these organs may differentiate along any of the cell lines in these definitive organs. A. M. was a 52-year old para3+1 woman who presented with eighteen month history of increasing abdominal pain and discomfort, nine months history of progressive abdominal swelling, distension and weight loss. She had ascites that was cytologically positive for malignant cells. Abdominal ultrasonogram and other clinical indices were in keeping with advanced ovarian disease. At surgery findings were 1,450 mls of bloodstained ascitic fluid, uterus of about 16 weeks size, grossly normal ovaries and a huge multi-nodular and friable right broad ligament tumour. She had total abdominal hysterectomy, bilateral salpingo-oophorectomy and infra-colic omentectomy. The broad ligament mass was excised along with the delivery of the uterus, and revealed moderately differentiated serous cyst adenocarcinoma. This presentation demonstrates a rare condition of serous cystadenocarcinoma in the broad ligament found in our practice