Giant Unilocular Intra-Abdominal Abscess after Caesarean Section Mimicking Intestinal Obstruction

Intra abdominal abscess (IAA) following Caesarean section (CS) is rarely unilocular. A giant one 1+ 0 diagnosed 5weeks after CS in a 30-year-old woman, para is presented. The clinical presentation mimicked intestinal obstruction. This presentation emphasized the relevance of plain radiograph and ultrasound in the management of IAA, and discussed the unfavourableoutcome of open laparotomy drainage in the patient. We warn that a healthy postoperative period does not exclude the possibility of a developing intra-abdominal abscess and concluded base on the catastrophic outcome of open laparotomy drainage in this case, that percutaneous drainage may be safer and should be the initial option to in giant IAA

Spontaneous Intra-Peritoneal Urinary Bladder Rupture Complicating Benign Prostate Hyperplasia: Case Report

A case of a rare atraumatic spontaneous rupture of the urinary bladder in a 62-year-old man with benign prostate hyperplasia who presented with anuria, abdominal pain and abdominal distension is reported. He had declined prostatectomy for two and a half years on financial ground. In addition to the presenting history, the presence of free intraperitoneal fluid and abdominal rigidity heightened the clinical suspicion of the diagnosis. This was confirmed by the laboratory demonstration of uroperitoneum and ultrasonographic demonstration of rent in the urinary bladder wall. About 6 litres of urine, mixed with blood, was drained following a moderately difficult trans-urethral bladder catheterization. This led to the spontaneous disappearance of the abdominal distension and healing of the bladder rupture as confirmed by ultrasonography and cystography on the eighth day of presentation. He had urethro-cystoscopy and retropubic prostatectomy electively two months later and has remained well on follow up

Posterior reversible encephalopathy syndrome in a adult female

Posterior reversible encephalopathy syndrome is a clinico-neuroradiologic diagnosis, with rapidly evolving neurologic condition, characterized by headache, confusion, altered mental status, seizures, cortical blindness, lethargy, stupor, and occasionally, focal neurological signs accompanied by a typical computed tomography or magnetic resonance imaging pattern. With early recognition and treatment, complete resolution of symptoms occurs. Typical imaging findings characteristically involve the white matter bilaterally in the parieto-occipital regions. Atypical imaging finding of contrast enhancement of lesion can occur, but is less common. A 20-year-old primiparous lady presented with posterior reversible encephalopathy syndrome. To the best of our knowledge, this is the first documented case in Nigeria. This case-report highlights the importance of recognizing the salient imaging features in this lethal but reversible entity with prompt management.Keywords: Female, leukoencephalopathy, Nigerian, posterior, reversibl

Peripheral vascular surgical procedures in Ilorin, Nigeria: indications and outcome

Background: Data on peripheral vascular surgical interventions from Nigeria is scanty. Reports form Western and Eastern Nigeria dates back about twodecades. This study therefore analyses the various etiological conditions necessitating intervention, and their outcome. Methods: A retrospective analysis of patients requiring surgical intervention on peripheral vessels from a prospectively collected single surgeon database over a two-year period was conducted. Data were analysed using SPSS version 15.0 windows statistical package. Results: Fourteen peripheral vascular surgical procedures were performed. The age range was 2-70years (24.4±16.3) with five cases (35.7%) in 20-29year group. Trauma accounted for 11 (73.3%) cases. Upper limb involvement occurred in 7 (63.6%) of the traumatic cases whereas all 2 true aneurysm occurred in the lower limb. Direct repair was possible in re-establishing anatomic continuity in about 64% of cases. Of the six morbidities, wound infection accounted for 50% followed by failure of re-vascularizaton (33.3%) and there was one mortality. Conclusion: Trauma is the leading cause of peripheral vascular condition necessitating surgery from our study. Young adults predominate. Though direct repair are often feasible, there is a need for the availability of graft options. Wound infection constitutes the highest post-operative morbidity