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Biomedical subjects

D C Nwafo

Publications and source records attributed to D C Nwafo.

11 recordsLinked to original sources
PubMed1981

Intrathoracic manifestations of amoebiasis.

Thoracic symptoms were noted in 38 (86%) out of 44 patients with hepatic amoebiasis and dominated the clinical picture in 4 (9%), causing dangerous delay in initiating appropriate treatment. Thoracic amoebiasis characteristically presents as a febrile illness with cough, chest pain, and point tenderness in an intercostal space or the right upper quadrant of the abdomen. Haemoptysis, diarrhoea, and dysentery are uncommon, occurring in approximately equal proportions (9%). The most important factor in clinical recognition is awareness of the possibility of the lesion. Chest radiography, serological tests, and therapeutic trials give corroborative evidence. In endemic areas thoracic amoebiasis should always be considered in the evaluation of obscure, especially right-sided, respiratory symptoms.

Adolescent↗
PubMed1980

Selective primary suture of the battle-injured colon: an experience of the Nigerian Civil War.

During the 1967-9 phase of the Nigerian Civil War, 38 primary sutures of battle-injured colons were carried out, with 3 deaths, all in patients with severe concomitant injuries to the liver, diaphragm and right iliac crest. In carefully selected cases--one-third of the total--primary suture was a safe and reliable technique for dealing with battle-lacerated colons. Although there was a substantial morbidity (71 per cent) from wound sepsis, there was also a considerable reduction in the period spent in hospital.

Adult↗
PubMed1980

Malignant disease of the colon, rectum, and anus in Nigerian Igbos.

An account is given of 5 anal and 36 colorectal cancers occurring in Nigerians of the Igbo ethnic group. The rectum was the site of predilection for colorectal growths, and most rectal growths occurred in males. In contrast to the situation in the Western world the disease is rare, affects relatively younger patients, and is often advanced at presentation. Dietary factors probably play no significant role in the aetiology of the disease.

Adult↗
PubMed1978

Heterotopic mediastinal goitre.

The unusual coexistence in a woman of 34 years of a cervical thyroid and a heterotopic mediastinal thyroid is recorded. Both thyroids had undergone non-toxic nodular enlargement. Recurrent enlargement was noted in the cervical gland 12 months after transpleural thoracic removal of the mediastinal goitre, whilst no corresponding change has so far been noted in the mediastinum. The literature on heterotopic thyroid is briefly reviewed and the diagnosis discussed.

Adult↗
PubMed1978

Giant fibromyxoma of the parietal pleura.

A 23-year-old Nigerian man with a giant (8.5 kg) benign intrathoracic fibromyxoma presented in respiratory distress with what looked clinically and radiologically like a massive left-sided pleural effusion. The correct preoperative diagnosis was suggested by an almost 'dry tap' together with a solid resistance to the aspiring needle at chest aspiration. Complete removal was successfully accomplished through an extended left thoracotomy. The pathology, clinical features, and treatment of localised pleural fibromas are briefly discussed.

Adult↗
PubMedDate not supplied

Impacted esophageal foreign bodies of dental origin.

The use of dentures is becoming common even among Africans. So also is the problem of swallowed and impacted dentures. Their radiolucence makes radiological localization almost impossible, and because of their rigidity, large size, irregular and unyielding edges, impacted dentures are apt to produce lacerations during endoscopic removal from gullets rendered friable by impaction. Three patients with impacted radiolucent dentures are described in order to illustrate the problems of removal. It is suggested that the safest most effective method of removing impacted dentures in the esophagus is through an elective open esophagotomy.

Adult↗