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Biomedical subjects

E S Garba

Publications and source records attributed to E S Garba.

5 recordsLinked to original sources

Achalasia cardia and gastric outlet stenosis in a postmenopausal woman: case report.

The orderly contractility of the oesophagus and the regulated ability of the pyloric sphincter allow the influx and efflux of gastric contents. When these physiological processes are impaired, gastric luminal transit is altered as expected in achalasia cardia and gastric outlet obstruction. Movement across the inlet and outlet of the stomach is therefore altered. A case of a 58-year old woman diagnosed with simultaneous occurrence of achalasia cardia and gastric outlet stenosis resulting from chronic duodenal ulcer is presented. The diagnosis was based on clinical, radiological and intraoperative findings. This patient has remained well after a simultaneous anterior cardiomyotomy and H-M pyloroplasty. To my knowledge this is the first time that such an association causing gastric "inlet" and "outlet" obstruction has been reported.

Constriction, Pathologic↗

Isolated rupture of an accessory liver from blunt abdominal trauma in childhood.

An accessory liver is uncommonly encountered in surgical practice. It can rarely cause acute abdominal pain. An isolated injury to an accessory liver from blunt trauma in a 10-year-old boy caused major intraperitoneal haemorrhage. Laparotomy and excision of the lacerated accessory liver lobe was necessary; the patient recovered uneventfully. The literature on accessory liver is reviewed.

Abdominal Injuries↗

Traditional bone setting: a risk factor in limb amputation.

Over a period of ten years a total of 225 limb amputations were performed at Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. The major pathology leading to amputation was trauma and gangrene due to inappropriate splintage of fractures (63.2%) by traditional bone setters. The male:female ratio was 4.6:1 and the ages ranged from two to 85 years. The commonest level of amputation was above elbow amputation (26.6%) followed by above knee amputation. Most of these amputations are preventable if the traditional bone setters avail themselves for training to recognise the impending features of limb ischaemia as well as the introduction of some refinement into their practice.

Adolescent↗