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Biomedical subjects

N E Agugua

Publications and source records attributed to N E Agugua.

4 recordsLinked to original sources
PubMed1989

Jugular phlebectasia.

The most common cause of a mass in the neck that appears only during straining is a laryngocele. However, the rare jugular phlebectasia may present in a similar manner. Dilatation of the internal jugular vein with a Valsalva maneuver suggests a mechanical obstruction in the neck or mediastinum, but the exact cause is still unknown. Nevertheless, dilated internal jugular veins have been excised, as in the case reported here, and found to have thinning of the wall but no associated abnormality.

Calcinosis↗
PubMedDate not supplied

Cloacal extrophy.

Extrophic lesions of the ventral abdominal wall are represented by a range of anomalies of which the most severe is cloacal extrophy. By 1986, only 190 cases were reported in the world literature and it is estimated that only 15 cases are seen in the United States of America per year. In Nigeria today, with improvement in antenatal and perinatal services, children who one or two decades ago would have been stillborns or products of miscarriages are now born alive. This paper reports a case of cloacal extrophy in a Nigerian neonate and reviews the current management of the condition.

Abnormalities, Multiple↗
PubMedDate not supplied

Gastroschisis a fifteen-year experience.

Seventeen neonates with gastroschisis were treated in the Paediatric Surgical Unit at the University of Nigeria Teaching Hospital, (UNTH), Enugu, between January 1971 and December 1985. The incidence of such babies who are alive to reach the Paediatric Surgeon has steadily increased. An overall mortality of 64.7% is noted but improvement in management has resulted in only two deaths in the last three years (33.3%). The decrease in mortality stems from efficient pre- and post-operative management, emphasizing preservation of body heat, decompression of stomach by nasogastric drainage, evacuation of reconium by rectal irrigation and total parenteral feeding. Stretching of the abdominal wall and primary closure is presently the treatment of choice. The occasional use of respiratory assistance contributed to the support of the infant in the immediate post-operative period.

Abdominal Muscles↗