PubMed Health⌕ Search

Biomedical subjects

S Y Sabo

Publications and source records attributed to S Y Sabo.

8 recordsLinked to original sources
PubMed2001

Pyomyositis in adults: a 12 year review.

From January 1988 to December 1999, 43 adults with pyomyositis were managed at Ahmadu Bello UniversityTeaching Hospital, Zaria, Nigeria. Staphylococcus aureuswas the most commonly cultured organism (92.5%). All the 41 patients responded well to incision and adequate drainage, antibiotics and partial thickness skin grafting in 10 patients (23.2%).Two patients (4.65%) died from septicaemia, while being resuscitated.

Adolescent↗
PubMed1999

Small bowel and mesenteric injury following traditional treatment and self-inflicted trauma to inguinal hernia.

Inguinal hernia is a common indication for emergency surgery in our environment after intestinal obstruction. Occasionally other rare indications may be seen. Recently, two patients with such unusual presentation were managed in this institution. One had his hernia incised, by a traditional barber with evisceration and the other incised his hernia himself with evisceration and laceration of the small bowel. Both patients were successfully managed. The menace of traditional barbers and medical ignorance in tropical Africa are reported.

Adult↗
PubMed1999

Obstructing duodenal ulcers in a tropical population.

OBJECTIVE: To characterise the pattern and pathology of obstructing duodenal ulcers in Zaria, Nigeria in the last seventeen years. DESIGN: A retrospective study. SETTING: Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. PATIENTS: Fifty eight patients who had surgery for obstructing duodenal ulcer. RESULTS: The mean age was 36.6 years and male/female was ratio 3.6:1. The frequency of obstruction has been on an increase, reaching a peak in 1995 and has remained high. This period coincided with a fall in the frequency of perforation. Obstruction was due to cicatrisation in 48%, cicatrisation and adhesions in 28%, adhesions alone in 16% and inflammatory oedema in eight per cent. Three patients with adhesion had evidence of sealed or treated perforation. Seventy one per cent of the adhesions occurred during the period of rapid rise in the frequency of obstruction. Truncal vagotomy and drainage was performed after three to five days of nasogastric drainage of the stomach. Post-operative gastric atony occurred in one patient and mortality was 1.7%. There was one short term recurrence. CONCLUSION: Gastric outlet obstruction is now the commonest indication for duodenal ulcer surgery in this population. Obstruction need not be due to cicatrisation alone. Peripyloric adhesion, perhaps from previous perforation is often the cause of obstruction. Prolonged gastric drainage before and after surgery is not necessary. Truncal vagotomy and drainage is an effective treatment.

Adolescent↗
PubMed1998

The risk of infective thyroiditis in nodular goitres.

Infective thyroiditis which was more common in the pre-antibiotic era is now rare in developed countries but continues to occur in less developed areas. Over a 10-year period in Zaria, Nigeria which is situated in an endemic goitre region, nine such patients were treated. All were females, 30-50 years of age and had pre-existing, long-standing multinodular goitres. During the period, 84 patients (including the nine patients) with endemic multinodular goitres were treated, giving an infective rate of 10.7% in these goitres. Treatment was by adequate incision and drainage in all patients with suppuration. Staphylococcus aureus was the commonest organism cultured and Streptococcus Pyogenes and Pseudomonas were the infective agents in a minority. Only one patient required thyroidectomy later, the goitre having disappeared in the other patients. One patient developed hypothyroidism requiring replacement therapy with thyroxine. Thyroid abscess remains an ever present risk in endemic multinodular goitres in our environment. Early presentation after onset of pain, prompt administration of appropriate antibiotics and thyroidectomy soon after is likely to reduce the risk of abscess formation in these goitres.

Adult↗