Browsing by Author "Adeoye, P.O."

Now showing 1 - 4 of 4
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    Foreign bodies in the aerodigestive tract: time for comprehensive preventive measures
    (Makarere University Medical School, Kampala, Uganda, 2022) Adeoye, P.O.; Afolabi, O.A.; Omokanye, HK; Olaoye, I; Akanbi, O.R.; Segun-Busari, S; Abdulkadir, Mohammed Baba
    Background: Foreign body (FB) in the aerodigestive tract presents more commonly in children and remains a surgical emergency with potential for fatal complications. Objectives: To describe management and outcomes of aerodigestive FB managed at University of Ilorin Teaching Hospital (UITH) and proffer preventive measures. Methods: A 9-year retrospective review of all patients with foreign body in the aerodigestive tract managed between March 2011 and July 2020. Results: Sixty-six patients were studied. Median age was 9years with M:F ratio =1.6:1. FB was ingested in 38(57.6%) patients, aspira tion occurred in 28(42.4%). Denture was most common FB 20(30.3%); plastic whistle/valve placed in dolls or football accounted for 4(6.1%). When ingested, FB was impacted in cervical 17(44.7%), upper thoracic 10(26.3%) and middle thoracic 2(5.3%) oesophagus. Oesophagoscopy was used in 30(8.9%) for retrieval. When aspirated, FB was located in the right bronchus 10(35.7%), left bronchus 7(25.0%), hypopharynx and trachea 2(7.1%) each, and cricopharynx 1(3.5%); no FB was found in 3(10.7%) patients. Direct Laryngos copy was the method of retrieval in 3(10.1%) patients while others had rigid bronchoscopy. Mortality rate was 1.5%. Conclusion: Children are most vulnerable group. Preventive effort should include public health education and close monitoring of children by parents and care givers during play.
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    Left ventricular pseudoaneurysm: A rare but fatal condition.
    (Nigerian Cardiac Society, 2017) Ogunmodede, James Ayodele; Kolo, P.M.; Adeoye, P.O.; Adekeye, K.A.
    Left ventricular (LV) pseudoaneurysm (PA) is rarely seen and it is the result of free-wall myocardial rupture contained by overlying adherent pericardium, fibrous tissue without myocardial tissue. When it occurs, it is usually associated with myocardial infarction and is potentially prone to complications such as thromboembolic phenomenon and rupture with resultant cardiac tamponade. LV pseudoaneurysm is potentially fatal, and early detection with prompt treatment is important to prevent mortality. It is sometimes difficult to differentiate LV pseudoaneurysm from true aneurysm. It is, therefore, very important to use a combination of imaging modalities to evaluate the affected patients to confirm the diagnosis. We report the case of a fatal LV PA in a middle-aged man who had no history suggestive of prior myocardial infarction, diagnosed on two-dimensional Doppler echocardiography and contrast-enhanced computed tomography scan.
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    Open Heart Surgery in Ilorin: Case Report and Experience with the First Two Cases
    (College of Health Sciences, University of Ilorin, Nigeria, 2017) Adeoye, P.O.; Abdulkadir, M.B.; Kolo, P.M.; Ige, O.A.; Afolabi, J.K.; Ogunmodede, James Ayodele; Olawumi, H.O.; Adeboye, M.A.N.; Adedoyin, O.T.
    Open heart surgery is uncommonly done in Nigeria and restricted to few centres despite the burden of congenital heart disease. We present our first experience with open heart surgery at the University of Ilorin Teaching Hospital. A 15 years old female adolescent presented with a 2 years history of easy fatigability, dyspnoea on exertion and chest pain. Echocardiography revealed a large ostium secundum atrial septal defect. She had patch closure of the atrial septal defect. The second case was a 7 years old female child with stunted growth. Echocardiography confirmed an ostium secundum atrial septal defect and severe pulmonary valvular stenosis. She had patch closure of the atrial septal defect and pulmonary valvulotomy. Both patients are being followed up and doing well. The hospital has achieved a major milestone by performing its first open heart surgeries. A coordinated team approach yields good results in the development of capacity and facilities for performing open heart surgery in Nigeria.
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    Pleurisy, Pleural effusion, Empyema, Pneumothorax and Pneumomediastinum
    (Educational printing and publishing, Lagos Nigeria, 2016) Johnson, W.B.R.; Adeoye, P.O.; Abdulkadir, M.B.
    Inflammatory lesions of the lung parenchyma frequently involve the pleura. Pleural lesion of inflammatory origin is referred to as pleurisy. When there is no significant exudative pleural fluid accumulation associated with such a lesion, it is called dry or plastic pleurisy. On the other hand, pleural inflammation (frequently parapneumonic), associated with an appreciable accumulation of sero-fibrinous fluid is simply referred to as pleural effusion. A pleural effusion of purulent nature is otherwise known as empyema thoracis, or purulent pleurisy. In this section, the common paediatric inflammatory disorders of the pleura and their complications are discussed.