Congenital Splenic Anomalies in a Child: Incidental Ultrasonographic Findings and a Case Report
Sule MB, Sa’idu SA, Ma’aji SM, Danfulani M, Yunusa GH, Umar AU, Gele IH, Umar FK
DOI : 10.36344/ccijmb.2021.v03i01.002 | Cross Current Int J Med Biosci | 2021 | 3(1) | 5-8 |
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Abstract: The spleen is the largest encapsulated lymphoid and intraperitoneal organ in the human body located in the left hypochondrium, and consisting of the white pulp for the immune system and the red pulp for phagocytoses of blood elements. Congenital anomalies of the spleen may vary, ranging from those of the shape, size and location, among which are lobulation, clefts and notches, accessory spleen, wandering spleen and polysplenia. This is a 10-year-old male child referred for an abdominal and pelvic ultrasonography on account of urinary infection (UTI), had no history of trauma and instrumentation to the abdomen or left hypochondrial region. The abdominopelvic ultrasonogram showed a normal sized spleen with a diameter of 110mm, that showed a deep and central fissure extending superior and right medially on the diaphragmatic surface of the spleen. Linear echolucent areas are also demonstrated bilaterally; fissures, multiple notches are also noted on the superior border and clefts; appearing as linear echolucent areas on the superior border dividing it in to lobules. These clefts measure about 2cm from the superior border of the spleen. No accessory or multiple splenic tissues or wandering spleen is however demonstrated. The abdominal organs show normal situs. We report the ultrasonographic appearance of congenital anomalies involving the shape of the spleen in a 10-year-old child due to its peculiar presentation.
Congenital Right Hand Syndactyly in a child: Plain Radiographic Features and Case Report
Sule MB, Sa’idu SA, Ma’aji SM, Danfulani M, Yunusa GH, Umar AU, Gele IH, Umar FK
DOI : 10.36344/ccijmb.2021.v03i01.003 | Cross Current Int J Med Biosci | 2021 | 3(1) | 9-12 |
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Abstract: Syndactyly is a Greek word meaning fused digits, may involve fusion of the soft tissues with or without bony fusion. It is regarded as the most common congenital defect of the hand, detected in 1 out of every 2000 live births, twice as common in males, and more among the Caucasians. This is a 10-month-old male infant that was referred for plain radiograph of the right hand on account of completely fused 2nd to 5th digits and an incompletely fused 1st digit with medial deviation since birth. The plain radiograph showed soft tissue fusion of the 2nd to 4th web spaces completely with a partially fused 1st web space. There is associated fusion of the distal phalanges of the 4th and 5th digit, foreshortening of the 3rd and 4th metacarpals with the middle phalanges of the 2nd and 5th digits. There is flexion of the interphalangeal joint and medial deviation of the 1st digit. There is also haphazard arrangement of the metacarpals and phalanges most especially the 3rd and 4th digits. Prominence of the thenar and hypothenar eminences with mild ulnar deviation of the entire right hand were also demonstrated. The contralateral left hand appears within normal limits, a complementary ultrasound showed normal abdominal organ situs. A diagnosis of congenital syndactyly most likely the complex-complicated form in a 10-month-old infant was established. The surgical repair to establish function and achieve excellent aesthetics was deferred until the child clocks about 24-months of age. We report a case of congenital syndactyly of the right hand due to its radiographic form of presentation in this 10-month-old infant.
Solitary Cervical Spne Osteochondroma Presenting as a Hard-Left Lateral Neck Mass in a Young Lady in a Low Resource Setting: A Case Report
Sule MB, Sa’idu SA, Ma’aji SM, Danfulani M, Yunusa GH, Umar AU, Gele IH, Umar FK
DOI : 10.36344/ccijmb.2021.v03i01.001 | Cross Current Int J Med Biosci | 2021 | 3(1) | 1-4 |
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Abstract: Spinal osteochondroma are basically of two forms, these are spinal osteochondromas in patients with multiple osteochondromas and solitary osteochondromas occurring in the spine. Osteochondromas are more prevalent among the male gender and has an age of onset between 20-30 years. This is a 27-year-old lady that was referred for plain radiograph of the cervical region on account of a hard mass on the left aspect of the neck that was slowly growing for two years duration. He patient also complained of occasional left shoulder, forearm, wrist and hand pain with occasional numbness. The plain radiography was done in both anterior-posterior and lateral projection, showed a soft tissue density fullness and an expansile missed sclerotic and lucent lesion/mass involving the spinous processes of the second to sixth cervical vertebrae. The expansile, and mixed sclerotic and lucent appearance of this area proffered the differential of a solitary cervical spinal osteochondroma. The patient had surgical excision of the tumor, and histopathologic assessment of the tumor confirmed osteochondroma. We report the radiologic finding of a case of Solitary cervical spine osteochondroma in a 27-year-old lady due to its rare nature and presentation.
Obstructive Left Ureterovesical Junction Calculus Presenting With Left Loin and Groin Pain in a Male Child: The Ultrasonographic Findings and Case Report
Sule MB, Sa’idu SA, Ma’aji SM, Danfulani M, Yunusa GH, Umar AU, Gele IH, Umar FK
DOI : 10.36344/ccijmb.2020.v02i12.001 | Cross Current Int J Med Biosci | 2020 | 2(12) | 180-184 |
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Abstract: Ureterovesical junction (UVJ) obstruction refers to a blockage to this area causing hindrance to flow of urine down to the bladder, leading to urine back up into and causing dilatation of the ureters and kidney (megaureter and hydronephrosis). This is a 5-year-old male child referred for abdominal, pelvic and scrotal ultrasonography on account of moderate to severe supra-pubic pain radiating to the left loin and scrotal region with associated vomiting, sweating, occasional hematuria, increased urinary frequency and urinary tract infection for almost a year duration. The abdominal and pelvic ultrasonogram showed an oval echogenic area with posterior acoustic shadow measuring about 10mm in mediolateral dimension impacted at the left UVJ with associated dilatation of the left ureter, left calyceal moieties and pelvis. There is associated enlargement of left kidney with a bipolar length of about 144mm. A diagnosis of an obstructed left UVJ by an impacted calculus with associated hydronephrosis was established. The patient had a successful cystoscopy with pneumatic lithotripsy for surgical removal of the calculus, he got better and discharged home afterwards. We present a case of UVJ obstruction in a 5-year-old child due to its peculiar presentation, and to review the ultrasonographic findings.
The Lunar Cycle and Its Relationship to Dental Emergencies: Acute Pulpitis
Ayse Zeynep Zengin, Emre Bodrumlu, Yesim Deniz
DOI : 10.36344/ccijmb.2020.v02i11.002 | Cross Current Int J Med Biosci; 2020, 2(11): 177-179
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Abstract: The aim of this study is to investigate a possible relationship between the full moon/lunar cycle and acute irreversible pulpitis emergencies. Acute pulpitis patients treated at the Department of Endodontics over a 3-year period were reviewed. Each lunar phase (new moon, first quarter, full moon, and last quarter) was considered a 1-day period, and the number of acute pulpitis emergencies per lunar day was calculated. Of 8533 referrals, 688 were recorded on 105 lunar-phase days. There was no significant difference in the number of acute pulpitis cases among phases of the Moon; however, on average, there were 15% more acute pulpitis cases at full moon (P =1.09, χ2=6.06). The effect of the Moon on acute pulpitis remains unconfirmed.
Using GIS and Remote Sensing Techniques to Determine Effect of Land use on Vegetative Land Cover in Obio/Akpor L.G.A, Rivers State
Wokocha C. C, Igbanibo E. A
DOI : 10.36344/ccijmb.2020.v02i11.001 | Cross Current Int J Med Biosci; 2020, 2(11): 172-176
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Abstract: The result of the work showed a rapid growth in built-up land occupying 182.2km2 (70.0%) and cultivation occupying 7.4km2 (2.9%) in 2017 in the study area. While, in1985 witnessed a reduction in these classes having 83.4km2 (32.0%) and 3.7km2 (1.4%) respectively. In 1985, Vegetation occupied 169.9km2 (65.3%) and experienced a reduction in 2017 to 67.4km2 (25.9%) while water body remained 3.3km2(1.3%) with little or no notable changes between the referenced years. It was also observed that the changes that occurred in the sampling points at the referenced years replicated itself in other parts of the study area, hence, the recommendation to raise awareness among relevant stakeholders about the importance of protecting vegetative landcover as well as the adverse effects and consequences associated with deforestation, overgrazing and improper agriculture activities on vegetation.
Potential Policy-Developed Global-COVID-19-Vaccine: Enriched Medical Sciences and Technology Green-Socio-Economy
Dr. Subhas Chandra Datta
DOI : DOI: 10.36344/ccijmb.2020.v02i10.001 | Cross Current Int J Med Biosci; 2020, 2(10): 143-154
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Global-epidemic COVID-19 changes the human civilization, health, travel, socioeconomic, education, and clinical research totally, with no targeted therapeutics, and treatment options. So, the effect of the virus is likely to be seen long after medical science offers a cure for COVID-19. India emphasis on different nutritious-vegetables for improving immunity to human-disease-free-healthy-life is naturally-infected with different-diseases caused by pathogens, significantly hampering food-production. Though pesticides are the most effective means of control, but they are not, cost-effective and environment-friendly. So, it has been an urgency to require; new and more efficient-solutions, technologies, products to fulfill its food and nutritional requirement, and methods to develop best vaccines or social-vaccine or the best medical therapy for immediately to control the coronavirus- COVID-19-disease and prevent more damage. Amaranth is a nutritious as well as traditional-medicinal-vegetables-plant. So, it is focused on the amaranth-plant, intercropped with okra-plant, to determine the effects on pathogens-infected-diseases of both plants; Root-Knot, Mosaic-Virus and Leaf-Curl-Virus in a well-protected-garden. After harvesting, of the two-plant-species, amaranth received maximum pathogen-infection, forming the ―Potential-Eco-Friendly-Highly-Economical-Biomedicines-Catch-Vegetable-Crop-Plants‖, conserving ―Biodiversity-Conservations-Sustainable- Climate-Health and Development with Important Socio-Economic-Implications in Agriculture‖, though both are highly susceptible to diseases, and the farmers would be benefited double; by controlling-diseases, and by buying-selling the amaranth-okra. In biomedicines, highly-trace-tolerance-amaranth-vegetables or the plant-virus; Amaranth-Mosaic-Virus, Okra-Yellow-Vein-Mosaic-Virus, Amaranth-Leaf-Curl-Virus, and Okra-Enation- Leaf-Curl-Virus, which has been developed as antigenic-epitopes derived .................................
