Department of Surgery

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Browsing Department of Surgery by Subject "Abdominal pain"

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  • Item
    Open Access
    Focal Nodular Hyperplasia of the Liver Presenting as Right Upper Quadrant Mass
    (Journal of Case Reports, 2018-08-20) Osinowo, A.O; Balogun, O.S; Olajide, T.O; Badmos, K.B
    Background: Focal nodular hyperplasia (FNH) is the second most common benign liver tumor, which in the vast majority of cases occurs in young women. The lesion is often discovered incidentally as a result of the widespread availability and application of modern cross-sectional imaging on the abdomen. We herein present a case of symptomatic FNH that had successful resection. Case Report: A 22-year old female patient with a history of recurrent right upper quadrant abdominal pain of 11 years duration was reviewed in our facility. Abdominal examination revealed a roughly mobile oval swelling in the right upper quadrant. Contrast abdominal computerized tomography scan revealed a mass iso-attenuating in density relative to muscle, enhanced intravenous contrast and displacing bowel loops measuring 13.9×8.3 cm in the transverse mesocolon. She had resection of the mass with an excellent post-operative quality of life. Pathological examination using Hematoxylin-eosin staining examination revealed focal nodular hyperplasia of the liver. Conclusion: Symptomatic focal nodular hyperplasia can be safely resected with excellent rates of morbidity and zero mortality.
  • Item
    Open Access
    Recurrent abdominal pain and upper gastrointestinal endoscopy findings in children and adolescents presenting at the Lagos University Teaching Hospital
    (Plos One, 2019-05-23) Adeniyi, OF; Odeghe, EA; Lawal, MA; Olowu, AO; Ademuyiwa, A
    Introduction: Recurrent abdominal pain (RAP) is a common reason for referral to the paediatric gastroenterology unit and the attending physician needs to be able to rule out an organic cause when evaluating any child with this condition. The aim of this study was to describe the endoscopic findings in children who presented to the paediatric gastroenterology unit of the Lagos University Teaching Hospital (LUTH) with RAP. Methods: This was a prospective descriptive study which was conducted from January 2015 to July 2018 at the Paediatric Gastroenterology unit of the department of Paediatrics and the endoscopy unit of the LUTH, Lagos, Nigeria. All children and adolescents ≤ 19 years old with recurrent abdominal pain who were referred for upper GI endoscopy during the study period, were recruited. Baseline sociodemographic data, dyspepsia and alarm symptoms if present were documented. Results of other investigations namely stool examination for ova, parasites, occult blood and faecal antigen for Helicobacter pylori and abdominal scan were also documented. Results: A total of 113 children with recurrent abdominal pain was referred during the study period and 87 (76.7%) of them had upper GI endoscopy done. Out of the participants, 38(43.7%) were boys and 49(56.3) girls. Alarm features were present in 15(17.6%) and dyspepsia was seen in 22(25.3%) of the subjects. The main endoscopic findings were: gastritis in 39 (44.8%), gastric erosions in 14(16.2%), hiatus hernia in 7(8.1%), duodenitis in 6 (6.9%), gastric polyp in 4 (4.6%). Conclusion: Upper GI endoscopy remains an invaluable tool in the tool in evaluating RAP in children as it enables accurate diagnosis of GI causes of RAP. There is a need to advocate for easier access to this procedure in the developing countries.