FACULTY OF CLINICAL SCIENCES http://ir.library.ui.edu.ng/handle/123456789/265 2026-04-29T03:08:26Z 2026-04-29T03:08:26Z Awolude, O. Olutoye, A. Obajimi, G. http://ir.library.ui.edu.ng/handle/123456789/9638 2026-04-22T14:55:24Z 2022-01-01T00:00:00Z

Title: Case Report: Incidental finding of didelphys uterus in a multigravida woman at Caesarean delivery Authors: Awolude, O.; Olutoye, A.; Obajimi, G. Abstract: Didelphys uterus is one of the rarest Müllerian duct anomalies (MDA) of the female genital tract. Many remain undiagnosed due to possibilities of successful pregnancies and vaginal deliveries in those without or with mild forms of associated cervical and/or vaginal anomalies. Due to this, data on didelphys uterus in pregnancy are rare, with most cases seen during routine ultrasound in pregnancies’ Caesarean section for other obstetric indications. This case was a 36- year-old G4P1+2 female who had successful vaginal delivery in her preceding pregnancy; in index pregnancy, she presented with fetal footling breech in labour and had an emergency caesarean section during which uterine didelphys was diagnosed. Many pregnant women with didelphys uterus will deliver vaginally and, as such, remain undiagnosed. Its presence is one of the possible reasons for persistent abnormal presentations like fetal breech presentation, especially in women with prior successful vaginal deliveries. Early recognition and availability of facilities for management of such incidentally found cases of uterine didelphys will prevent many of the complications associated with pregnancy with them.

2022-01-01T00:00:00Z Oluwalana, M. O. Awolude, O. A. Gao, Z. Daley, P. K. http://ir.library.ui.edu.ng/handle/123456789/9637 2026-04-22T14:31:07Z 2022-01-01T00:00:00Z

Title: The epidemiology of delayed HIV diagnosis in Ibadan, Nigeria Authors: Oluwalana, M. O.; Awolude, O. A.; Gao, Z.; Daley, P. K. Abstract: Background: Human immunodeficiency virus infection (HIV) is one of the major health burdens in Nigeria. Delayed HIV diagnosis remains a significant driver of HIV transmission. The risk factors of delayed HIV diagnosis have not been widely studied in Nigeria. This observational study examined demographic risk factors for delayed HIV diagnosis and the trends in the annual total cases of delayed HIV diagnosis in Ibadan, Nigeria. Methods: We examined the data on HIV patients enrolled in care at the University College Hospital’s Antiretroviral Therapy (ART) clinic in Ibadan, Nigeria. Delayed HIV diagnosis was defined as a Cluster of Differentiation 4 (CD4) count of less than 350 cells/mm³ at the time of diagnosis. The association between delayed HIV diagnosis and risk factors was analyzed using logistic regression. The trends in the annual total cases of delayed HIV diagnosis over time were examined. Results: This study included 3458 HIV patients. There were 1993/3458 prevalent cases of delayed HIV diagnosis (57.6%). The risk factors for delayed HIV diagnosis were older age, retirement, marriage separation, never married, and widowed female. The factors that were significantly associated with a low risk of delayed HIV diagnosis were student and tertiary education. There was a progressive decline in the annual cases of delayed HIV diagnosis. Conclusions: Although the cases of delayed HIV diagnosis are still high, they are declining. Human immunodeficiency virus testing should be targeted at populations at risk of delayed diagnosis. Considerable public awareness and education programs about HIV testing may significantly reduce delayed HIV diagnosis in Nigeria.

2022-01-01T00:00:00Z Akute, O. 0 Olubowale, 0. 0| Aghahowa, M. E Afolabi., A. 0 http://ir.library.ui.edu.ng/handle/123456789/9506 2024-09-06T13:42:07Z 2004-01-01T00:00:00Z

Title: Hypertensive patient in the surgical ward - what the Surgeon should do Authors: Akute, O. 0; Olubowale, 0. 0|; Aghahowa, M. E; Afolabi., A. 0 Abstract: Two cases of hypertension are presented to emphasize the need for the surgeons to pay adequate attention to these purely medical conditions that may have a devastating adverse effect on the outcome of surgery. The article also highlights the serious constraints that still characterize the management of these patients in this part of the world. The ideal situation is a multi-disciplinary approach involving the Surgeon, the Physician and the Anaesthetist. The surgeon must not confine himself to the technical aspect of the surgery alone. The hypertension must be controlled whether the patient presents with an elective or emergent surgical condition and anti-hypertensive medication must be continued up till the time ofsurgery and at times intra-operatively. It is not only unnecessary hut also potentially dangerous to withdraw anti-hypertensives before anaesthesia. The main goal of the surgically amenable secondary hypertension is to remove the cause ofter adequate control of the hypertension in preparation for surgery. Patient however must be made to understand that the hypertension may not be "cured" and the anti-hypertensive medication may have to be continued post-operatively particularly if the hypertension is long established before patient presents. Local and/or regional blocks are to be preferred to general anaesthesiafor peripheral lesions and even then it is still preferable to have the hypertension controlled.

2004-01-01T00:00:00Z Afolabi, A.O http://ir.library.ui.edu.ng/handle/123456789/9505 2024-09-06T13:20:59Z 2003-01-01T00:00:00Z

Title: Recurrent leg ulcers in a 16-year old Nigerian girl Authors: Afolabi, A.O Abstract: This is a report of a 16-year old Nigerian girl who presented with recurrent leg ulcers associated with gastrointestinal symptoms. The management of this patient, who has ulcerative colitis manifesting with pyoderma gangrenous, underlines the need for thorough evaluation of cutaneous ulcers in the tropics. The medical treatment of ulcerative colitis in childhood, with reservation of bowel resection for complications is preferred.

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