Radiology
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Item A lethal form of gorham disease associated with extensive musculoskeletal pneumatosis: cse report and review of the literature(2008) Atalabi, O. M; Fishman, S. J.; Kozakewich, H. P.; Alsamarah, A. Y.; Alomari, A. I.We report here the imaging finding of a rare case of a lethal form of gorham disease in a yound female patient. Multimodality imaging findings over 13 years- follow-up demostrated progressive wide spread skeletal and soft tissue abnormalities with permeative osteolysis, pathological fractures and severe sketal deformities. Unusual extensive osseous and soft tissue pneumatosis was illustrated on cross-sectional studies. The progressive nature of this form of gorham disease and the subsequent complications eventually culminated in patients's death.Item Abdominal paraganglioma in a pediatric patient(2008) Atalabi, O. M; Lee, E. Y.Item Hydrostatic reduction of intussusception under ultrasound guidance: an initial experience in a developing country(2007-07) Atalabi, O. M; Ogundoyin, O. O,; Ogunlana, D. I,; Onasanya, O. M.; Lawal, T. A.; Olarinoye, A. S.Background: Intussusception is one of the most common causes of acute intestinal obstruction in children. Hydrostatic reduction with barium enema is the widely accepted and preferred mode of treatment of uncomplicated intussuception. The aim of this study was to report our initial experience with hydrostatic reduction of intussusception. Patients and methods: We present our initial experience in which 8 patients had ultrasound guided hydrostatic reduction of intussusception over a period of 2 years. All patients that presented within 48hours of onset of symptoms were recruited into the study. Clinical diagnosis of intussusceptions was made in all of them while abdominal ultrasound was used to confirm the diagnosis. Results: Half of the patients presented after 24 hours of onset of symptoms. Five patients (62.5%) had a successful reduction of thier instussusception while was completed by surgery. There was only one (12.5%) recurrence and there was no peritonitis. Conclusion: Ultrasound guided hydrostatic reduction of intussusceptions in this environment is possible when patients present early with low risk of complication and low recurrence rate.Item Malignant haemangiopericytoma of the left thigh with metastases to the bones and lungs: A case report(2006) Atalabi, O. M; Ibinaiye, O. P.; Obajimi, M. O.; Ogunseyinde, O.; Akang, E. E. U.Haemangiopericytoma is an uncommon mesenchymal neoplasm. Haemangiopericytoma is believed to arise from the pericytes, contractile spindle cells that surround the capillaries and post-capillary venules. We present an unusal case of histologically confirmed malignant haemangiopericytoma of the thigh in a 70 year old male with metastasis to the lungs and left femoral bone.Item An unusual presentation of congenital bronchoesophageal fistula(2004-01-03) Atalabi, O. M; Falade, A. G.; Obajimi, O. M.; Akinyinka, O. O.; Lagundoye, S. B.; Ibinaiye, P. O.We present the case of a 5-week-old neonate with multiple congenital abonormalities including a broncho-oesophageal fistula, which showed radiological features suggestive of congenital diaphragmatic hernia. Emergency limited barium swallow done was initially reported as a case of diapragmatic hernia. Autopsy revealed pus within the right lung, and a fistulous connection between the oesophagus and an intra-abdominal organ abnormality were seen, and an occipital meningomyelocoele was also confirmed.Item Metacarpal index in Nigerian Adults and children.(2002-10-12) Atalabi, O. MThe metacarpal index(MI) is used in screening for patients with arachnodactyly especially Marfan's syndrome. It is a radiographic measure of the slenderness of the 2nd-5th metacarpals, which was measured in a total of 608 Nigerians of which 55 (9%) were childrens and 553(91%) were adults. The study shows that the MI increases steadily in children approaching the adult value at about the age of 9 years in females and 13 years in males coinciding with menarche and puberty respectively. A metacarpal index of up to 11 can be considered to be within normal limits for a Nigeria adult. In both children and adults, the MI was found to be higher in females than in males. In both sexes the metacarpal index for the left hand in the adult subjects is generally higher than that of the right hand, but in children, no significant difference is observed. As in other Africans, Nigerian adults have a higher MI than caucasians.Item Occult metastic follicular thyroid carcinoma masquerading as a soft tissue sarcoma of the gluteal region(WAJM, 2002-06-05) Atalabi, O. M; Ogunseyinde, A. OThis is a case of an occult follicular thyroid carcinoma in a 61 year old civil servant presenting with bony metastasis to the left iliac bone twenty years after an initail subtotal thyroidectomy. There was a soft tissue mass with associated cup shaped lytic destruction of the thyroid gland appeared macroscopically within normal limits but histology confirmed follicular thyroid carcinoma.Item A case of adrenal myelolipoma mimicking pheocromocytoma(2001) Atalabi, O. M; Ogunseyinde, A. OA 34 year-old hypertensive para 2 + 0 (1 alive) woman, was found to have right suprarenal mass during routine ante-natal investigation. The suprarenal mass, which was initially diagnosed as phaeochromocytoma was excised was found at histology to be myelolipoma. The radiological investigations and appearances (compared with phaeochromocytoma where necessary) have been discussed. The complications, differential diagnoses and treatment were mentioned.Item Bilateral congenital cystic adenomatiod malformation of the lungs: a case report(2006) Atalabi, O. M; Ogunseyinde, A. O.; Obajimi, M. O.; Falade, A. G.; Adebo, A. O.; Jite, I. E.A six weeks old infant presented with scalp ulcer and fever, and on examination was found to have resonant percussion notes bilaterally. The initial chest radiograph revealed multiple lucencies which were initially thought to be due to diaphragmatic hernia, but the dilemma was resolved by Computerized tomography which revealed the lucencies to be multiple cysts characteristics of Congenital Cystic Aaenomatiod Malformation (CCAM) type II.