African Journal of Medical Case Reports

African Journal of Medical Case Reports ISSN 2756-3316 Vol. 14 (2), pp. 001-003, February, 2026. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Case Report

Hyperkalemia-Induced Transient Trifascicular Block: A Case Report

AGARWAL Navnit, SINGH Anurag, GABA Ripudaman*, SHUKLA Ranjeet, AGARWAL Mandavi and JAISWAL Pankaj

Department of Medicine, MLB Medical College, Jhansi Uttar Pradesh, 284128, India.

Accepted 17 November, 2025

Hyperkalemia is a commonly encountered electrolyte abnormality that can significantly alter normal cardiac conduction. Potentially lethal dysrhythmias associated with hyperkalemia include complete heart block and Mobitz type II second-degree atrioventricular (AV) block. We report a case of trifascicular block, due to hyperkalemia. The patient's symptoms and electrocardiogram (ECG) evidence of trifascicular block resolved with lowering of serum potassium levels, with subsequent ECG showing left anterior hemiblock. This paper highlights an infrequently reported dysrhythmia associated with hyperkalemia that emergency physicians should be familiar with.

Key words: Hyperkalemia, trifascicular block, right bundle branch block, left anterior fascicular block, first degree AV block, isoprenaline, hemodialysis, emergency.
 

African Journal of Medical Case Reports ISSN 2756-3316 Vol. 14 (1), pp. 001-007, January, 2026. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Full Length Research Paper

Profile of Metabolic Syndrome in Japanese Institutionalized Adults with Intellectual Disabilities

Shunya Hoshino¹, Kenji Yamamoto1*, Shingo Miyaji¹, Yoshiro Sakai^1,2, Hiroaki Yamamoto¹, Masami Inui Yukawa¹ and Hitoshi Miyaoka¹

¹Department of Psychiatry, Kitasato University School of Medicine Kitasato 1-15-1, minami-ku, Sagamihara, Kanagawa 252-0374, Japan.
²Hatano Kousei Hospital, Minamiyana 2-12-1, Hatano, Kanagawa 257-0003, Japan.

Accepted 16 November, 2025

To conduct a study on metabolic syndrome (MetS) observed in patients with mental retardation (MR) to clarify the factors associated with its prevalence and incidence. During the period from October 2006 to March 2007, for 302 cases of patients with MR who were admitted to or visited 2 support facilities for people with intellectual disabilities in Japan, we reviewed the patients’ admission records and nursing records regarding their clinical data and profiles. The prevalence of MetS in Japanese patients with MR was 29 cases among 203 males (14.3%) and 12 cases among 99 females (12.1%). There was a significant association between the distribution of the severity of MR and MetS, and regarding treatment drugs, there was a significantly large number of patients who were taking antidepressants or atypical antipsychotics in the MetS group. MetS is prevalent in patients with MR. A significant correlation was observed between MetS and the severity of MR and treatment drugs, and this seems to be an important factor when considering MetS in patients with MR.

Key words: Mental retardation, metabolic syndrome, antipsychotics, antidepressants.

African Journal of Medical Case Reports ISSN 2756-3316 Vol. 14 (1), pp. 001-005, January, 2026. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Review

Severe Hemorrhage and Fatal Outcome Following Oropharyngeal Impalement Injury in a Child

A. A. Adoga*, M. B. Sandabe, A. Bemu, E. Musa, A. A. Bakari, A. M. Kodiya and B. M. Ahmad

National Ear Care Center, No. 3 Golf/Independence Way, P. M. B. 2438, Kaduna, Nigeria.

Accepted 22 October, 2025

Impalement injuries of the oropharynx are especially common in children. They may be innocuous injuries but can present with life threatening sequele which range from neurologic to non-neurologic sequele. Herein, we report the first of this type of injury from Nigeria and it was a 2 year old female child who presented with a rod like metallic object embedded in her oropharynx following a fall on the same object. She had surgical removal of the foreign object with seeming uneventful recovery but experienced severe hemorrhage in the 12th postoperative hour that lead to her demise. The purpose of this report is to highlight this type of injury even in our environment and to emphasize that a high index of suspicion is required in assessing the extent of injury in these patients in order to institute timely and appropriate treatment to avoid life threatening sequele.

Key words: Oropharynx, impalement injury, child, death, Nigeria.
 

African Journal of Medical Case Reports ISSN 2756-3316 Vol. 13 (1), pp. 001-004, January, 2025. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Review

Desmoid Tumor of the Abdominal Wall: A Case Report and Review of Management Options

Arcot Rekha

Sri Ramachandra Medical College and Research Institute, Sri Ramachandra Medical University,
Porur, Chennai 600116, India.

Accepted 2 November, 2024

Desmoid tumours are benign tumours that have a tendency to be locally invasive. We present a desmoid tumour of the lower abdominal wall in a 30 year old female patient, discussed the treatment options and reviewed literature of this uncommon lesion.

Key words: Desmoid, abdominal wall, benign tumour.
 

African Journal of Medical Case Reports ISSN 2756-3316 Vol. 13 (1), pp. 001-005, January, 2025. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Case Report

Ancient Schwannoma of the Abdominal Wall: A Case Report 

Anuj Mishra1*, Mohamed Hamadto2, Mohamed Azzabi2 and Ehtuish F. Ehtuish2

1Department of Radiology, Libyan National Organ Transplant Program, Tripoli Central Hospital, Libya.
2Department of General Surgery, Tripoli Central Hospital, Tripoli, Libya.

Accepted 14 October, 2024

A 29-year-old female had presented to surgical out patient’s department complaining of lump in the anterior abdominal wall. Ultrasound and magnetic resonance imaging revealed a solid degenerated tumor in the anterior abdominal wall. It was surgically excised and histopathology confirmed it to be ‘ancient’ schwannoma. To our knowledge, this is the second reported case of an abdominal wall ancient schwannoma in the medical literature.

Key words: Schwannoma, abdominal wall, magnetic resonance imaging.
 

African Journal of Medical Case Reports ISSN 2756-3316 Vol. 13 (1), pp. 001-006, January, 2025. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Full Length Research paper

Clinical Profile of Measles Complications in a Nigerian Hospital Population

Onoja, A. B.*, Adeniji, A. J. and Faneye, A.

Department of Virology, College of Medicine, University of Ibadan, Nigeria.

Accepted 14 November, 2014

In spite of active measles vaccination efforts in 2005 in southern Nigeria, re-emergence continues to occur. This study was carried out to ascertain the incidence of measles, severity, mortality and its complications, in order to enhance treatment and reduce under-five child mortality. Secondary data from the records in the measles ward of Oni Memorial Children’s Hospital, Ibadan was used. The period under investigation was 2005 to 2008, following the catch-up and follow-up measles vaccination exercise. Four hundred children between the ages of 5 months and 14 years were clinically diagnosed with measles from 2005 to 2008, of which 124 (31%) had complications. Among those with complications, 70 (56.5%) mortalities were observed, and as the children approached 14 years of age, incidence of measles reduced to 0%. Measles is still a major childhood problem in the southern part of Nigeria, even as the burden is more in northern Nigeria. This will invariably hamper global measles mortality reduction initiatives and the attainment of the fourth millennium development goal of reduction of under-five child mortality by 2015, hence the need for a coordinated and strategic mass vaccination effort to target unimmunized children.

Key words: Measles in children, complications, clinical diagnosis, mortality, mass vaccination.