6 results on '"Theophilus Kofi Adu-Bredu"'
Search Results
2. Accurate prenatal discrimination of placenta accreta spectrum from uterine dehiscence is necessary to ensure optimal management
- Author
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Theophilus Kofi Adu-Bredu, Sally Collins, and Atta Owusu-Bempah
- Subjects
Adult ,medicine.medical_specialty ,Placenta accreta ,Placenta ,Placenta Previa ,Placenta Accreta ,Dehiscence ,Ultrasonography, Prenatal ,03 medical and health sciences ,0302 clinical medicine ,Obstetrics and gynaecology ,Pregnancy ,Prenatal Diagnosis ,Medicine ,Humans ,030212 general & internal medicine ,Uterine Dehiscence ,reproductive and urinary physiology ,030219 obstetrics & reproductive medicine ,business.industry ,Obstetrics ,Cesarean Section ,General Medicine ,medicine.disease ,Optimal management ,medicine.anatomical_structure ,embryonic structures ,Full thickness ,Female ,business - Abstract
Uterine scar dehiscence with underlying placenta is often misdiagnosed as placenta accreta spectrum both prenatally and intraoperatively due to the absence of myometrial tissue in the area. Misdiagnosis generates obstetric anxiety and results in overtreatment which carries a risk of iatrogenic injury. We present a case of the antenatal diagnosis of uterine dehiscence in a 36-year-old woman with a history of two caesarean deliveries and a low-lying placenta. We further describe the sonographic features useful for differentiating this condition from placenta accreta spectrum in instances where the placenta lies under an area of full thickness uterine scar dehiscence.
- Published
- 2023
3. Detection of Cavernous Transformation of the Portal Vein in a 22-year-old Male with Upper Gastrointestinal Bleeding by Abdominal Duplex Ultrasonography: A Case Report
- Author
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Joseph Arkorful, Theophilus Kofi Adu – Bredu, and Obed Otoo
- Subjects
Radiological and Ultrasound Technology ,Radiology, Nuclear Medicine and imaging - Abstract
Introduction: Cavernous transformation of the portal vein, although a hepatic condition, may manifest with clinical features similar to those in patients with gastrointestinal pathologies. Particularly in young patients with no prior history of alcoholism or hepatic pathology, the diagnosis of cavernous transformation of the portal vein may be missed in an emergency setting where patients’ reported symptoms may be mimicking those associated with bleeding peptic ulcer or other gastrointestinal pathologies. Case Report: We present a case of a 22-year-old male with no prior history of hepatic or pancreatic pathology who presented to the emergency room with some episodes of haematemesis, melena and slight dizziness, in whom a cavernous transformation of the portal vein was identified by abdominal duplex ultrasonography. Discussion: The clinical diagnosis of cavernous transformation of the portal vein can be challenging and easily missed especially in instances where a patient with no history of chronic alcoholism, liver cirrhosis, hepatoma, pancreatitis or prior abdominal surgery presents to the emergency room with haematemesis and anaemia. Ultrasonography presents as a reliable radiological tool in the diagnosis of rare and unforeseen conditions like cavernous transformation of the portal vein to allow for prompt management and prevention of adverse patients’ outcomes. Conclusion: Abdominal duplex ultrasonography can reliably aid in the prompt diagnosis and management of patients with unforeseen rare hepatic pathologies such as cavernous transformation of the portal vein who present with upper gastrointestinal bleeding.
- Published
- 2022
4. Diagnostic value of the sonographic whirlpool sign in the diagnosis of ovarian torsion: A systematic review and meta‐analysis
- Author
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Yaw Amo Wiafe, Theophilus Kofi Adu-Bredu, Joseph Arkorful, and Kwame Appiah-Denkyira
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Torsion Abnormality ,medicine.medical_specialty ,Ovarian Torsion ,Web of science ,business.industry ,Ovarian torsion ,030204 cardiovascular system & hematology ,medicine.disease ,Whirlpool ,Sensitivity and Specificity ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Pooled analysis ,Adnexal torsion ,Meta-analysis ,Humans ,Medicine ,Female ,Radiology, Nuclear Medicine and imaging ,Radiology ,business ,Statistical software ,Ultrasonography ,Sign (mathematics) - Abstract
In this review, we investigated the diagnostic value of the sonographic "whirlpool sign" in identifying ovarian torsion. This was done by performing a search in PubMed, Scopus, Embase, Web of Science, CINAHL, and Google scholar. Additional search for the grey literature was made in EThOS.bl.uk, explore.bl.uk, opengrey.eu, greylit.org, and clinicaltrials.org. A total of eight studies were included in this meta-analysis. Sensitivity and specificity of whirlpool sign were extracted from the studies and computed into the Metadisc statistical software for pooled analysis. The whirlpool sign showed a high sensitivity and specificity for the diagnosis of ovarian torsion.
- Published
- 2021
5. Value of Doppler ultrasound in early detection of diabetic kidney disease: A systematic review and meta-analysis
- Author
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Yaw Amo Wiafe, Heather Venables, and Theophilus Kofi Adu-Bredu
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medicine.medical_specialty ,Radiological and Ultrasound Technology ,Diabetic kidney ,business.industry ,030232 urology & nephrology ,Urology ,Early detection ,Renal function ,Review ,Disease ,030204 cardiovascular system & hematology ,medicine.disease ,03 medical and health sciences ,0302 clinical medicine ,Meta-analysis ,medicine ,Albuminuria ,Radiology, Nuclear Medicine and imaging ,Microalbuminuria ,Doppler ultrasound ,medicine.symptom ,business - Abstract
The diagnosis of diabetic kidney disease can be delayed by limitations of primary biomarkers, which are microalbuminuria and estimated glomerular filtration rate. A number of Doppler ultrasound studies have associated an increase in intrarenal vascular resistance with the disease, which makes ultrasound a potential adjunct tool for early diagnosis. However, there is inadequate evidence to establish the effectiveness of including Doppler ultrasound in the diagnostic process. This systematic review was therefore conducted to determine the value of using Doppler ultrasound in early detection of diabetic kidney disease. Electronic literature searches were carried out in PubMed, CINAHL, Web of Science and EMBASE. All published prospective studies with records of intrarenal Doppler ultrasound, microalbuminuria and estimated glomerular filtration rate were obtained, and their relationship as parameters for diabetic kidney disease assessed. The meta-analysis of Doppler ultrasound versus albuminuria shows insignificant statistical difference between high resistive index of ≥ 0.7 and albuminuria, with the resistive index being the favoured parameter on the forest plot, making Doppler ultrasound highly comparable with albuminuria for the detection of diabetic kidney disease. Again, there was a significant statistical difference between high intrarenal resistive index of ≥ 0.7 and low estimated glomerular filtration rate of 2, with the resistive index being the favoured parameter on the forest plot, making Doppler ultrasound a superior parameter compared with estimated glomerular filtration rate for early detection of diabetic kidney disease.
- Published
- 2020
6. Chest radiography patterns of COVID-19 pneumonia in Kumasi, Ghana
- Author
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Allswell Ackon, Theophilus Kofi Adu-Bredu, Augustina Badu-Peprah, Nana A K Asamoah, Ijeoma Chinedum Anyitey-Kokor, and Obed K Otoo
- Subjects
Male ,ground-glass opacities ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,Referral ,Radiography ,Pneumonia, Viral ,Disease ,030204 cardiovascular system & hematology ,Ghana ,Teaching hospital ,Tertiary Care Centers ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Humans ,030212 general & internal medicine ,Lung ,Aged ,Retrospective Studies ,business.industry ,COVID-19 ,Retrospective cohort study ,chest radiography ,Middle Aged ,medicine.disease ,Pneumonia ,medicine.anatomical_structure ,symptoms ,Original Article ,Female ,Radiography, Thoracic ,Tomography, X-Ray Computed ,business ,consolidation - Abstract
Summary Objectives To document the pattern of chest radiographic findings in coronavirus disease 2019 (COVID-19) patients with moderate to severe disease. Design Retrospective cross-sectional study. Setting The study site was Komfo Anokye Teaching Hospital (KATH) located at Bantama in Kumasi, the capital town of the Ashanti Region. It is the second largest hospital in the country and the major referral site for Ashanti region and the northern part of the country. The hospital hosts a highly infectious isolation unit (HIIU) for COVID-19 patients with moderate to severe infections and receives referred cases from the region and within the hospital. Participants The study involved 27 patients admitted to the HIIU at KATH with COVID-19 infection who underwent chest X-ray as part of their investigations. Results The study enrolled 12 males and 15 females. The common comorbidities were hypertension and diabetes. Chest x-ray findings in most of the patients (81.5%) revealed ground-glass opacities while a few of them (18.5%) had lung consolidations without ground-glass opacities. For those with ground-glass opacities, eight (29.6%) had superimposed consolidation. All the participants had positive chest x-ray findings. Conclusion The chest x-ray findings in the 27 COVID-19 positive patients with moderate to severe disease on admission at the KATH HIIU enrolled in this study showed significant pulmonary abnormalities. The predominant pulmonary abnormalities were bilateral peripheral ground-glass opacities with the lower lung zones being mostly affected. Funding Funding from the Radiology Directorate, Komfo Anokye Teaching Hospital, Kumasi, Ghana
- Published
- 2020
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