A 38-year-old man, Mohammed, is admitted to the regional hospital surgical ward with a 3-day history of severe bloody diarrhoea (12 episodes per day), cramping abdominal pain, and fever. He has a 6-ye…
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Kofi, a 34-year-old man with a 6-year history of Crohn's disease predominantly affecting the terminal ileum, is reviewed at the UGMC surgical firm. He has been on azathioprine for three years but has …
Kofi, a 38-year-old civil servant, has had ulcerative colitis for 11 years. He is reviewed in the colorectal outpatient clinic at Komfo Anokye Teaching Hospital. His disease has been refractory to mes…
Yaa, a 42-year-old market trader, is referred to the UGMC colorectal unit with a 3-month history of perianal pain, swelling, and intermittent purulent discharge. She has a known 8-year history of Croh…
Kofi, a 41-year-old man with a 10-year history of extensive ulcerative colitis (pancolitis), is referred to the UGMC colorectal firm for surgical planning. He has been in clinical remission on azathio…
Yaa, a 32-year-old woman, is admitted to the Korle Bu surgical ward with a 2-week history of worsening right iliac fossa pain, fever, and a palpable tender mass in the right iliac fossa. She has a kno…
Yaw, a 38-year-old accountant, is reviewed at the Korle Bu colorectal outpatient clinic. He has a 10-year history of Crohn's disease predominantly affecting the perianal region. He reports persistent …
A consultant surgeon at Korle Bu Teaching Hospital is performing a right open Lichtenstein inguinal hernia repair under spinal anaesthesia in a 52-year-old man, Mensah. After opening the external obli…
A 55-year-old woman, Akua, presents to the Korle Bu general surgical unit with a right groin swelling that has been present for 2 weeks. She is postmenopausal and has a BMI of 31 kg/m². The swelling i…
A 45-year-old man, Kwame, presents to the Komfo Anokye emergency theatre with a 6-hour history of a painful, irreducible right groin swelling. He first noticed the swelling 2 years ago and had been ab…
A 28-year-old man, Kofi, is brought to the emergency department of a regional hospital in the Ashanti Region by his relatives with a 12-hour history of a painful, irreducible right groin swelling. He …
A 35-year-old man, Mensah, with known sickle-cell disease (HbSS) presents to the Korle Bu general surgical unit for elective repair of a right indirect inguinal hernia. He has had two previous painful…
Kofi, a 60-year-old man with known sickle cell disease (HbSS), is referred from a district hospital in the Northern Region to Tamale Teaching Hospital for elective repair of a large left indirect ingu…
A 62-year-old man, Yaw, is brought to the Komfo Anokye Teaching Hospital emergency department by his relatives with a 12-hour history of a painful, irreducible right groin swelling. He has had a known…
A 55-year-old man with known sickle-cell disease (HbSS), Mensah, is listed for elective right inguinal hernia repair at the Korle Bu Teaching Hospital. He has had two prior vaso-occlusive crises in th…
A 38-year-old man, Kofi, is brought to the district hospital surgical ward in the Volta Region with a painless, reducible right groin swelling that has been present for 3 years. It enlarges on standin…
A 62-year-old man, Yaw, is seen in the surgical outpatient clinic at a regional hospital in the Ashanti Region. He has a 3-year history of a right groin bulge that appears on standing and disappears o…
A 45-year-old man, Kwame, presents to the Komfo Anokye surgical outpatient clinic with a 6-month history of a right groin swelling that appears on standing and disappears on lying down. He is a porter…
A 6-year-old boy, Yaw, is brought to the paediatric surgical outpatient clinic at Komfo Anokye Teaching Hospital by his mother with a 3-month history of a right groin swelling that appears when he cri…
A 34-year-old male farmer, Kwame, presents to the surgical outpatient clinic at a regional hospital in Ashanti with a 6-month history of a right groin swelling that appears on standing and disappears …
A 62-year-old man, Yaw, is brought to the Komfo Anokye emergency theatre with a 12-hour history of an irreducible, painful right groin swelling. He had a known right inguinal hernia for 3 years but ha…
A 19-year-old male university student, Kofi, known to have sickle-cell disease (HbSS), presents to the UGMC surgical outpatient clinic with a 4-month history of a painful left groin swelling. He has h…
A 55-year-old man, Mensah, undergoes an elective left Lichtenstein tension-free mesh repair under spinal anaesthesia at a regional hospital in the Northern Region. The hernia was a large indirect ingu…
A 45-year-old male farmer, Kwame, presents to the district hospital surgical ward in Brong-Ahafo with a 6-month history of a right groin swelling that increases in size on standing and reduces on lyin…
A 70-year-old man, Mensah, is brought by relatives to the district hospital in the Northern Region with a 12-hour history of colicky abdominal pain, vomiting, and an irreducible right groin swelling. …
A 62-year-old retired teacher, Mensah, is listed for elective right inguinal hernia repair at the Korle Bu general surgical unit. He has a 3-year history of a right groin swelling that descends into t…
A 34-year-old man, Kofi, is on the elective theatre list at a regional hospital in the Brong-Ahafo Region for a right Lichtenstein tension-free mesh repair of an indirect inguinal hernia. The registra…
A 28-year-old man, Yaw, is brought to the emergency department at Komfo Anokye Teaching Hospital by relatives with a 12-hour history of a painful, irreducible right groin swelling associated with coli…
During an elective open right inguinal hernia repair at Komfo Anokye Teaching Hospital, the registrar opens the external oblique aponeurosis through the external inguinal ring and identifies the sperm…
A 45-year-old male farmer, Kwame, presents to a district hospital surgical ward in the Ashanti Region with a 6-month history of a right groin swelling that has progressively enlarged. He notices the s…