A 32-year-old woman, Akua, presents to the Komfo Anokye emergency unit with a 3-week history of left gluteal pain and swelling, initially treated with oral amoxicillin at a clinic. She is febrile at 3…
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A 28-year-old man, Yaw, with known sickle-cell disease (HbSS) is admitted to the Komfo Anokye Teaching Hospital surgical unit with a 2-week history of severe right thigh pain, swelling, and spiking fe…
A 45-year-old man, Mensah, is admitted to the regional hospital surgical ward in the Volta Region with a 5-day history of severe right shoulder pain, fever, and inability to lift his arm. He is a know…
A 19-year-old male farmer, Kwame, is brought to the district hospital surgical ward in Brong-Ahafo by his relatives with a 10-day history of progressive right thigh pain, swelling, and fever. He initi…
A 19-year-old male farmer, Kwame, is brought to the surgical outpatient clinic of a regional hospital in the Volta Region with a 10-day history of right thigh pain, fever, and progressive difficulty w…
A 19-year-old male farmer, Kwame, presents to a district hospital surgical ward in the Bono Region with a 10-day history of fever, malaise, and progressive pain and swelling of the right thigh. He rec…
A 19-year-old male farmer, Kwame, is brought to the district hospital surgical ward in Brong-Ahafo with a 10-day history of progressive right thigh pain, swelling, and low-grade fever. He initially at…
Yaw, a 28-year-old farmer, is brought to the district hospital in the Upper East Region with a three-day history of worsening abdominal pain and distension, preceded by ten days of fever and malaise. …
A 24-year-old woman, Ama, is admitted to the emergency theatre at Komfo Anokye Teaching Hospital with a 12-day history of fever, relative bradycardia, and diarrhoea followed by 8 hours of worsening ge…
A 19-year-old male student, Kwame, is brought to the district hospital surgical ward in Brong-Ahafo by relatives after five days of high-grade fever, headache, and progressive abdominal pain. He has h…
A 19-year-old male farmer, Kwame, is brought by relatives to the district hospital surgical ward in Brong-Ahafo after 10 days of high-grade fever, headache, and abdominal pain treated with paracetamol…
A 24-year-old woman, Akua, is referred from a district hospital in the Northern Region to the regional hospital with a three-day history of worsening generalised abdominal pain, fever, and vomiting. S…
Yaw, a 28-year-old trader, is admitted to the Korle Bu general surgical unit with confirmed typhoid perforation. He underwent emergency laparotomy 4 hours after admission; intraoperatively two perfora…
Akosua, a 24-year-old female teacher, is transferred from a district hospital to the regional hospital in the Ashanti Region with a 6-hour history of sudden-onset generalised abdominal pain following …
A 19-year-old male student, Kwame, is brought by relatives to the district hospital surgical ward in Brong-Ahafo after four days of progressive abdominal pain, fever, and distension. He had been treat…
A 24-year-old woman, Akua, is transferred from a district hospital in the Northern Region to the regional hospital after 12 hours of generalised abdominal pain. She had been febrile for 10 days and wa…
Yaw, a 22-year-old farmer, undergoes emergency laparotomy at a regional hospital in the Volta Region for suspected typhoid perforation. He had a 14-day febrile prodrome and presented with 18 hours of …
A 16-year-old boy, Yaw, with known sickle-cell disease (HbSS) is admitted to the Korle Bu Teaching Hospital surgical unit with a four-day history of fever, diffuse abdominal pain, and two episodes of …
A 19-year-old male student, Kwame, is brought by relatives to the emergency department of a regional hospital in Brong-Ahafo after five days of high-grade fever, headache, and abdominal pain that has …
A 19-year-old male student, Kwame, is brought to the district hospital surgical ward in Brong-Ahafo by relatives after five days of high-grade fever, headache, and abdominal discomfort. He has not rec…
A 22-year-old woman, Akua, is admitted to a regional hospital in the Ashanti Region with a 3-day history of worsening abdominal pain and fever. She gives a preceding 10-day history of high fever, head…
A 17-year-old boy, Kofi, is brought to Komfo Anokye Teaching Hospital emergency theatre with a two-day history of sudden-onset generalised abdominal pain following a three-week febrile illness. He is …
A 17-year-old male student, Kofi, is on the operating table at a regional hospital theatre in the Northern Region. He presented with a five-day history of worsening abdominal pain, fever, and vomiting…
A 19-year-old male student, Kwame, is brought to the district hospital surgical ward in Brong-Ahafo by relatives after four days of worsening abdominal pain, fever, and vomiting. He had been unwell fo…
At laparotomy for suspected typhoid perforation at Korle Bu Teaching Hospital, the registrar Ama finds three separate perforations in the terminal ileum: one at 15 cm, one at 35 cm, and one at 55 cm f…
A 19-year-old male student, Kwame, is brought to the emergency unit of a regional hospital in Ashanti by his family after four days of high-grade fever, headache, and progressively worsening abdominal…
Kofi, a 17-year-old boy, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 5-day history of generalised abdominal pain, high fever, and vomiting. He had no…
A 22-year-old woman, Ama, is admitted to the Korle Bu general surgical unit with a five-day history of fever, malaise, and abdominal pain. She has not been treated with any antibiotics. On examination…
Kofi, a 22-year-old apprentice mechanic, undergoes laparotomy at a regional hospital in the Northern Region for typhoid perforation with generalised faecal peritonitis. A single 2 cm perforation is fo…
Kofi, a 17-year-old male student, is on the general surgical ward at Komfo Anokye Teaching Hospital following emergency laparotomy for typhoid perforation four days ago. A single 1.2 cm antimesenteric…