A 62-year-old woman, Adwoa, presents to the Korle Bu general surgical outpatient clinic with a 14-month history of a progressively enlarging midline abdominal swelling following an emergency midline l…
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A 52-year-old market woman, Akua, is brought to the Komfo Anokye emergency theatre by her daughter after two days of colicky central abdominal pain that has now become constant and localised to the ri…
Abena, a 45-year-old multiparous woman, presents to the regional hospital surgical outpatient clinic in Tamale with a 3-month history of a small, intermittently painful lump in her right groin. She fi…
Adwoa, a 45-year-old trader, presents to a district hospital surgical ward in the Ashanti Region with a two-day history of right groin pain and a tender lump below the inguinal ligament. She had notic…
Kofi, a 67-year-old retired teacher with a BMI of 33 kg/m², presents to the Korle Bu general surgical outpatient clinic with a large midline abdominal bulge that has been present for 4 years, progress…
A 67-year-old woman, Adwoa, is brought to the Komfo Anokye emergency theatre with a 48-hour history of vomiting, abdominal distension, and absolute constipation. She had an open sigmoid colectomy for …
Ama, a 61-year-old retired seamstress with a BMI of 34 kg/m², presents to the Korle Bu general surgical outpatient clinic with a 7-month history of a gradually enlarging swelling in the right groin. S…
Kwame, a 62-year-old man with a history of open appendicectomy 18 months ago via a right iliac fossa (Lanz) incision, presents to the Korle Bu general surgical outpatient clinic with a 6-month history…
A 58-year-old market woman, Akua, is brought to the surgical outpatient clinic at Komfo Anokye Teaching Hospital by her daughter after a two-day history of colicky central abdominal pain, bilious vomi…
A 45-year-old man, Kwabena, is brought to the emergency bay of a regional hospital in Ashanti with a 6-hour history of absolute constipation, colicky central abdominal pain, and bilious vomiting. He h…
A 58-year-old woman, Akua, presents to the Korle Bu general surgical outpatient clinic with a 3-month history of a small, firm, tender lump in the right groin. She reports intermittent aching that wor…
A 58-year-old woman, Akua, is brought to the emergency department at Komfo Anokye Teaching Hospital by her relatives with a 12-hour history of severe colicky lower abdominal pain, bilious vomiting, an…
A 70-year-old woman, Maame, is referred from a district hospital in Brong-Ahafo to the regional hospital with a 24-hour history of an acutely painful, irreducible right groin lump associated with vomi…
A 58-year-old market woman, Akua, is brought to the surgical outpatient clinic at Komfo Anokye Teaching Hospital by her daughter. She complains of a painful lump in her right groin that appeared sudde…
Yaw, a 52-year-old man with a history of type 2 diabetes (HbA1c 9.8%, managed with metformin + glibenclamide) and a BMI of 38 kg/m², presents to the Komfo Anokye surgical firm with an 18-month history…
Yaa, a 45-year-old multiparous market trader, is brought to the emergency department of a regional hospital in the Ashanti Region with a 12-hour history of a painful, irreducible right groin lump, ass…
A 63-year-old woman, Abena, is referred from a district hospital in the Bono East Region to a regional hospital with a four-hour history of absolute constipation, vomiting, and colicky central abdomin…
A 58-year-old market woman, Akua, presents to the Komfo Anokye emergency surgical unit with a 12-hour history of a painful, irreducible swelling in her right groin. She has had a small reducible swell…
Yaw, a 48-year-old male subsistence farmer, presents to a district hospital surgical ward in the Upper West Region with a painful irreducible right groin swelling that has been present for 36 hours. H…
A 44-year-old woman, Abena, is reviewed in the Korle Bu surgical outpatient clinic. She underwent an emergency midline laparotomy for perforated typhoid ileum 18 months ago. The wound healed by second…
Kwame, a 61-year-old man with type 2 diabetes mellitus (HbA1c 9.8%) and a BMI of 38 kg/m², presents to the Korle Bu Teaching Hospital surgical outpatient department with a progressively enlarging midl…
Akosua, a 47-year-old multiparous woman, presents to the surgical outpatient clinic at Korle Bu Teaching Hospital with a six-month history of a lump in the right groin. She is otherwise well and denie…
Yaa, a 68-year-old retired seamstress with a BMI of 31 kg/m², is referred from a district hospital in the Volta Region to the regional hospital with a 12-hour history of right groin pain, vomiting, an…
A 44-year-old man, Kwabena, presents to the surgical outpatient clinic at a regional hospital in Ashanti with a 3-month history of a painless reducible swelling in the right groin. He is a market port…
A 50-year-old woman, Ama, presents to the outpatient surgical clinic at a regional hospital in the Volta Region with a 4-month history of a painless, reducible swelling in the right groin. She is mult…
Esi, a 50-year-old woman with a BMI of 34 kg/m², presents to the Korle Bu general surgical outpatient clinic with an 18-month history of a progressively enlarging midline abdominal bulge. She had an e…
A 45-year-old male farmer, Kwabena, is on the elective surgical list at a regional hospital in the Brong-Ahafo Region for repair of a right femoral hernia. He has no significant past medical history. …
A surgical registrar at Komfo Anokye Teaching Hospital is performing an emergency repair of a strangulated right femoral hernia in a 62-year-old woman via the low femoral (Lockwood) approach. On openi…
Kwame, a 34-year-old male farmer, is admitted to the surgical ward at Komfo Anokye Teaching Hospital following a 3-day history of profuse watery diarrhoea and bilious vomiting. He has a background of …
A 52-year-old man, Kofi, is on day 2 following an emergency Hartmann's procedure for perforated sigmoid diverticulitis at a regional hospital in the Ashanti Region. He received 6 litres of IV crystall…