A 52-year-old woman, Ama, is referred from a district hospital in the Volta Region to the regional hospital with a 5-day history of right upper quadrant pain, fever (39.4°C), rigors, and progressive j…
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Akua, a 42-year-old market trader from Sunyani, is referred to the regional hospital with a 48-hour history of right upper quadrant pain radiating to the right shoulder tip, fever (38.9°C), and jaundi…
Kwame, a 45-year-old man with known sickle-cell disease (HbSS), is admitted to the Korle Bu general surgical unit with a 3-day history of right upper quadrant pain, fever (38.9°C), and mild jaundice. …
A 60-year-old man, Kwabena, is on the elective surgical list at UGMC for laparoscopic cholecystectomy for symptomatic cholelithiasis. Intraoperatively, after achieving pneumoperitoneum and inserting t…
Yaa, a 34-year-old woman, presents to a district hospital in the Northern Region with a 5-day history of severe epigastric and left upper quadrant pain radiating to the back, associated with vomiting …
Yaw, a 40-year-old man, is on the operating table at the Komfo Anokye regional theatre for elective laparoscopic cholecystectomy for symptomatic cholelithiasis. During dissection in the hepatocystic t…
A 38-year-old woman, Akua, presents to the surgical outpatient clinic at Komfo Anokye Teaching Hospital with a 6-month history of recurrent right upper quadrant pain radiating to the right shoulder ti…
A 45-year-old man, Kwame, is brought to the emergency department of a regional hospital in Ashanti with a 3-day history of right hypochondrial pain, fever, and vomiting. He reports that the pain began…
A 52-year-old woman, Ama, is referred from a district hospital in the Volta Region to the regional hospital with a 2-day history of fever, rigors, right upper quadrant pain, and progressive jaundice. …
Kwame, a 52-year-old civil servant with known sickle-cell disease (HbSS), is referred from a district hospital in the Volta Region to the Korle Bu general surgical unit with a two-week history of prog…
Akua, a 38-year-old market trader from Kumasi, presents to the Komfo Anokye emergency surgical unit with a 12-hour history of severe right upper quadrant pain radiating to the right shoulder tip. She …
A 48-year-old man, Yaw, is brought to the Komfo Anokye emergency theatre with severe epigastric pain radiating to the back, nausea, and vomiting for 18 hours. He denies alcohol use. His BMI is 28 kg/m…
A 45-year-old man, Kwabena, is admitted to the emergency surgical unit at a regional hospital in the Eastern Region with a 24-hour history of severe right upper quadrant pain, fever, and vomiting. He …
A 58-year-old man, Kwabena, is referred from a district hospital in the Bono Region to Komfo Anokye with a 3-day history of progressive jaundice, right upper quadrant pain, and high-grade fever with r…
A 38-year-old woman, Akua, presents to the Komfo Anokye emergency surgical unit with a 6-hour history of severe right upper quadrant pain radiating to the right shoulder tip, associated with nausea an…
Akua, a 42-year-old market trader from Kumasi, presents to the Komfo Anokye surgical outpatient clinic with a 6-month history of recurrent right hypochondrial pain occurring after fatty meals, each ep…
Yaa, a 44-year-old teacher, undergoes elective laparoscopic cholecystectomy at the Komfo Anokye regional hospital theatre for symptomatic cholelithiasis. Her pre-operative liver function tests and ult…
A 67-year-old man, Yaw, is undergoing elective laparoscopic cholecystectomy at the Korle Bu surgical unit for symptomatic gallstones. During dissection in Calot's triangle, the operating registrar enc…
A 60-year-old man, Yaw, is undergoing elective laparoscopic cholecystectomy at the Korle Bu general surgical unit for symptomatic gallstones. The surgical registrar is performing the operation under t…
A 28-year-old man with known sickle-cell disease (HbSS), Kwame, is admitted to the Korle Bu surgical unit with a 4-day history of severe epigastric and right hypochondrial pain radiating to the back, …
Ama, a 38-year-old woman, is referred from a district hospital in the Volta Region to the Ho Teaching Hospital with a 5-day history of right hypochondrial pain, fever (39.2°C), and jaundice. She repor…
A surgical registrar at Korle Bu Teaching Hospital is performing a laparoscopic cholecystectomy on a 44-year-old woman, Adwoa, for recurrent biliary colic. During dissection of Calot's triangle, the c…
A 34-year-old man, Yaw, with known sickle-cell disease (HbSS) presents to the Korle Bu surgical unit with a 2-day history of severe right hypochondrial pain and vomiting. He has had four previous vaso…
Kofi, a 55-year-old man with sickle-cell disease (HbSS), is admitted to the Korle Bu surgical unit with a 3-day history of right hypochondrial pain, fever (38.8°C), and vomiting. He has had two previo…
A 38-year-old woman, Akua, presents to the Komfo Anokye emergency unit with a 6-hour history of severe right upper quadrant pain radiating to the right shoulder tip, associated with nausea and two epi…
During a laparoscopic cholecystectomy at Komfo Anokye Teaching Hospital, the registrar is dissecting the hepatocystic triangle in a 38-year-old woman, Adwoa, who has a history of recurrent acute chole…
Ama, a 52-year-old woman, is referred from a district hospital in Brong-Ahafo to the regional hospital with a 5-day history of right upper quadrant pain, jaundice, and high-grade fever with rigors. Sh…
Kofi, a 45-year-old man with known sickle-cell disease (HbSS), is admitted to the Korle Bu general surgical unit with a 3-day history of right upper quadrant pain, fever (38.9°C), and jaundice. He has…
A 52-year-old man, Kwame, presents to the regional hospital A&E with two episodes of haematemesis over four hours. He has no known liver disease, is not on anticoagulants, and his systolic BP is 118 m…
A 52-year-old man, Kwame, is brought to Komfo Anokye ED by relatives with a 12-hour history of severe epigastric pain radiating to the back, associated with vomiting. He drinks alcohol heavily. Vitals…