Case Summaries Forum Online

Sharing problems, Sharing solutions!

General Surgery

Cardiothoracic Surgery General Surgery

Gunshot injury to chest

60 year old male Presentation:Gunshot to back HPC:Patient with no known chronic illnesses was well until about 8 hours prior to presentation(around 12:30am) when he was allegedly shot from a long range (from one end of a school park) by…

Acute intestinal obstruction

    We present a patient who experienced classic symptoms of acute intestinal obstruction. He attempted to relieve the symptoms by swallowing a mixture of herbs and cowrie. This undoubtedly worsened his symptoms and he was finally brought to the…

70 year old with intestinal obstruction

We present a 70 year old woman with colicky abdominal pains, vomiting, fever and failure to pass stools in 48 hours. Patient is a known hypertensive on her usual medications and was apparently well until the aforementioned complaints. This was…

Eviscerated perforated hernia in an HIV/AIDS patient

We present a 35 year old male HIV/AIDS patient on ARVs who presented to our hospital with several months duration of incarcerated left inguinoscrotal hernia . scrotal contents eviscerated whilst at home . Patient did not seek medical attention. He…

Tumour of the left lobe of the liver in AIDS patient

fig1   fig2   fig3   fig4   fig5   fig6 Newly diagnosed retroviral infection patient with tumour of the left lobe of the liver . Patient presented with severe pains duestretching of the Gleason  capsule and the weight of…

Right femoral hernia and Saphena varix coexisting same patient

fig1   fig2 fig3   72 year old woman hypertensive with right ventricular insufficiency presented to the hopsital with right groin swelling of several months duration. apart from occasional discomfort felt in the groin she had no obstructive symptions an…

Basal cell carcinoma in a diabetic -hypertensive

fig1   fig2                 fig3   Basal cell carcinoma in an elderly DM/HPT 88 year old man, a diabetic hypertensive presented to our facility with a raised lesion on the left cheek of…

Advanced breast cancer in a male

   55 year old man presented at the breast clinic of KATH , Kumasi with one year duration of painless right breast  mass. The mass has been slowly but progressively increasing in size over the period.  He has no other…

Breast cancer screening, making a case for aggressive active surveillance

Breast cancer has received a lot of publicity in Ghana since it became a public health issue. Much has been done to get people to use simple techniques such as  breast self examination to detect lesions and report to hospital….

Presacral abscess in an elderly man

85 year old man presented at the ER with progressive deterioration of general health,inability to walk in the past few months, mostly confined to bed in last few weeks. He  has severe lower back pain, no radiation to the leg….