{"title":"Will We Tire of Case Reports?","authors":"A. Wamalwa","doi":"10.4314/aas.v20i3.1","DOIUrl":"https://doi.org/10.4314/aas.v20i3.1","url":null,"abstract":"No abstract.","PeriodicalId":37442,"journal":{"name":"Annals of African Surgery","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75793038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case Report and Technique Guide for Stabilization of Tibialis Posterior Tendon Dislocation in an Athlete","authors":"Hussein Ibrahim Hussein, M. Atinga","doi":"10.4314/aas.v20i3.4","DOIUrl":"https://doi.org/10.4314/aas.v20i3.4","url":null,"abstract":"Acute dislocation of the posterior tibial tendon is an infrequent injury that is often missed. This injury is typically observed in young individuals in the course of sports. This is a case of an athlete who presented to our orthopedic clinic a week after injury to his ankle, following forceful eversion of the foot during a football game. Case reports have shown satisfactory results from surgical management, suggesting that this is the preferred treatment option. The report describes a simple and cost-effective technique for the retinaculum repair as well as adding to the small number of case reports on the description and treatment of tibialis posterior tendon dislocation.","PeriodicalId":37442,"journal":{"name":"Annals of African Surgery","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78927690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spontaneous Lumbar Hernia: A Case Report","authors":"Mundhir Said Mohamed, R. Abdalla","doi":"10.4314/aas.v20i3.5","DOIUrl":"https://doi.org/10.4314/aas.v20i3.5","url":null,"abstract":"Lumbar hernias are rare, and the diagnosis can be easily missed. Acquired lumbar hernias can occur spontaneously; however, they are increasingly being reported due to trauma or flank surgery. A good history and examination can aid in diagnosis with imaging confirming the condition. Hernia repair can be laparoscopic or through open surgical approaches. We report a case of primary spontaneous lumbar hernia which was managed by an open approach to close the defect with retromuscular mesh placement.","PeriodicalId":37442,"journal":{"name":"Annals of African Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89890619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Characteristics and Treatment of Breast Cancer in Men: A 12-year Single-Institution Review","authors":"Mwongeli Matheka, R. Wasike","doi":"10.4314/aas.v20i3.2","DOIUrl":"https://doi.org/10.4314/aas.v20i3.2","url":null,"abstract":"Background: Male breast cancer has a low incidence, hence there are few studies evaluating the disease, and no recent studies from Kenya. Objective: The objective of this study was to evaluate the clinical and pathological characteristics, and treatment of men diagnosed with breast cancer. Methods: This is a retrospective descriptive study, carried out at a tertiary hospital in Nairobi, Kenya, of men diagnosed with breast cancer between January 2009 and December 2021. Data on the clinicopathological characteristics, treatment, and outcome were collected. Standard descriptive statistics were used to describe the patient characteristics. Results: Seventeen male patients were diagnosed with breast cancer, representing 1.40% of all breast cancer patients. Four patients were excluded due to incomplete records. The median age at diagnosis was 68 years (range 28–83). The majority were African Bantu (n=11, 84.6%). Most patients presented with clinical T1 (n=10, 76.9%) and N0 (n=8, 61.5%) disease. Luminal A molecular subtype was the most common (n=8, 61.5%). All 11 patients who underwent operative management underwent modified radical mastectomy. Conclusion: The rate of male breast cancer was similar to the global rate. The majority of our patients presented with early breast cancer and estrogen receptor-positive disease. Treatment was primarily modified radical mastectomy followed by adjuvant systemic therapy.","PeriodicalId":37442,"journal":{"name":"Annals of African Surgery","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84417279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Latissimus Dorsi Myocutaneous Flap Reconstruction Post Resection of a Giant Malignant Phyllodes Tumor of the Breast: A Case Report","authors":"M. dahir, D. Ojuka, Eric Hungu, A. Wamalwa","doi":"10.4314/aas.v20i3.6","DOIUrl":"https://doi.org/10.4314/aas.v20i3.6","url":null,"abstract":"Phyllodes tumors (PTs) are a rare group of mammary fibroepithelial lesions accounting for up to 1% of breast tumors. They display biologic diversity, ranging from benign to malignant. PTs of the breast are mostly found in females aged 35–55 years and are rare in adolescents and the elderly. They usually present as a fast growing, painless breast mass. The treatment of choice for PTs is complete excision with clear margins. In patients with large PTs, breast reconstruction results in better outcome and increased satisfaction.Our patient, a 39-year-old female presented with an enlarging breast mass over a period of 6 months. Physical examination showed a large, ulcerated mass involving the entire right breast. Histopathology revealed features of a malignant PT. Total mastectomy and immediate reconstruction with a pedicled latissimus dorsi myocutaneous flap and symmetrization reduction mastopexy of the left breast was done. At 6 months, the patient has not shown any gross tumor recurrence with acceptable cosmesis.","PeriodicalId":37442,"journal":{"name":"Annals of African Surgery","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81041791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Ibrahim, Mutisya Cosmas, Ngugi Moses, Osiemo Deborah, Gumbe Ester, Kiptoon Dan, Hungu Eric, Dahir Mohamed, Oj Daniel
{"title":"Intraoperative Diagnosis of Gallbladder Agenesis: A Case Report","authors":"A. Ibrahim, Mutisya Cosmas, Ngugi Moses, Osiemo Deborah, Gumbe Ester, Kiptoon Dan, Hungu Eric, Dahir Mohamed, Oj Daniel","doi":"10.4314/aas.v20i2.7","DOIUrl":"https://doi.org/10.4314/aas.v20i2.7","url":null,"abstract":"Gallbladder agenesis (GA) is an uncommon congenital anomaly with an incidence of 0.09%. Lack of awareness, coupled with vague clinical and radiological characteristics, has led to infrequent preoperative diagnosis. This is the case of a 42-year-old female who presented with right upper quadrant (RUQ) pain and features of obstructive jaundice. The patient was listed for open cholecystectomy and common bile duct (CBD) exploration for cholelithiasis and choledocholithiasis. At laparotomy, diagnosis of GA with adhesion bands tethering the duodenum to the common hepatic duct (CHD) resulting in biliary stricture, was made. Release of the adhesion bands (adhesiolysis) resulted in CHD stricture relaxation and complete biliary decompression.","PeriodicalId":37442,"journal":{"name":"Annals of African Surgery","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88884114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spontaneous Bilateral Lumbar Region Colocutaneous Fistulae. A Case Report","authors":"Samuel Wanjara, W. Makanga","doi":"10.4314/aas.v20i2.2","DOIUrl":"https://doi.org/10.4314/aas.v20i2.2","url":null,"abstract":"Bilateral spontaneous lumbar colocutaneous fistulae are rare. They are associated with high costs of care, morbidity, and mortality. We present the case of a 50- year-old male patient who presented with a 10-year history of two low-output spontaneous colocutaneous fistulae from both the left and right lower lumbar regions with no identifiable risk factors. He was managed operatively with segmental left colon resection and a temporary loop ileostomy with uneventful recovery after reversal of the ileostomy 2 months later. Whether the etiology of the fistulae is clinically apparent or not, the management should follow commonly known principles. This report highlights a case of bilateral lumbar region spontaneous colocutaneous fistulae of unknown cause that was managed operatively with satisfactory short-term outcomes.","PeriodicalId":37442,"journal":{"name":"Annals of African Surgery","volume":"148 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77835019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chrispine Onyango Oluoch, James Ikol, Gitobu Mburugu, Maxwell Gachie, Dennis Inyangala
{"title":"Benign Prostatic Hyperplasia in a 13-Year-Old Boy","authors":"Chrispine Onyango Oluoch, James Ikol, Gitobu Mburugu, Maxwell Gachie, Dennis Inyangala","doi":"10.4314/aas.v20i2.3","DOIUrl":"https://doi.org/10.4314/aas.v20i2.3","url":null,"abstract":"Benign prostatic hyperplasia (BPH) is most common in men 40 years and above. It rarely occurs in childhood. As a result of the scarcity of cases, the pathogenesis is not clear, and treatment of BPH in this age group is challenging. This report focuses on a 13-year-old patient diagnosed with a histologically confirmed BPH, having presented with a 2-year history of recurrent hematuria and acute urinary retention. Magnetic resonance imaging (MRI) revealed a 287 g prostatic mass, with no signs of malignancy nor metastasis detected. A decision for open suprapubic prostatectomy was made. Postoperative follow-up at 1 year was uneventful. The possible causes of juvenile BPH have been postulated as gonadotropin supplementation for cryptorchidism and human chorionic gonadotropin-containing agent use by the mother during pregnancy. Our case had a history of the right inguinal undescended testis with scrotal orchidopexy done at 11 years of age. However, the patient had no history of human chorionic gonadotropin use, endocrinologic abnormality, or other possible contributing factors. His antenatal history was normal, with no use of human chorionic gonadotropin by the mother. Due to the very few reported cases, there is insufficient data to help understand the pathogenesis of childhood BPH. ","PeriodicalId":37442,"journal":{"name":"Annals of African Surgery","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83828563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mwenyemali Tony, Odundo Sam, Opondo Dedan, M. Etabale, Awuonda Bernard
{"title":"Colonic Duplication Cyst with Gastric and Pancreatic Heterotopia: A Case Report","authors":"Mwenyemali Tony, Odundo Sam, Opondo Dedan, M. Etabale, Awuonda Bernard","doi":"10.4314/aas.v20i2.5","DOIUrl":"https://doi.org/10.4314/aas.v20i2.5","url":null,"abstract":"Colonic duplication is an uncommon congenital anomaly within the alimentary tract which may be missed on clinical examination. Clinical symptoms are generally related to the involved site, size of duplication, or the associated ectopic mucosa. This is a case report of a 7-month-old female patient admitted in septic and hypovolemic shock, with severe anemia. Ultrasonography and computed tomography (CT) scans showed a left flank mass suggesting intussusception. The patient was first stabilized with intravenous fluids, intravenous antibiotics, oxygen, and blood transfusion. At laparotomy, the findings were a left paracolic cystic mass and an adjacent, complex retroperitoneal hemorrhagic mass. The histopathology report was consistent with a colonic duplication cyst with ectopic gastric and pancreatic mucosa. The patient improved after surgery and was discharged for routine outpatient follow-up. Colonic duplication should be included in the differential diagnoses in children presenting with palpable abdominal masses. Complete surgical removal of the symptomatic duplication is the treatment of choice. ","PeriodicalId":37442,"journal":{"name":"Annals of African Surgery","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89163078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Role of Peer Review in Surgical Research","authors":"Vincent Kipkorir, A. S. Mwenda, James W M Kigera","doi":"10.4314/aas.v20i2.1","DOIUrl":"https://doi.org/10.4314/aas.v20i2.1","url":null,"abstract":"No Abstract","PeriodicalId":37442,"journal":{"name":"Annals of African Surgery","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84290917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}