A5021656261- Gallbladder and Bile Duct Disorders
- Gastrointestinal disorders and treatments
- Sarcoma Diagnosis and Treatment
- Congenital Diaphragmatic Hernia Studies
- Bone Tumor Diagnosis and Treatments
- Congenital Anomalies and Fetal Surgery
- Cardiac tumors and thrombi
- Parkinson's Disease Mechanisms and Treatments
- Eosinophilic Esophagitis
- Global Health and Surgery
- Intestinal Malrotation and Obstruction Disorders
- Peripheral Neuropathies and Disorders
- SARS-CoV-2 and COVID-19 Research
- Biliary and Gastrointestinal Fistulas
- Multiple Myeloma Research and Treatments
- Neurological disorders and treatments
- Hernia repair and management
- Pediatric Hepatobiliary Diseases and Treatments
- Esophageal and GI Pathology
- Clinical Nutrition and Gastroenterology
- Appendicitis Diagnosis and Management
- COVID-19 Clinical Research Studies
- Abdominal Trauma and Injuries
- Pancreatitis Pathology and Treatment
- Nutrition and Health in Aging
Kilimanjaro Christian Medical Centre
2020-2024
Intussusception is rarely seen in adulthood but commonly the pediatric age group. Causes of intussusception adults are due to tumors and inflammatory diseases. accounts for less than 5% intestinal obstruction. Colonic lipomas usually asymptomatic mostly managed surgically with promising outcomes as our case.
Liposarcoma is a tumor derived from primitive cells that undergo adipose differentiation. They comprise 10%–35% of all soft tissue sarcomas. We present 46-year-old female patient with 4-year history giant swelling on the lateral aspect left thigh. Wide local excision mass was performed and histopathological analysis revealed well-differentiated liposarcoma. Liposarcomas commonly appear in extremities have distinct features imaging studies. Surgical treatment histology are most important...
Sigmoid volvulus in pregnancy is a rare cause of intestinal obstruction with high maternal and fetal morbidity mortality if not diagnosed managed early.A 29-year-old female (Chagga by tribe) presented clinical features 24 weeks into her second pregnancy. She had symptoms for one week. An emergency laparotomy was performed whereby gangrenous sigmoid found; thus, it resected Hartmann's colostomy raised. Unfortunately, she experienced intrauterine death post-operatively. discharged clinically...
Pedunculated lipofibroma is a rare form of nevus lipomatous cutaneous superficialis. They are usually solitary lesions found around the thighs, buttocks and trunk; thought to have predilection for pressure areas. There two types lipofibromas; sessile or pedunculated. mostly asymptomatic but can cause symptoms as they grow larger affecting daily activities. Treatment not indicated in smaller lesions, except cosmetic purposes. Herein we present this benign lesion with an unusually large size.
Abstract Introduction The Lancet Commission on Global Surgery has promoted the case for safe, affordable surgical care in low- and middle-income countries (LMICs). In 2017, Kilimanjaro Christian Medical Centre (KCMC) Tanzania introduced a day laparoscopic cholecystectomy (DCLC) service, first of its kind Sub-Saharan Africa (SSA). We aimed to evaluate this novel service terms safety, feasibility acceptability by patients staff. Methods This study used mixed methods was split into two stages....
Choledochal cyst is a rare common bile duct malformation that usually presents in the pediatric group with abdominal pain, distension, and jaundice. The pathophysiology remains unclear for cause, surgery aims to restore biliary enteric drainage. We present six-year-old female who presented gradual distention associated Abdominal ultrasound was suggestive of choledochal cyst, CT-scan confirmed diagnosis. She operated on successfully fared well. cysts are entity malformations should be...
Abstract Acute acalculous cholecystitis remains an elusive clinical diagnosis possibly due to complex setting in which this entity develops, lack of large prospective controlled trials that evaluate various diagnostic modalities, thus dependence on a small database for decision making. Concealed gallbladder perforation is rare. Herein, we report 82-year-old female who presented with right upper quadrant pain and features local peritonitis. Abdominal ultrasound was suggestive while computed...
Abstract Surgeons in resource-limited settings have adapted to overcome the challenges of limitations resources using different available methods and inventions from local environment. We report four cases oesophageal cancer palliatively treated with improvised gastrostomy feeding tubes by 24Fr urinary catheters, optimize their nutritional status withstand chemotherapy/radiotherapy. Two patients managed begin chemo radiotherapy, but only one out survived. The aim this is appraise used...
Abstract: Multiple myeloma (MM) commonly presents with anemia and bone pain. Besides marrow involvement, MM has a tendency to involve other organs gastrointestinal (GI) tract, especially lower GI tract involvement being uncommon. Our case shows an elderly male due suspected malignancy. Investigations revealed anemia, thrombocytopenia, positive stool occult blood inconclusive diagnostic endoscopic findings. An elevated serum total protein, calcium creatinine gave rise the suspicion of which...
Acute gastric volvulus associated with congenital diaphragmatic hernia is an uncommon disorder in infancy and a surgical emergency.We present six-month female baby who presented clinical features of intestinal obstruction. Ultrasonography the abdomen revealed volvulus. The underwent emergency laparotomy. Gastric splenic herniation was encountered through hernia.The defect corrected, stomach spleen were mobilized into normal anatomical position. recovered well.A high index suspicion thorough...
The pandemic caused by the severe acute respiratory syndrome coronavirus 2 has mainly affected system but expanded to other systems, including gastrointestinal system. We present an 80-year-old man with sharp epigastric pain and vomiting. Laboratory investigations revealed elevated pancreatic enzymes, contrast-enhanced computed tomography of abdomen suggested pancreatitis. He was undergoing treatment for pancreatitis when he developed compromise, leading use oxygen. Computed chest bilateral...