Obstructive jaundice following iatrogenic biliary injury is a rare but serious complication, often resulting from procedures such as laparoscopic cholecystectomy. It poses significant diagnostic and therapeutic challenges due to its complexity potential for life-altering sequelae. Timely recognition management are essential prevent long-term morbidity. This report highlights the clinical course successful surgical of complex injury, underscoring importance advanced imaging, timing prompt...

Background: Informed consent, grounded in the ethical principle of autonomy, represents a patient’s agreement to undergo procedure. Given its critical role protecting human rights and obtaining informed consent before any surgery or procedure is now mandatory practice. However, many studies question whether conducted genuinely, ensuring proper understanding information disclosed, merely serves as medicolegal formality. This has led increased malpractice, misunderstanding, anxiety, overall...

Endometrial glandular tissue can implant in the thorax of women suffering from endometriosis. The clinical presentation is depends on site implantation. Complications include pneumothorax, pneumohemothorax or hemothorax.A 31 year old woman with history infertility presented shortness breath and was found to have a significant right sided pneumohemothorax. Drainage done followed by chemical pleurodesis using bleomycin resolution symptoms her follow up.Thoracic endometriosis tend present...

Renal angiomyolipoma (AML) are benign tumors, often incidentally diagnosed with rupture being the commonest complication and cause of mortality. These tumors rare a higher prevalence among patients tuberous sclerosis female predominance. Management is dependent on tumor size whether or not has ruptured. 32-year-old presenting sudden right flank pain shock without history prior trauma surgeries. Underwent imaging revealing suspected ruptured AML thus underwent emergent nephrectomy admission...

Penetrating neck injuries refer to that penetrate through the platysma layer which can cause life-threatening aerodigestive and neurovascular systems. Currently penetrating are mainly due modern firearms however arrows still seen, although rare, in rural areas among developing countries. Management depends on hemodynamic stability, signs of structural damage zone involved.19-year-old male presenting with a arrow impacted his following an attack by cattle raiders who was otherwise stable...

Acute scrotum is considered a urological emergency requiring early intervention depending on the cause. There are multiple causes of acute with testicular torsion being most feared as delayed treatment leads to loss. However, differentiating between epididymo-orchitis and can be very difficult. We present case an 18-year old male patient 2 separate episodes scrotum. He had first presentation followed by 5 days later. To our knowledge this secondary epididymo-orchitis. Differentiating...

Dorsal pancreas agenesis is a rare congenital anomaly characterized by the absence or severe underdevelopment of dorsal pancreatic bud. We report case man who presented with features appendicitis only to incidentally discovery during diagnosis acute appendicitis. describe our experience on radiological diagnostic formulation and work up.We present 45-year-old male patient emergency department symptoms signs suggestive A computed tomography scan laboratory investigations confirmed...

Schistosomiasis is a neglected tropical disease caused by parasitic worms of the genus Schistosoma. It primarily affects intestines, liver, and urinary tract however, rare cases have been reported where parasite invades other organs. This case report presents an incidental finding schistosomiasis, upon histopathology evaluation, in patient who underwent laparoscopic cholecystectomy for symptomatic gallstone with recurrent attacks cholecystitis. We present 42-year-old female presented to...

Retained gauze sponge is a medical legal issue with significant clinical implications catastrophic complications. We report case of female who presented chronic right iliac fossa pain only to be found have retained causing bowel fistulisation. describe our experience on diagnostic formulation and work up subsequent operative intervention.We present the 37-year-old patient outpatient surgical department symptoms history cesarean section 2 years prior. A computed tomography scan revealed an...

Background: Breast cancer immunohistochemistry analysis has a role to diagnose molecular subtype, prognosticate and guide treatment is categorised into 4 subtypes, Luminal A, B, Human Epidermal Growth Factor Receptor 2 (HER2) enriched Triple Negative Cancer (TNBC). Methods: A retrospective cross-sectional study was carried out at two tertiary referral hospitals. Prevalence of subtype determined association demographic pathological characteristics were evaluated. Results: Total number...

Actinomycosis, a rare chronic bacterial infection caused by Actinomyces species, presents diagnostic challenges due to diverse clinical presentations. This report case of peritoneal actinomycosis incidentally discovered during total abdominal hysterectomy in 44-year-old female with refractory abnormal uterine bleeding and history long-term intrauterine contraceptive device use. The patient presented persistent despite conservative management. Intraoperative findings revealed involvement,...

<title>Abstract</title> <bold>Background</bold> Informed consent, grounded in the ethical principle of autonomy, represents a patient's agreement to undergo procedure. Given its critical role protecting human rights and obtaining informed consent before any surgery or procedure is now mandatory practice. However, many studies question whether conducted genuinely, ensuring proper understanding information disclosed, merely serves as medico-legal formality. This has led increased malpractice,...

venous thromboembolism is a complication among admitted medical and surgical patients. International guidelines recommend patients are assessed upon admission appropriate thromboprophylaxis should be initiated. However, studies have shown that for at risk of underutilized.

Background: Ureteroscopy for kidney stones has undergone a great deal of improvement over time, but stone migration is still an issue. Dormia TM baskets and lidocaine jelly installations are few the methods prevention. Objectives: To compare effectiveness Dormia™ basket installation proximal to ureteral prevention retrograde stone-free rate. Methods: 185 patients were divided into three groups based on retrospective analysis data from Aga Khan Hospital in Dar es Salaam: Group 1 (Dormia...

A Morel-Lavallee lesion is a closed degloving injury due to traumatic separation of the hypodermis from underlying fascia. Accumulation hemolymphatic fluid that occurs potential habitat for bacteria. Management options include percutaneous aspiration, open debridement, or non-surgical approach, each with recurrence risk. In event recurrence, sclerotherapy used. this case report, after reviewing povidone iodine's efficacy in treating seromas, we used it as sclerosant recurrent more...

Coronavirus disease 2019 (COVID-19) is an infectious caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It was first identified on 8th December in Wuhan, Hubei, China, and has since spread globally to become emergency of international concern. Patients infected with SARS-CoV-2 may be asymptomatic or present symptoms ranging from mild clinical manifestations: such as fever, cough, sore throat moderate form the pneumonia distress (ARDS). In some patients, can affect heart...

Iliopsoas abscess is a collection of pus that presents with nonspecific features often delays in diagnosis however cause significant morbidity and mortality Mycobacterium tuberculosis to be considered as causative agent at risk individuals tuberculous endemic regions. Management involves drainage initiation adequate antibiotics radiological guided percutaneous approach the appropriate initial approach.50-year-old immunosuppressed presenting left iliopsoas who underwent ultrasound placement...

In this case report from Muhimbili National Hospital, Dar es salaam, Tanzania, we present the unexpected findings of anorectal malformation, colonic atresia, and intestinal malrotation in a 2-day old neonate. This combination is exceedingly rare, with only reports published literature. We describe challenges diagnosis offer our insights based on experience review Our patient was male born at term, weighing 2600 g, diagnosed clinically high malformation. He planned for colostomy, unexpectedly...