Surgery
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Diagnosis and surgical management of congenital intestinal malrotation presenting with midgut volvulus in an adult: high index of suspicion (case report)
(African field epidemiology network (AFENET), https://www.afenet.net, 2018-03-15)Congenital intestinal malrotation is a gastrointestinal anomaly whose most serious complication is midgut volvulus. More commonly, it presents as an incidental finding at laparotomy, or as a finding on diagnostic imaging ... -
Perianal malignant nodular hidradenoma in HIV infected pregnant patient
(Health and Medical Publishing Group, https://publons.com/publisher/2123/health-and-medical-publishing-group, 2018-06)Malignant nodular hidradenoma (MNH) is a rare invasive tumour arising from eccrine sweat glands, with significant risk for local recurrence and distant metastases. Hidradenoma papilliferum is reported in pregnancy. To our ... -
Pneumatosis intestinalis in HIV patient with gastric outlet obstruction
(Health and Medical Publishing Group, https://publons.com/publisher/2123/health-and-medical-publishing-group, 2018-09)Summary: We report the case of a 39-year-old HIV positive female with gastric outlet obstruction. At laparotomy, she had extensive pneumatosis intestinalis (PI) of the ileum. This incidental finding of extensive PI in an ... -
Segmental atrophy of the liver in a child: case report and review of the literature
(Health and Medical Publishing Group, https://publons.com/publisher/2123/health-and-medical-publishing-group, 2019-06)Segmental atrophy of the liver (SAL) is a pseudotumour that is extremely rare in children. We report the case of a 4-year-old child who presented with abdominal pain and a non-tender mass at the epigastrium. A computed ... -
Synchronous volvulus of the sigmoid and transverse colon in a 26-year-old male
(Oxford University Press,https://global.oup.com/?cc=bw, 2018-11-13)We present a 26-year-old male patient who presented with complete bowel obstruction and peritonitis. His abdominal X-rays showed grossly distended large bowels with air–fluid levels. A differential diagnosis of sigmoid ... -
Ileosigmoid knotting in a child: index case in Botswana and review of the literature
(Health and Medical Publishing Group, https://publons.com/publisher/2123/health-and-medical-publishing-group, 2018-09)Ileosigmoid knotting (ISK) is a rare form of complex intestinal obstruction where a loop of ileum wraps around the base of the sigmoid colon, or vice versa. We report the case of an ill-looking 8-year-old boy who presented ... -
HIV infection: its impact on patients with appendicitis in Botswana
(Springer, https://www.springer.com/gp, 2019-06-11)Background: To compare the presentation, management, and outcome of HIV-positive patients with appendicitis to those of HIV-negative patients with appendicitis. Summary Background Data: The literature is limited regarding ... -
Simultaneous false aneurysm and arterio-venous fistula in the presence of a single wound
(Elsevier, https://www.elsevier.com/, 2018-07-16)We describe a patient in whom a stab wound to the right supraclavicular fossa led to a subclavian artery false aneurysm and an arterio-venous fistula (AVF) between the right subclavian artery and the right internal jugular ... -
An 80 year old hermaphroditic with HughBrenner Brenner tumor: A rare case report and review of literature
(African Journal of Urology; https://www.ajol.info/index.php/aju, 2018-03-09)Introduction: Hermaphroditism is a general term used to describe a sexual development disorder usually diagnosed at an early stage in sexual development. However, this is a report of an 80 year old sexual ambiguity patient ... -
Epidemiology of patients presenting to the emergency centre of Princess Marina Hospital in Gaborone, Botswana
(African Journal of Emergency Medicine, http://www.afjem.org/, 2014)Introduction: Emergency medicine is a newly recognized specialty in Botswana and the country launched an emergency medicine residency in January 2011. Data regarding the practice of emergency medicine in Botswana are ... -
A case report of a giant appendiceal mucocele and literature review
(Pan African Medical Journal, http://www.panafrican-med-journal.com/, 2017-10-04)A 43-year-old female presented at the accident and emergency department of Princess Marina Hospital, Gaborone, Botswana. She reported a deep dull aching pain of two years duration in the right iliac fossa that has been ... -
Spontaneous splenic infarcts and rupture presenting as massive haemoperitoneum
(Pula: Botswana Journal of African Studies, http://journals.ub.bw/index.php/pula, 2017)Spontaneous rupture of a normal spleen without a history of an evident blunt abdominal trauma is a rare clinical entity and can occur in both histologically normal and diseased spleen. Non-traumatic spontaneous splenic ... -
Right congenital diaphragmatic hernia associated with abnormality of the liver in adult
(Pan African Medical Journal, http://www.panafrican-med-journal.com/, 2017-09-22)A Bochdalek hernia (BH) occurs when abdominal contents herniate through the postero-lateral segment of the diaphragm. The right side is affected considerably less commonly than the left. Most BHs present are diagnosed early ... -
Designing a contextually appropriate surgical training program in low-resource settings: the Botswana experience
(Socie´te´ Internationale de Chirurgie, http://www.iss-sic.com/index.php?id=3, 2012-08-01)Background The global burden of surgical disease and severe shortage of trained surgeons around the world are now widely recognized. The greatest challenge in improving access to surgical care lies in sub-Saharan Africa, ... -
Potential for the specialty of Family Medicine in Botswana: A discussion paper
(AOSIS OpenJournals, http://www.openjournals.net/, 2012-10)Family Medicine is developing rapidly as a medical and academic specialty in sub-Saharan Africa. The multifactorial policy drivers are not well described, but include population health needs, the World Health Organisation’s ...
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