ABSTRACT
The case we present; is an interesting example of intestinal malrotation; which is a well known congenital condition; which tend to manifest early in life. In our case the age of our patient made the diagnosis potentially more challenging; as it was not the most typical age for duodenal stenosis due to Ladd's bands; which is often mostly observed earlier in life. Stenosis of the duodenum is relatively rare; and may represent a surgical challenge; especially in setting with limited diagnostic and treatment facilities. We also discuss implication of language barriers to potentially delay timely diagnosis and optimal management
Subject(s)
Child , Congenital Abnormalities , ConstrictionABSTRACT
Delayed complications of an established surgical procedure like transvescical prostatectomy can occur in rural settings, where different factors can influence the outcome, beyond appropriate indication for surgery and technical skills of surgeons. Here we present a case that was per se surgically unremarkable, however a number of delayed omplications appeared in the post operative period, including infectious, neurologic, metabolic, hematologic ones, beyond purely post-surgery complications.
Subject(s)
Prostatectomy/adverse effects , Prostatic Diseases/surgery , Aged , Humans , Kenya , Male , Rural Health ServicesABSTRACT
A young female patient presented to our hospital for massive rectorrhagia associated with clinical signs of peritonitis. The provisional diagnosis was of sigmoid volvolus, but laparatomy demonstrated that the problem originated from Pelvic Inflammatory Disease (PID). Despite prompt and uncomplicated surgery the patient did not survive, probably because of septicaemia or pulmonary embolism.
