Annals of African Surgery

Will We Tire of Case Reports?

Alex Okello Wamalwa — 2023-08-07

No abstract.

A Case Report and Technique Guide for Stabilization of Tibialis Posterior Tendon Dislocation in an Athlete

Hussein Ibrahim Hussein — 2023-08-07

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.

Spontaneous Lumbar Hernia: A Case Report

Mundhir Said Mohamed — 2023-08-07

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.

Latissimus Dorsi Myocutaneous Flap Reconstruction Post Resection of a Giant Malignant Phyllodes Tumor of the Breast: A Case Report

Mohamed Dahir — 2023-08-07

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.

Characteristics and Treatment of Breast Cancer in Men: A 12-year Single-Institution Review

Mwongeli Matheka — 2023-08-07

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.

Bladder Outlet Obstruction: Etiological Pattern in Southwestern Nigeria

Najeem Adedamola Idowu — 2023-08-07

Background: Bladder outlet obstruction (BOO) is a clinical condition that is characterized by impediment to the flow of urine. It affects all age groups with varying etiologies. The pattern of this clinical condition in our setting is unknown. This study aimed at determines the clinico-epidemiological pattern of BOO in southwestern Nigeria. Method: We retrospectively reviewed the case files of patients that were managed for BOO over a period of 10years in our center. Results: A total of 784 patients were managed for BOO during the period under review. Their median age was 65.9years and in all, 486 patients of in the study group had benign prostatic hyperplasia (BPH) was the most common diagnosis followed by prostate cancer, urethral strictures and neurogenic bladder. While prostate cancer, urethral stricture, neurogenic bladder, bladder cancer, and bladder stone were diagnosed in 181, 90, 20, 5, and 2 patients, respectively. Conclusion: We have done an overview of a clinico-epidemiological pattern of BOO in southwest Nigeria is documented. The most common cause of BOO in men was while in women. It was neurogenic bladder syndrome.