Posterior urethral valves (PUV) are now commonly suspected on antenatal ultrasound, but can present with a broad spectrum of severity postnatally. Rarely, the diagnosis is missed until adolescence or adulthood when the patient usually presents with lower urinary tract symptoms. We describe an even rarer case of PUV in a late adolescent who first presented with preserved renal function and urina...

Deep sternal wound infections (DSWI) are infections of the sternum, mediastinum, or the muscle, fascia and soft tissue that overlie the sternum, typically occurring within a month of cardiac surgery. They are infrequent though severe complications of cardiac surgery. Diagnosis is made by the clinical presentation of fever, chest pain, or sternal instability in the setting of wound drainage, pos...

Traumatic injuries of the cervical spine are frequent, especially following motor vehicle accidents [1]. Multiple lesions predominate, with a variable distribution according to vertebra I level and anatomic structure [2, 3]. Injury to the intervertebral disk has been seen in slightly less than one-third of patients [2,3]. A patient with a neck injury developed obvious radiographic signs of spin...

Capsule endoscopy has revolutionized the investigation of small intestinal pathology with an increasing repertoire of indications. We present the first reported case of an aspirated capsule presenting after a long asymptomatic period that was removed with no permanent pulmonary sequelae. This report highlights a cohort of patients who could be susceptible to this rare complication. The report a...

OBJECTIVE To determine the extent and nature of delayed presentation of patients treated for breast cancer at Kenyatta National Hospital (KNH). DESIGN Prospective cross sectional study. SETTING Kenyatta National Hospital (KNH) which is a tertiary, teaching and referral hospital in Nairobi, Kenya. RESULTS A total of 166 patients were recruited into the study. The mean age was 47 years with...