Issue 5 Articles

A Pancreatic Tumor with Central Calcification

Clinical Image

A 49-year-old woman visited our hospital with a history of epigastralgia, high fever and general malaise. Her temperature was 37.6 ?. There was no significant past medical history. On physical ex- amination, she had tenderness at the upper abdomen. Laboratory data were as follows: white blood cell count of 3000/?L, C-reactive protein of 6.77mg/dL, carcinoembryonic antigen of 1.9ng/mL, and carbohydrate antigen 19-9 of 33.8U/mL

Forestier Disease as a Cause of Dysphagia: A Case Report

Case Report

We describe here the clinical history of a 74-year old man presenting with a gradually worsening pharyngeal dysphagia with globus, occasional intra-deglutitory coughing, hoarseness and a 5 kg weight loss in the previous two months. Apart from type II Diabetes Mellitus, the patient’s clinical history was unremarkable

Viral Hepatitis B Genotypes among Outpatient Clinic Attendees in North Rift, Kenya

Research Article

Most hospital outpatients unaware of their Hepatitis B Virus (HBV) status could be seeking treatment for other different ailments in Kenya. To evaluate the HBV prevalence and the genetic diversity, the genetic analysis of the partial HBV S gene was conducted

Sonographic Diagnosis of Abdominal Cutaneous Nerve Entrap- ment Syndrome: A Report of Two Cases

Case Report

We report two cases of Abdominal Cutaneous Nerve Entrapment Syndrome (ACNES) suc- cessfully diagnosed using Doppler ultrasound. In both cases, patients complained of chron- ic abdominal pain, and physical examination showed a positive Carnett’s sign. Although the results of several examinations including endoscopy appeared normal, ultrasound exam- ination revealed