Publications by authors named "Yohannis D Molla"

Introduction: IUDs are effective, reversible and safe methods of contraception. The mechanism of action of IUDs as a group is inducing endometrial atrophy, apoptosis, altering tubal motility; preventing sperm permeability, fertilization, and implantation. Complications of IUD include menstrual disturbance, pelvic pain, and increased risk of ectopic pregnancy with contraceptive failure, device expulsion, uterine perforation or transmural migration with misplacement of the device.

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Introduction: Kimura disease is a chronic inflammatory disorder predominantly affecting the head and neck region. The etiology of Kimura disease remains unclear. The disease mainly affects young adult males of Asian descent, with a higher prevalence in East Asian countries.

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Article Synopsis
  • A study was conducted on 405 pediatric patients at the University of Gondar Comprehensive Specialized Hospital in Ethiopia during 2023, utilizing structured data collection and statistical analysis.
  • The findings revealed that most trauma cases involved children under 10, primarily from rural areas, with falls being the most common cause; head and face injuries were the most prevalent among the types of injuries observed.
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Schizencephaly is a highly uncommon clinical condition characterized by a diverse range of symptoms stemming from its numerous anatomical manifestations. The disorder is characterized by abnormalities in brain structure resulting from disruptions in neuronal migration. This article presents a case of schizencephaly in an Ethiopian child.

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Situs inversus, an uncommon disorder, causes the orientation of asymmetric organs to be opposite to that of normal anatomy. It can be either partial, affecting only the thoracic or abdominal cavities, or full, involving the transposition of both the thoracic and abdominal organs. A 31-year-old Ethiopian male patient presented with migratory abdominal pain in the left lower quadrant for 3 days.

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Background: Mycobacterium tuberculosis is the second most common infectious cause of death in adults worldwide. The ability of this organism to efficiently establish latent infection has enabled it to spread to nearly one-third of individuals worldwide. Approximately 8 million new cases of active tuberculosis disease occur each year, leading to about 1.

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  • Abdominal trauma poses significant risks for children, with one in four pediatric patients suffering from serious injuries, primarily due to falls and blunt force impacts.
  • A study analyzed the medical records of 90 pediatric patients who underwent exploratory laparotomies for abdominal trauma between 2020 and 2023, gathering data on various injury causes and patient demographics.
  • The results indicated that the majority of patients were male and under 10 years old, with bullet injuries being the leading cause of trauma, followed by falls and several other injury types unique to different age groups.
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Introduction: Depressed skull fractures occur when a portion of the skull is displaced inward towards the brain, leading to complications such as intracranial hematoma, brain contusion, and intracranial infection. Managing these fractures necessitates a multidisciplinary approach, with postoperative management and rehabilitation playing crucial roles in optimizing patient outcomes. This study aimed to assess the predictive factors and outcomes of patients who underwent surgical treatment for depressed skull fractures.

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Article Synopsis
  • - Clavicular osteomyelitis is a rare condition that presents diagnostic challenges for orthopedic surgeons due to its unique location and the common symptoms of localized pain and swelling.
  • - A case study of a 9-year-old boy showed swelling and pain in the left clavicle without fever or trauma, which was successfully treated through surgical debridement and antibiotics.
  • - Accurate diagnosis requires detailed clinical examination, lab work, imaging, and sometimes biopsies, with treatment options including surgery or medical management, both yielding similar cure rates according to existing literature.
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Objective: Chronic subdural hematomas (CSDHs) are a relatively common condition defined as an abnormal collection of blood and its break down products in the subdural space, usually accompanied by a history of preceding mild head trauma. Surgical management remains the mainstay of treatment. The objective of this study was to assess the surgical treatment outcome of patients operated on for CSDH at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia.

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  • - Breast tuberculosis is a rare condition that can mimic breast cancer or severe infections, making it essential to consider in patients with persistent breast issues, especially in high-risk areas.
  • - Young women, particularly those who have never given birth or are breastfeeding, are the most commonly affected, and diagnosing it can be tricky due to similarities with other breast diseases.
  • - A case study highlights a 24-year-old Ethiopian woman who experienced symptoms for a year before being diagnosed with breast tuberculosis, ultimately improving after a 6-month treatment with antituberculous medication.
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Key Clinical Message: Sewing needle ingestion is a rare but potentially dangerous event that can affect people of all ages and backgrounds like this patient.Conservative management with serial abdominal examination and x-rays can be a reasonable option for patients who do not show signs of perforation or sepsis, as most foreign bodies will pass spontaneously without complications such as this case.

Abstract: Though rare, swallowing a sewing needle is a peculiar and potentially dangerous health risk.

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Introduction And Importance: Schistosomiasis, a parasitic disease, is caused by blood flukes from the schistosoma genus. Neuroschistosomiasis is the most severe form of schistosomiasis, which occurs when the host's brain and spinal cord react to the deposition of eggs, leading to neurological symptoms. Neuroschistosomiasis causes various signs and symptoms, such as myelopathy, radiculopathy, and elevated intracranial pressure.

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Introduction: Non-pancreatic pseudocysts are rare lesions that typically form from the omentum and mesentery. These cysts have a thick fibrotic wall made up of fibrous tissue and may show signs of calcifications and inflammatory changes. The fluid inside them can vary, ranging from hemorrhage and pus to serous or sometimes chylous content.

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Key Clinical Message: Duodenal GISTs are rare and challenging tumors. Acute life-threatening upper GI bleeding is a possible presentation of duodenal GISTs. Surgery is the standard treatment for localized duodenal GISTs.

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We hereby present a 70-year-old male Ethiopian farmer who presented with clinical manifestations suggestive of acute large bowel obstruction, which had persisted for 3 days. Over the past 3 years, he has experienced three similar recurring episodes, which were alleviated by decompression using a rectal tube. Upon initial examination, the patient displayed signs of cardiopulmonary distress, although no indications of peritonitis were observed.

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Article Synopsis
  • * A 27-year-old woman developed painful swellings and widespread skin lesions, leading to difficulties in swallowing; a biopsy confirmed PNP, prompting treatment with chemotherapy which resulted in her improvement.
  • * PNP often poses diagnostic and therapeutic challenges due to its association with various neoplasms, and it is important for doctors to identify underlying cancers quickly; this case notably connects PNP with T-cell lymphoma.
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A 40-year-old Ethiopian woman presented with a six-month history of non-foul-smelling whitish vaginal discharge. She also reported a one-year history of postcoital bleeding. A pelvic examination revealed a nodular, hard, and fragile cervical mass.

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The patient, a 20-year-old nulligravida, presented with a progressive swelling on the right side of her vulva over the past three years. She also reported dull, aching pain, particularly during long walks. Upon examination, the patient appeared comfortable, and her vital signs were within normal limits.

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Background: Ileo-ileal knotting is a very rare cause of small bowel obstruction, and only a few reports have been published. Small bowel obstruction (SBO) is one of the most common emergency surgical conditions that require urgent evaluation and treatment and is one of the leading causes of emergency surgical admission. There are many causes of SBO that are known in general surgical practice, and these causes are different in the developing and developed worlds.

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Introduction: Agenesis of the right hepatic lobe is a rare congenital anomaly. Developmental anomalies of the right lobe of the liver were first reported in 1870 by Heller [6]. Anatomical variations of the liver are common, occur during the normal development of the organ, and correspond to variations in the distribution of liver territories.

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Introduction: Trauma is a huge problem seen in developed countries as well as developing countries. Head injury is a major factor responsible for mortality in young populations. Up to 6% of all head injuries and 11% of severe head traumas might result in a depressed skull fracture (DSF), a catastrophic injury.

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Introduction: Penile fractures are a rare urological emergency. It is defined as 'rupture of the tunica albuginea of one or both corpora cavernosa. The corpus spongiosum and the urethra may also be involved in this process.

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Appendiceal duplication is exceedingly rare, with a prevalence of 0.004% to 0.009% in appendectomy specimens.

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Introduction: Foreign body aspiration (FBA) is defined as asphyxia, suffocation, or inhalation of items of food, such as bone and seed, and non-food, such as toys, into the respiratory tract. Aspiration of foreign bodies is an important and preventable cause of mortality and morbidity in children, especially those less than 3 years of age. The aim of this study was to analyse the clinical and radiological profile, modes of management, and outcomes of foreign body aspiration in children at the University of Gondar Comprehensive Specialized Hospital and identify areas of possible interventions for proper management of such cases.

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