https://hdl.handle.net/10646/2791 2026-04-16T11:44:09Z 2026-04-16T11:44:09Z Muguti, G.I. Nduku, K. Mutandwa, C. Rushesha, W. https://hdl.handle.net/10646/3493 2026-01-06T01:08:39Z 2001-01-01T00:00:00Z

Choledochal cyst associated with HIV (Human Immunodeficincy Virus) disease Muguti, G.I.; Nduku, K.; Mutandwa, C.; Rushesha, W. Choledochal cysts are believed to be congenital dilatations of the intrahepatic or extrahepatic bile ducts, or both, of unkown aetiology-.1 They were first described by Vital and Ezler in 1723.2 However, the aetiology of choledochal cyts remains speculative despite a considerable research effort over the years.

2001-01-01T00:00:00Z Munjanja, S. P. https://hdl.handle.net/10646/3126 2026-01-06T01:05:59Z 2001-01-01T00:00:00Z

Ethics in reproductive health: Clinical issues in Zimbabwe Munjanja, S. P. Reproductive health can present heal th practitioners with ethical problems because of the complex interaction between cultural practices, the laws of the country and individual personal preferences. In particular, the problems of pregnancy, sexually transmitted infections, family planning, sexual violence, and domestic abuse require a good knowledge of the laws of the country and the culture in which they operate. The practitioner should at all times respect the patient's autonomy and serve their best interests, whilst keeping in mind the legitimate interest of their partners, spouses, parents or guardians.

2001-01-01T00:00:00Z Faranisi, C. T. https://hdl.handle.net/10646/2955 2026-01-06T01:02:15Z 1990-01-01T00:00:00Z

An approach to the management of volvulus of the sigmoid colon Faranisi, C. T. The colon involved with the sigmoid volvulus is much thicker than the normal colon. It is easy to handle and holds sutures well. Patients who have sigmoid-colon volvulus do not have much faecal loading. Most of the distension is gaseous. In the hands of experienced surgeons primary anastomosis can be done after sigmoid colectomy with safety and excellent results.

1990-01-01T00:00:00Z Muguti, E.G. Muchiwetu, D. Munyika, A.A. https://hdl.handle.net/10646/2951 2026-01-06T01:13:30Z 2012-01-01T00:00:00Z

Congenital duplex gallbladder anomaly presenting as gangrenous perforated intrahepatic cholecystitis mimicking a gas forming liver abscess: A case report and literature review Muguti, E.G.; Muchiwetu, D.; Munyika, A.A. Background: Ectopic intrahepatic gallbladder is a rare phenomenon. Gallbladder duplication is an even rarer phenomenon. Pathological processes arc more common in congenital anomalies of the gall bladder than normal gallbladders due to poor drainage. Case Report: We present a case of duplex gallbladder with one component intrahepatic and the other extra- hepatic, the duo draining via a common cystic duct into the common bile duct. Both gallbladder moieties were diseased. The intrahepatic moiety was gangrenous and perforated thus mimicking an intrahepatic abscess by a gas forming organism .The extra-hepatic moiety was chronically inflamed and packed with gallstones of the same physical and biochemical characteristics as the intrahepatic moiety. The definitive diagnosis was only- made at emergency laparotomy. Stone gathering and debridement of the ruptured, gangrenous intrahepatic moiety and cholecystectomy for the extra-hepatic moiety was done. On tabic cholangiography, though desired, was not available. The patient fully recovered after post-operative intensive care. Conclusion: An extensive internet literature search did not reveal any previously described case. This could be the first such case described in the world literature. Though rare, congenital anomalies of the gallbladder must be known to surgeons as they can present unexpectedly and pose diagnostic and operative surgical challenges with serious clinical implications. The management challenges experienced and literature review is presented.

2012-01-01T00:00:00Z