The aim of this study is to establish anatomical reference regarding PFO among Sudanese as increasing evidence was found that PFO is culprit in paradoxical emboli events; this led to the reevaluation of this relatively important anomaly. We included 60 apparently normal hearts available in Dissection Rooms in five faculties of medicine in Sudan. The rate of PFO was 7 (11.7%) and the diameter was ranging between 5 mm and 21 mm, with average of 0.87 mm. We conclude that PFO is common among Sudanese and was seen in seven cadavers (11.7%).

Background: Anatomical variations of the hepatic artery are important in the planning and performance of abdominal surgical procedures. Normal hepatic anatomy occurs in approximately 80% of cases, for the remaining 20% multiple variations have been describedPatients and methods: This is an observational descriptive cross-sectional study Conducted in Dissecting rooms of the faculties of medicine in Sudan during the period from June till December 2017. Seventy Well-dissected cadavers with no disruption of the concerned area were included in the Study Results: The variations in the hepatic artery were seen in only 4 cadavers (5.7%) ; in two cases (2.85%) an accessory hepatic artery arising from celiac artery was observed and in the other two cadavers (2.85%)there was a replacing hepatic artery that arise from the superior mesenteric artery Conclusion: Variations in the hepatic arterial system is uncommon in Sudanese cadavers which is matching those reported in the region and are different from those at the international level.

Background: Gastrointestinal stromal tumour is one of the common alimentary tract tumour and it have different anatomical site of occurrence; there are international data that are common to occur in the stomach but no local data about the common site in Sudanese patients and the presentation. Objective: To asses presentation and management of gastrointestinal stromal tumour among Sudanese patients

Introduction: Acute appendicitis is one of the most common surgical emergencies. Despite being a common problem, it remains a difficult diagnosis to establish, particularly among the young, the elderly and females of reproductive age the study aimed to compare the efficacy of RIPASA score in the diagnosis of acute appendicitis. We recently developed a scoring system for diagnosis of acute appendicitis. This study prospectively evaluates the Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) score for the diagnosis of acute appendicitis in patients presenting to the Accident and Emergency department or the Surgical wards with right iliac fossa pain. Materials and Methods: From January to June 2022 consecutive patients presenting to the Accident and Emergency department or the surgical wards with right iliac fossa pain were recruited for the study. The RIPASA score was applied but the decision for radiological investigations or emergency appendicectomy was made based on clinical judgment.

Esophageal Cancer is 6th common cause of cancer death worldwide, internationally the outcome of esophageal cancer is very poor. In Sudan esophageal cancer is also one of the most common malignancies and devastating disease with high mortality [1,3]. This study investigated esophageal cancer in the red sea state, east of Sudan over period October 2016 to October 2018, in port Sudan oncology center. The study included 40 patients, data was collected using a constructed structure pretest questionnaire, evaluated and compared with standard published literature. Objectives: The study was aimed to look at the epidemiology, risk Factors, clinical presentations and different management modalities of esophageal cancer in the red sea state, east of Sudan. Methods and Patients: This study was across sectional retro prospective study, centre based, and was conducted in Port Sudan Oncology Center in port Sudan, East of Sudan over period of two years from October 2016 to October 2018. Results: 40 patients involved in the study, This study was showed that the female were more affected with disease(65%), all patients in this study (100%) were taking coffee with ginger and pepper regularly in the early morning, and this is considered as the most important risk factor was known through this study, while the other risk factor their percentage as following; Hot tea (95%), GERD(42.5%), Smoking(10%) ,Alcohol consumption (2.5%).Dysphagia was the shared symptom between all the cases(100%), while the other symptoms came in different percentage. Conclusion: Esophageal Cancer was higher in female, more common in the age group 50_70 years old and is common in Beja tribe (50%). The most common risk factor is regular taking of coffee with ginger (100%). Unfortunately the mortality rate (52.5%) within 5-years after the diagnosis