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The median age was 52 (interquartile range, 40-67) years. Men accounted for 62.1% of patients and had been mostly from the Kilimanjaro area. Over fifty percent (54.7%) presented three months after symptom debut; 62.6% first sought care at lower-level health services. Most (64.9%) presented as emergencies, necessitating colostomy for fecal diversion while the initial surgical procedure in 60.3% of clients. Colonoscopy had been carried out for 38.6% for the research member