Coronavirus disease 2019 (COVID-19) has profoundly impacted residency and fellowship training education. However, how to what extent the daily involvement of trainees in clinical surgical activities was compromised by COVID-19 pandemic is currently unknown.We conducted an electronic survey. An invitation sent through executive administration Saudi Commission for Health Specialties (SCFHS) randomly 400 residents fellows over two weeks period from April 23, 2020 until May 6, 2020. Descriptive...

Introduction: Phlebolith is a term that refers to round-shaped calcified thrombi commonly located in the pelvic region. The occurrence of dense, linear calcifications or phlebolith-like formations within soft tissues lower extremities, particularly superficial femoral, greater saphenous, popliteal veins, rare. Patient Concerns: This study presents case 73-year-old woman who was being evaluated for postmenopausal bleeding. During patient's diagnostic workup, an incidental linear-shaped...

Carbon monoxide (CO) toxicity is one of the common types poisoning, and aim this study to evaluate CO poisoning during 2004–2013. The was based on autopsy samples sent forensic chemistry laboratory in Dammam period. findings showed that 68 out 894 cases were diagnosed as acute toxicity; 91% classified accidental; 83% male while only 11% female. highest rate winter months (50%), age group between 40 50 years, followed by 31–40. average carbon percentage 49%. not a very occurrence; however,...

ABSTRACT Background: The satisfaction of surgical residents with their training programs is a key indicator for program effectiveness. This survey was conducted to assess the level perceived current in Eastern Saudi Arabia. Materials and methods: Resident measured by questionnaire 119 selected participants at 9 centers Arabia, as part general surgery residency Commission Health Specialties. Results: response rate 69.7% (83/119) resident participants. A total 37 (44.6%) expressed...

With advancements in and the evolution of medical field, several methods surgical techniques have been developed for breast reconstruction after mastectomy. Generally, we can categorize these strategies into two broad groups: autologous implant-based reconstruction. This study aimed to analyze satisfaction rate between groups, considering age, timing reconstruction, body mass index (BMI), major complications, need radiotherapy or chemotherapy.

Routine histopathological examination (RHPE) of all gallbladder specimens is required to detect the presence carcinoma (GBC) or any other pathology. The work aims study incidence and clinical significance detecting unusual findings upon RHPE referred cholecystectomy a histopathology laboratory section at referral hospital in Saudi Arabia during one year period. From May 2019 2020, reports 444 consecutive after elective emergency cholecystectomies were retrospectively analyzed divided into...

Background: although liver injuries are one of the most critical complications abdominal trauma, choosing when to operate on these is challenging for surgeons worldwide. Methods: We conducted a retrospective analysis injury cases at our institution from 2016 2022 describe operative and nonoperative management (NOM) outcomes in patients with traumatic injuries. Baseline patient characteristics, details, treatments, were analyzed. Results: Data 45 (male, 77.8%) The mean age was 29.3 years....

BACKGROUND:Intestinal hypoganglionosis is very rare and accounts for 3% to 5% of all classified congenital intestinal innervation disorders. Isolated the colon a particularly form disease, differential diagnosis includes association with Hirschsprung's disease chronic pseudo-obstruction (CIPO) related visceral myopathies. Most cases are diagnosed at an early age or in childhood only few reported adults. CASE REPORT:We report case isolated rectum sigmoid presenting as emergency acute...

Appendiceal mucocele (AM) is a very rare neoplasm with an incidence of 0.2–0.3% all appendectomy specimens. AM usually defined as intraluminal dilation the appendix in response to mucin accumulation. The preoperative diagnosis difficult and can be misdiagnosed any other differential especially female patients. If it suspected, imaging modalities colonoscopy helpful guide for right surgical approach. A 41-year-old lady who found have appendicular tumor discovered incidentally on magnetic...

Background: The analysis of alcohol exemplifies the principal aim forensic toxicology worldwide. Detection ethanol in post-mortem cases is getting more important nowadays due to upsurge number related fatalities all over world. Toxicological mandatory diagnose, and interpret presence levels different post mortem samples. difficulties interpretation blood concentration (BAC) are profound when body shows signs putrefaction measured BAC low as sometimes it false positive decomposition....

There is paucity in the literature regarding gallbladder cancer Saudi Arabia, possibly because it not among top 10 cancers diagnosed nationwide according to Cancer Registry. Moreover, national or regional data on Arabia have been analyzed. The purpose of this study was describe presentation, disease stage, histology, and survival rates for patients at a single institution between January 1, 2010 December 31, 2017.

Lipomatous tumors of the adrenal glands are a diverse group characterized by composition adipose tissue. This include myelolipomas, angiomyolipomas (AML), lipomas, and teratomas. They usually benign, non-functioning tumors, they account for 5% all primary tumors. study aimed to elucidate management initial size mass symptoms presentation. We provide succinct literature review regarding glands. Here, we report 5 cases lipomatous All were non-functioning. Four them myelolipoma, one was AML....

Primary carcinosarcoma is a rare neoplasm of the gallbladder, and characterized by collision elements adenocarcinomatous sarcomatous components. The tumours comprise both malignant epithelial mesenchymal elements, are usually very aggressive, conferring poor prognosis. Adenocarcinomas most common neoplasms gall bladder, while extremely rare, with global prevalence rate less than 1%. low incidence greatly hinders understanding its aetiology. Here, we report surgical outcome 3 cases...

Primary squamous cell carcinoma of the gallbladder is extremely rare, and accounts for about 3% all malignant neoplasms. We report case a 58-year-old woman who presented with acute onset epigastric pain radiating to back. The initial diagnosis, based on radiological images, was an incidental mass multiple gallstones. A staging laparoscopy performed, followed by exploratory laparotomy radical cholecystectomy. Segments 4b 5 liver first part duodenum transverse colon were also resected....

Schistosomiasis is the third most devastating tropical disease in world. According to a literature review, there have been few reports of peritonitis due schistosomiasis. Here, we report rare case schistosomal appendicitis presenting as acute peritonitis.

ntimomedial mucoid degeneration (IMMD) is an extremely rare vascular condition characterized by mucin accumulation in the intima and media, resulting arterial wall elastic tissue degradation aneurysm formation. We report case of a 34-year-old woman who presented to emergency department with 1-month history left lower limb pain. On local physical examination, both limbs were warm palpable regular pulses entire normally capillary refill. No masses felt. Computed tomography angiography (CTA)...

Spontaneous iliac artery dissection (IAD) is a rare condition that usually associated with connective tissue diseases. Complications include ischemia due to malperfusion and bleeding rupture. Treatments vary depending on the expertise presenting symptoms; they conservative, endovascular, surgical options.

: Since thoracic endovascular aortic repair (TEVAR) and aneurysm (EVAR) are increasingly utilized, examining their outcomes safety in real-world scenarios is crucial. This study investigated the management of TEVAR EVAR as alternatives to traditional open surgical for managing pathologies.

The spread of severe acute respiratory syndrome coronavirus 2 has resulted in disease 2019 (COVID-19) pandemic, raising significant concerns. COVID-19 can lead to thrombotic complications such as limb ischemia (ALI). In patients with COVID-19, may increase the risk morbidity and mortality.We report case a 37-year-old man who presented weeks history right foot pain, toes blackish discoloration, numbness. He tested positive for 10 days prior his presentation. Computed tomography angiography...

This study aimed to compare the outcomes of percutaneous femoral access and open surgical cutdown approaches in patients undergoing thoracic/abdominal endovascular aortic repair.We retrospectively reviewed medical records 59 who underwent a repair at single tertiary care hospital between 2015 2022. Based on their type, were categorized into "percutaneous" or "cutdown" groups. Using computerized sheet, relevant patient data (including demographic information risk factors) collected. The...

Retrorectal cysts are rare congenital cystic lesions usually diagnosed in middle-aged women. They generally asymptomatic; however, local pressure may result complications. Pain or discomfort the pelvic, sacral, lower back perianal area most common symptoms. The diagnosis is difficult, and multidisciplinary management required. An epidermoid cyst type. Surgical resection main treatment, 3 operative approaches commonly used: abdominal, trans-sacral, combined abdominosacral. selection of...

This is a 5-year retrospective study including all autopsy reports of suicidal hanging deaths in Dammam city, Eastern province Saudi Arabia. Hematoxyline and eosin stain has been used for the microscopic description three tissue biopsies that have selected this study. Other confirmatory tests performed certain cases, when needed. The total number cases was 62; 85.5% deceased were males, while 15% females. majority (53%) among age group 20–30 years. Hemorrhage sternocleidomastoid muscle...