lipoma is the most frequent soft tissue tumor in adults. Its occurrence retroperitoneal region extremely rare. The aim of this study to report a case with literature review.A 34-year-old female presented abdominal distension and severe back pain for one year duration. She also reported weight loss constipation. examination revealed asymmetrical everted umbilicus. There was big irregular mass occupying whole abdomen reaching into xiphisternum, firm consistency, smooth surface, well defined...

BACKGROUND:Spontaneous gastric perforation is usually a complication of peptic ulcer disease, or postoperative resulting from torsion. Mucormycosis (or zygomycosis) an uncommon opportunistic fungal infection that seen in immunocompromised patients and associated with significant morbidity mortality. This report rare case spontaneous due to mucormycosis infection. CASE REPORT:A 52-year-old woman, past medical history heroin abuse, diabetes mellitus, hypertension, chronic kidney disease...

Summary Background The primary treatment regimen for Helicobacter pylori infection Kuwaitis does not contain metronidazole, but that expatriates does. There is also increasing failure of antimicrobial therapy. Aim To determine the susceptibility H. from upper gastrointestinal biopsies and non‐Kuwaitis to find out if differences existed in susceptibilities isolates two different populations. Methods 96 were tested against amoxicillin, clarithromycin tetracycline by E test. rdxA gene was...

To compare the diagnostic utility of Doppler echocardiography-derived tricuspid regurgitant jet velocity (TRV) ≥ 2.5 m/s to right heart catheterization (RHC) in defining pulmonary hypertension (PH) adult patients with sickle cell disease (SCD).This is a retrospective chart review adults SCD who had TRV and RHC. A suggestive PH. Pulmonary arterial (PAH) was defined as mean artery pressure (mPAP) 25 mm Hg capillary wedge ≤ 15 Hg. venous an mPAP >15 Hg.Twenty-five met inclusion criteria. Nine...

Gastric lipomas are unusual benign lesions and account for less than 1% of all tumours the stomach 5% gastrointestinal (Thompson et al.2003; Fernandez al. 1983 [1,2]). Although predominantly asymptomatic indolent; they may present with gastric outlet obstruction upper (GI) bleeding owing to size ulceration. Only a few cases have been reported, presenting large in massive GI (Alcalde Escribano 1989; Johnson 1981 [3,4]).We report case 62-year-old gentleman who presented emergency department...

Accessory spleens are found in 10-15% of the population, and even more prevalent patients with hematological disorders (Rudowski, 1985). It infrequently may become symptomatic due to torsion, spontaneous rupture or hemorrhage which lead death. Torsion an accessory spleen is extremely rare, requires prompt medical attention [2] (Coote et al., 1999).We report case a 27-year-old Mediterranean lady thalassemia trait, who presented emergency department acute surgical abdomen torsion giant spleen,...

Hepatic choristomas or ectopic livers are uncommon, and occur due to a failure of embryological liver development. They pose risk carcinogenesis, with transformation hepatocellular carcinoma (HCC) being described in the literature (Arakawa et al., 1999). It is often silent clinical finding that can anywhere body usually diagnosed incidentally during abdominal surgical procedures autopsies (Eiserth 1940). We present case patient symptomatic was detected preoperatively, removed...

Abstract A clinical study was conducted to determine the effect of nasal valve lift treatment using absorbable, polylactic acid, self-retaining cone threads (Silhouette Soft) in patients with stenosis. Sixty (n = 60) were included this prospective which performed from January 2015 until December 2018, 19 dropped out due noncompliance. Initially, participants divided into two equal groups. One treated by only, other additionally received turbinoplasty. visual analog scale (VAS) used rate...

Levamisole belongs to the antihelminthic class of drugs that are sometimes administered patients with frequently relapsing or steroid-dependent nephrotic syndrome, owing its steroid-sparing effects. Neutropenia and skin lesions, compatible vasculitis, have been reported as drug complications, but they rarely associated any systemic involvement.We report a case 9-year-old Arab boy syndrome who was treated levamisole after his third relapse. The initially well tolerated, mild isolated...

South Asians living in the United Kingdom have a 1.5-fold greater risk of ischemic stroke than general population. Impaired cerebrovascular carbon dioxide (CO2) reactivity is an independent predictor and cardiovascular mortality. We sought to test hypothesis that CO2 reduced Asians. Middle cerebral artery blood velocity (MCA Vm) was measured at rest during stepwise changes end-tidal partial pressure (PETCO2) Asian (n = 16) Caucasian European 18) men who were young (~20 yr), healthy, Kingdom....

We observed that acute whole body heating elevates radial artery shear rate, diameter, and blood flow. This results in a diminished flow-meditated dilatation (FMD) but does not change low-flow-mediated constriction (L-FMC). Preventing rate changes during reduces vasodilation reverses FMD reductions has no effect on L-FMC. These findings indicate underpin conduit responses to heat stress, further endothelium-dependent flow-mediated is attenuated as the vasodilatory range limit approached.

Splenic artery aneurysms (SAA) are uncommon findings. They usually single and isolated; however they can be multiple; hence vasculopathy segmental mediolysis may considered.In our manuscript we present a case of 54year old multiparous lady who was discovered incidentally to have diseased splenic containing five SSAs. The largest aneurysm close the takeoff vessel smallest distal embedded in hilum. Endovascular option technically not feasible. Therefore patient underwent complete resection...

Purpose To obtain clinical data about disease activity and severity of thyroid eye (TED) in a tertiary hospital the Eastern Province Saudi Arabia to correlate this with vitamin D levels.Methods A observational study was conducted specialized Arabia. It included prospective enrollment patients confirmed TED evaluate according Clinical Activity Score (CAS) European Group on Graves' Orbitopathy (EUGOGO), respectively, also for blood investigation, including profile levels. In addition, some...

ABSTRACTThis paper uses micro-level data from the 2013 official Kuwait Household expenditure survey covering 2961 households; and three 2020 COVID-19 shock-related CEO, labor force household surveys to juxtapose consumption profiles of foreign workers in Kuwait. The contributes a growing literature on by focusing workers' employment earnings following pandemic. compares differential responses 250 Kuwaiti households during shock with that existed 2013, which was shock-free year. Moreover,...

Biliary colic is a visceral pain caused by attempts of the gallbladder or bile duct to overcome obstruction in cystic ampulla Vater. Obstruction can be due different etiologies such as stone, mass, worm, and rarely mucus plug. We report case 31-year-old gentleman who presented with recurrent biliary weight loss. Work-up showed linear calcifications extending common suggesting hepatobiliary ascariasis. Further investigations including stool analysis, upper endoscopy, endoscopic...

Leg cycling exercise acutely augments radial artery low-flow mediated constriction (L-FMC). Herein, we sought to determine whether this is associated with exercise-induced changes in arterial shear rate (SR).Ten healthy and recreationally active young men (23 ± 2 years) participated 30 min of incremental leg (50, 100, 150 Watts). Trials were repeated (Exercise + WC) without (Exercise) the use a wrist cuff (75 mmHg) placed distal increase local retrograde SR while reducing mean anterograde...