Appendicitis is a condition wherein the appendix becomes inflamed, and it can be difficult to diagnose accurately. The type of appendicitis also hard determine, leading misdiagnosis difficulty in managing condition. To avoid complications reduce mortality, early diagnosis treatment are crucial. While Alvarado’s clinical scoring system not sufficient, ultrasound computed tomography (CT) imaging effective but have downsides such as operator-dependency radiation exposure. This study proposes...

Abstract Introduction Reflux after bariatric surgery is not uncommon and can negatively impact patients’ quality of life. Laparoscopic sleeve gastrectomy well known to induce de-novo reflux symptoms. Barrett’s esophagitis has been widely reported laparoscopic gastrectomy. Moreover, esophago-gastro-duodenoscopy routinely performed for all patient preoperatively detect patients with silent reflux. In most cases, conversion a low-pressure procedure solve the issue relieve However, some still...

Abstract Objectives In this systematic review and meta-analysis, we aimed to assess the impact of bariatric surgical procedures on weight reduction in adolescents. Laparoscopic sleeve gastrectomy (LSG), laparoscopic adjustable gastric band (LAGB), Roux-en-Y bypass (LRYGB) were evaluated, along with their associated complications. Methods We conducted a following PRISMA Cochrane Handbook guidelines, searching databases from inception May 12, 2023. Inclusion criteria comprised studies English...

Acute appendicitis is the most frequent cause of emergency surgical procedures performed worldwide. Laparoscopic appendectomy (LA) has gained considerable popularity in last decades. However, ideal method for appendicular stump closure during LA still debatable and depends on surgeon's preference intraoperative judgment. The endoloop ligatures (EL) used but its application quite challenging. efficacy nonabsorbable polymeric clip (PC) been proven it was first described 2007. A retrospective...

Abstract Background: Traumatic pancreatic injury, though infrequent, poses diagnostic challenges with delayed recognition contributing to increased morbidity and mortality. Serum lipase amylase are standard injury markers, yet hyperlipasaemia can arise from non-pancreatic aetiologies in polytrauma. This study aimed characterize causes of polytrauma patients. Materials Methods: A descriptive cohort was conducted on adult patients admitted between January 2016 December 2022, measured levels....

Abstract During the coronavirus disease 2019 (COVID-19) pandemic, mandatory use of personal protective equipment (PPE) has resulted in a significant reduction infection rate among health care workers (HCWs). However, there are some ongoing concerns about negative impact using PPE for prolonged periods. This study examined wearing on surgeons’ performance and decision making during COVID-19 pandemic. In this cross-sectional study, an anonymous online questionnaire was created disseminated to...

Gallstone ileus is a rare complication of cholelithiasis leading to small intestinal obstruction. Elderly females are commonly affected more than male. The diagnosis this condition challenging and Rigler's triad pathognomonic. Surgery mandatory with no clear consensus about the best surgical approach that should be adopted. An elderly female patient, previous history biliary diseases, presented bowel Contrast enhanced computed tomography abdomen showed classical triad. Total laparoscopic...

Retroperitoneal cystic lesions are uncommon heterogeneous clinical entities with no definite incidence. Their presentations different and their diagnosis is challenging. The management necessitates complete surgical excision, usually via laparotomy. Recently, laparoscopic approach being increasingly used. A 29-year-old female patient was referred for an incidentally-discovered huge retroperitoneal cyst. Imaging studies revealed a cyst, measuring 13 * 11 cm. Diagnostic laparoscopy showed cyst...

Appendicitis, an inflammation of the vermiform appendix, is one most common causes acute abdomen and frequent indications for emergency abdominal surgery worldwide. Any person older than 65 years old considered elderly. The elderly population constitutes only 5-10% total appendicitis cases. symptoms depend on location appendix. Generally, lower pain anorexia are known to be appendicitis. Although young adults have a higher prevalence appendicitis, complication rate, 37.5% versus 43.97%. In...

The use of personal protective equipment (PPE) decreased the probability viral transmission during COVID-19 pandemic. However, some drawbacks have been observed with its extensive use, such as headaches, anxiety, and stress among physicians, which could affect decision-making processes, performance consequently patients' safety. Few articles studied impact PPE on physicians from different specialties. This study assessed effect wearing pandemic compared effects specialties.A descriptive...

Sickle cell disease (SCD) is a common hemoglobin disorder with variable clinical manifestations. Spontaneous subgaleal hematoma rare, sporadic cases reported in patients SCD. Most resolve conservative measures. Skull bone infarction should be considered possible cause of severe acute headache

Liposuction is a popular cosmetic procedure. Recently, there has been an increase in the reported complications. Fat embolism syndrome (FES) rare life-threatening condition with challenging diagnosis. A young lady was admitted for liposuction and lipofilling After 180 minutes, cardiac arrest happened. She revived after cardiopulmonary resuscitation. tachypneic, hypoxic, feverish. Her chest x-rays were suggestive of acute respiratory distress syndrome. exclusion other differential diagnoses,...

Laparoscopic sleeve gastrectomy is a popular bariatric procedure. Leakage after the cornerstone for most of its related morbidity and mortality. Gastrocolic fistula rare complication resulting from chronic leak laparoscopic gastrectomy. We report case 32-year-old male who underwent re-sleeve weight regain initial uneventful 3 years back. He presented to emergency department by septic shock secondary leakage CT abdomen with IV contrast oral gastrograffin confirmed post leak. Emergency...

Abstract Primary omental torsion is a rare cause of acute abdomen especially in obese patients with inconsistent history, examination, and laboratory findings. The liberal use computed tomography casualties has increased its preoperative diagnosis. Despite the controversy, non‐operative approach should be attempted as first line management while laparoscopic resection only considered after failure management.

Acute gallbladder perforation is a rare complication of biliary diseases with an estimated incidence 2% all diseases. It carries higher risk morbidity and mortality. This study examines the factors outcome patients admitted acute subacute (AGBP) to tertiary hospital in Eastern Province Saudi Arabia.A retrospective was performed including who were operated on from Jan. 2016 until Dec. 2020. The divided: first group included AGBP second other diagnoses. We excluded chronic perforation,...

Appendectomy is the most common emergency surgical procedure performed worldwide. Mucinous cystadenoma a rare benign tumor of appendix. There no agreement on best approach for its management. Recently, laparoscopic being increasingly tried. Careful excision mandatory to avoid content spillage into peritoneum resulting in pseudomyxoma peritonei.A middle-age male patient presented department complaining chronic abdominal pain, bleeding per rectum and recurrent attacks vomiting. Preoperative...

Situs inversus is a rare congenital anomlay in which the thoracic and abdominal organs are sited on opposite side to that of normal anatomy. Its etiology still unknown. It classified into situs partialis totalis. discovered incidentally most cases. Any surgical intervention for such patients may encounter intra-operative technical difficulties due anatomical differences, particularly if laparoscopic approach adopted, as bariatric surgeries where obesity itself opposes an added challenge. A...

A well-functioning vascular access (VA) is crucial for the patients on maintenance hemodialysis (HD). Central venous stenosis (CVS) a common, yet, overlooked complication of VA as its diagnosis challenging. Moreover, effect flow volume (FV) and peripheral resistive index (RI) was not well discussed before. Despite availability doppler ultrasound (DUS) in most centers, direct visualization central veins using DUS quite difficult.

Background: Inferior vena cava thrombosis (IVC-Th) is a rare clinical entity after blunt abdominal trauma. It has both diagnostic and therapeutic dilemmas. Pulmonary embolism the most dreadful complication leading cause of mortality IVC-Th. Therefore, accurate prompt diagnosis crucial. Objective: The aim this article was to present case IVC-Th in young male patient who had traumatic injury motor vehicle accident. Case presentation: brought emergency department successfully managed by...