Oman Medical JournalPub Date : 2024-11-30eCollection Date: 2024-11-01DOI: 10.5001/omj.2024.35
Sara Al Harthi, Mohammed Al-Masqari
{"title":"Concurrent Invasive Ductal Carcinoma and Pancreatic Intraepithelial Neoplasia in Duodenal Heterotopic Pancreas: A Case Report.","authors":"Sara Al Harthi, Mohammed Al-Masqari","doi":"10.5001/omj.2024.35","DOIUrl":"10.5001/omj.2024.35","url":null,"abstract":"<p><p>Heterotopic pancreatic (HP) tissue is defined as the presence of pancreatic tissue outside of its usual site with no vascular or anatomic association with the normal pancreas. This is most commonly found in the stomach, duodenum, and proximal jejunum. Most HP findings are incidental. Yet, they can occasionally produce symptoms such as bleeding, abdominal pain, and gastrointestinal obstruction symptoms. HP tissues can also become malignant. The following report details a rare case of a 77-year-old man with concurrent invasive ductal carcinoma and low-grade pancreatic intraepithelial neoplasia involving an HP tissue located at the duodenum.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"1 1","pages":"e699"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11994028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70684958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oman Medical JournalPub Date : 2024-09-30eCollection Date: 2024-09-01DOI: 10.5001/omj.2024.33
Emmanuel Ssemmondo, Jonathan Thow, Anis Abobaker, Greg Heath
{"title":"Hypocalcemia Induced Optic Neuropathy in a Patient with Undiagnosed Hypocalcemia, Deafness, and Renal Syndrome.","authors":"Emmanuel Ssemmondo, Jonathan Thow, Anis Abobaker, Greg Heath","doi":"10.5001/omj.2024.33","DOIUrl":"10.5001/omj.2024.33","url":null,"abstract":"<p><p>Hypocalcemia, deafness, and renal syndrome, also known as Barakat syndrome, is an autosomal dominant genetic condition characterized by hypocalcemia, sensorineural hearing loss, and renal dysplasia. Papilledema, which refers to optic disc swelling due to increased intracranial pressure caused by hypocalcaemia, has been reported in the literature. However, optic disc edema secondary to hypocalcemia-induced optic neuropathy with normal intracranial pressure is rare. In this case report, we present a rare case of hypocalcemia, deafness, and renal syndrome, possibly the first diagnosed based on the presence of hypocalcemia-induced optic disc edema. We suggest that patients with optic disc edema referred for further neurological investigations should have their serum calcium levels analyzed, as early diagnosis and correction of hypocalcemia may improve the signs and symptoms of optic nerve disease.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"1 1","pages":"e682"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11890259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70685047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oman Medical JournalPub Date : 2024-09-30eCollection Date: 2024-09-01DOI: 10.5001/omj.2024.30
Naeema Al Shibli, Azza Al Shidhani, Irfan Ullah, Hussain AlSaffar, Faris Al Kalbani, Koukab Al Farsi, Jalila Alshekaili, Nafila Al Riyami
{"title":"Interference with Immunoassays of a Neonate on High Biotin: Case Report and Literature Review.","authors":"Naeema Al Shibli, Azza Al Shidhani, Irfan Ullah, Hussain AlSaffar, Faris Al Kalbani, Koukab Al Farsi, Jalila Alshekaili, Nafila Al Riyami","doi":"10.5001/omj.2024.30","DOIUrl":"10.5001/omj.2024.30","url":null,"abstract":"<p><p>Biotin is sometimes administered in mega doses to children to treat certain inborn errors of metabolism. We report the case of a one-week-old newborn who was started on a 'mitochondrial cocktail' that contained a high dose of biotin. On day seven of life, his thyroid function test showed a biochemical picture of primary hyperthyroidism, which was not clinically evident. The suspicion of immunoassay interference with thyroid function test was confirmed when another lab, using a different immunoassay, gave normal results. If the biochemical profile does not match the clinical picture, it is reasonable to doubt the test result and think of assay interference.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"4 Suppl s4 1","pages":"e679"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70684641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oman Medical JournalPub Date : 2024-09-30eCollection Date: 2024-09-01DOI: 10.5001/omj.2024.32
Tee Shao Peng, Hazama Mohamad, Kuhan Kanagaratnam, Hafiz Bin Mohamad Mahbob, Tengku Mohamed Izam Tengku Kamalden
{"title":"Myiasis in the Neglected Tracheostomy Wound.","authors":"Tee Shao Peng, Hazama Mohamad, Kuhan Kanagaratnam, Hafiz Bin Mohamad Mahbob, Tengku Mohamed Izam Tengku Kamalden","doi":"10.5001/omj.2024.32","DOIUrl":"10.5001/omj.2024.32","url":null,"abstract":"<p><p>Myiasis is the term referring to an infestation of dipterous larvae in the living body tissue, where they feed on the tissue and cause infection. It is typically found in individuals living in unhygienic conditions, with foul-smelling odor emanating from neglected wounds or body discharge, which attract flies to lay their eggs in the affected area. Myiasis can cause life-threatening complications if maggots invade vital organs, resulting in sepsis, hemorrhage, and organ dysfunction. The mainstay of treatment includes mechanical removal of the maggots, wound debridement, daily wound dressing, and administration of antibiotics for concurrent bacterial infections. Recently, we encountered a patient who presented with bleeding and foul-smelling discharge from a tracheostomy wound, which was found to be infested with maggots.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"1 1","pages":"e681"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11890265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70684989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oman Medical JournalPub Date : 2024-09-30eCollection Date: 2024-09-01DOI: 10.5001/omj.2024.114
Mustafa Saadat
{"title":"Comments On: \"<i>ApaI</i> and <i>Fok1</i> Variants of Vitamin D Receptor Gene Associated with Metabolic Syndrome Among Jordanian Women\".","authors":"Mustafa Saadat","doi":"10.5001/omj.2024.114","DOIUrl":"10.5001/omj.2024.114","url":null,"abstract":"","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"39 5","pages":"e686"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11891645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oman Medical JournalPub Date : 2024-09-30eCollection Date: 2024-09-01DOI: 10.5001/omj.2024.31
Noor Nabi Junejo, Muhammad Humza Kamal, Shahid Aquil, Joseph Kunju Mathew
{"title":"Ischemic Priapism Associated with Glucose-6-phosphate Dehydrogenase Deficiency: A Case Report.","authors":"Noor Nabi Junejo, Muhammad Humza Kamal, Shahid Aquil, Joseph Kunju Mathew","doi":"10.5001/omj.2024.31","DOIUrl":"10.5001/omj.2024.31","url":null,"abstract":"<p><p>Ischemic priapism is a male urologic emergency. Most cases have been linked to genetic conditions such as sickle cell disease and (much more rarely) glucose-6-phosphate dehydrogenase deficiency, and the use of certain drugs. Here, we report the case of a 34-year-old male who was a known case of the recurrent ischemic type of priapism, which was relieved by penile aspiration. Genetic investigation revealed that the patient had glucose-6-phosphate dehydrogenase.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"1 1","pages":"e680"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70684585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Miliaria Crystallina with Hypernatremia in a Newborn.","authors":"Chetan Khare, Vimesh Parmar, Jerene Mathews, Roshan Chanchlani","doi":"10.5001/omj.2024.122","DOIUrl":"10.5001/omj.2024.122","url":null,"abstract":"","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"39 5","pages":"e685"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11923357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of Quality of Life and Behavioral Problems in Children with Central Precocious Puberty.","authors":"Shaymaa Raafat, Esraa Abdelaal, Ihsan Mowafi, Mona Khalil","doi":"10.5001/omj.2024.100","DOIUrl":"10.5001/omj.2024.100","url":null,"abstract":"<p><strong>Objectives: </strong>We sought to estimate the impact of central precocious puberty (CPP) on psychosocial aspects in the cohort of children and to assess whether these aspects changed after treatment with gonadotropin-releasing hormone (GnRH) analogues.</p><p><strong>Methods: </strong>A case-control study enrolled 30 CPP children and 30 normal controls. The CPP group was assessed with emphasis on anthropometric measurements (Tanner staging for pubertal changes). The hormonal profile included gonadotropins, estradiol or testosterone, and GnRH stimulation test. The instruments used for neuropsychological assessment included the Arabic version of the pediatric quality of life inventory TM 4.0, the Child Behavior Checklist (CBCL), and IQ testing.</p><p><strong>Results: </strong>The mean study group age was 5.1 ± 2.3 years compared to 5.2 ± 2.2 years in the control group; 29 patients and 29 controls (96.7%) were females. CPP children had significantly lower scores than controls in health-related quality of life (QoL) domains except school functioning without significant changes in CBCL scores and cognitive function. There was a statistically significant improvement in these scores after they were treated with GnRH analogues for a year.</p><p><strong>Conclusions: </strong>There are significant aberrations in CPP children's QoL with no effect on behavior or cognition. After treatment with GnRH analogues for a year, QoL and CBCL T-scores showed a significant improvement.</p>","PeriodicalId":19667,"journal":{"name":"Oman Medical Journal","volume":"39 5","pages":"e670"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}