{"title":"Super - Selective Hepatic Angioembolization for Traumatic Hepatic Artery Laceration in a Child","authors":"W. Ibrahim, O. Omar, H. Abduljawad","doi":"10.12816/0047443","DOIUrl":"https://doi.org/10.12816/0047443","url":null,"abstract":"47 Blunt abdominal trauma is a major cause of abdominal injury in children. The liver is the second most commonly injured organ followed by the spleen1. Nonoperative management (NOM) became the main choice for hemodynamically stable patients with solid organ injury (SOI)2-4. The reported success rate of NOM in pediatrics reached up to 90%3. Adjunct arterial embolization, if indicated, increases the success of NOM. Data about the role of arterial angioembolization (AE) in treating traumatic hepatic arterial bleed in adults is abundant. However, the use of (AE) is not frequently reported for treatment of blunt solid organ injury in children, especially primary traumatic liver bleeding. Our case is a successful super-selective angioembolization of primary traumatic hepatic artery bleed in a child.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66300652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chronic Constipation Leading to Sigmoid Colon Volvulus in an Adolescent","authors":"Saeed Alhindi, Manal D. Shihadeh","doi":"10.12816/0047445","DOIUrl":"https://doi.org/10.12816/0047445","url":null,"abstract":"60 Constipation is very common in children1,2. The estimated prevalence of functional constipation in children is 4% to 36%1,2. The complaint of constipation accounts for 3% of children visits to primary physicians and 25% of visits to pediatric gastroenterologist1,2. In spite of its prevalence, it rarely causes serious complications in children, such as sigmoid colon volvulus3. The volvulus of the sigmoid colon is believed to be caused by a twist of the mesentery of the redundant colon3. An abdominal radiograph is helpful in diagnosing the presence of sigmoid volvulus. There are a few specific radiographic signs for sigmoid volvulus, including the dilated ahaustral loops. Rectal tube reduction is very successful in reducing sigmoid volvulus; however, ultimately, most patients require sigmoidectomy4,5.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42585987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Research and Ethics for the Medical Profession Book","authors":"M. Corbally","doi":"10.12816/0047433","DOIUrl":"https://doi.org/10.12816/0047433","url":null,"abstract":"","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42077314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effectiveness of Intensive Insulin Therapy in the Management of Acute Necrotizing Pancreatitis Induced by Very Severe Hypertriglyceridemia","authors":"E. Hamza, K. Hakim, K. Bousselmi","doi":"10.12816/0047446","DOIUrl":"https://doi.org/10.12816/0047446","url":null,"abstract":"HTG is defined as fasting serum triglyceride more than 1.7 mmol/L. It is classified as mild (1.7-2.2 mmol/L), moderate (2.3-11.2 mmol/L), severe (11.2-22.4 mmol/L) and very severe (>22.4 mmol/L)4. There is a five percent risk of developing acute pancreatitis with severe HTG and 10% to 20% risk with very severe HTG5. Although patients with HTG-P present with similar complaints to other etiologies inducing pancreatitis, studies suggest that the risk of complications are more severe with HTG-P3,6. The exact mechanism and pathophysiology of HTG inducing pancreatitis is still not clearly established; yet, several medical treatment modalities such as plasmapheresis, apolipoprotein CII infusion and intensive insulin therapy and heparin infusion were reported7-11.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45774518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Post-Auricular Full Thickness Skin Graft by M-Plasty Technique : An Alternative to Classical Elliptical Technique","authors":"F. Abdulkarim, N. Louri, Pradeoth Mukandan","doi":"10.12816/0047481","DOIUrl":"https://doi.org/10.12816/0047481","url":null,"abstract":"Common site to harvest the full thickness skin graft for facial and cervical coverage is the upper arm and post auricular area. Compared to split thickness graft, full thickness graft is superior in skin elasticity, recurrence of scar and matching of normal skin4. The full thickness skin graft harvested from the donor area to fit the defect should be closed in an aesthetic tension free method to preserve valuable tissue.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47581503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Role of Virtual Autopsy in Uncertain Clinical Scenarios","authors":"Taha Mallick, Muneera J. Alhammadi, M. Elbahr","doi":"10.12816/0047444","DOIUrl":"https://doi.org/10.12816/0047444","url":null,"abstract":"50 A virtual autopsy employs CT and MRI to replace a traditional autopsy to investigate the cause of death. Blood analyses, biopsies and needle aspiration of tissues might be a part of the virtual autopsy. It has been argued that virtual autopsy provides better delineation of pathology within a smaller time frame, while at the same time, respects various cultures and beliefs and reduces the risks of infection associated with a traditional autopsy1. It has also gained value in the practice of forensic medicine2.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49074291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unilateral Acanthamoeba Keratitis Following the Use of Cosmetic Contact Lens","authors":"G. Ali, A. W. Agab, Abdulrahman Albuainain","doi":"10.12816/0047447","DOIUrl":"https://doi.org/10.12816/0047447","url":null,"abstract":"The first published case of confirmed AK was in 1974. The incidence of the disease increased during the 1980s, corresponding to the widespread use of soft contact lenses. Several studies have shown that Acanthamoeba cysts and trophozoites adhere to several types of contact lenses, suggesting that these lenses may act as a vector for disease transmission. Other documented risk factors include poor lens hygiene, contact lens use while swimming, and water source contamination1,2.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42278811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Post-Traumatic Left Thigh Seroma","authors":"A. E. Shayeb, Yousif Salem","doi":"10.12816/0047442","DOIUrl":"https://doi.org/10.12816/0047442","url":null,"abstract":"","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47820873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Accuracy of PET-CT Scan in Detecting Axillary Lymph Node Metastasis in Breast Cancer","authors":"Noof Alshaibani, E. Hamza, S. Baithun","doi":"10.12816/0047436","DOIUrl":"https://doi.org/10.12816/0047436","url":null,"abstract":"Early detection of breast cancer is essential in managing patients with breast cancer; it is directly related to the type of therapy, outcome, prognosis and overall survivor3. Involvement of the axillary lymph nodes with malignant deposition is considered the most important prognostic element in recurrence and survival4,5. The number of the involved lymph nodes is directly proportionate to the ten-year survival of patients with breast cancer; survival reaches 90% if no lymph nodes were involved; 70% if one to three lymph nodes affected and as low as 30% if more than ten nodes affected6,7. For decades, any female diagnosed with The Accuracy of PET-CT Scan in Detecting Axillary Lymph Node Metastasis in Breast Cancer","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45163364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Antibiotic Appropriateness for Urinary Tract Infection in the Emergency Room","authors":"J. A. Salman, S. Alawi, Ebtihal Y. Alyusuf","doi":"10.12816/0047440","DOIUrl":"https://doi.org/10.12816/0047440","url":null,"abstract":"Result: A total of 239 patients were included in the study; 83 (34.7%) were males, 75 (31.4%) were pregnant females and 81 (33.9%) were non-pregnant females, the mean age was 37.56 years. One hundred forty-five (60.7%) patients had complicated UTI. The most prescribed antibiotics were cefuroxime and ciprofloxacin. Seventy-two (30.1%) of inappropriate antibiotics prescription were mostly due to improper duration.","PeriodicalId":43814,"journal":{"name":"Bahrain Medical Bulletin","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46494200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}