Adhesive Small Bowel Obstruction due to Pelvic Inflammatory Disease: A Case Report.

We report a rare case of a 32-year-old woman with adhesive small bowel obstruction due to pelvic inflammatory disease. She had no history of abdominal surgery, gynecological complaints or constitutional symptoms of chronic illness. The diagnosis was based on the laparoscopic findings of small bowel adhesions, free peritoneal fluid, "violin string" adhesions of Fitz-Hugh-Curtis syndrome and left hydrosalpinx.

Sialolipoma of the Superficial Lobe of the Parotid Gland: A Case Report and Literature Review.

Sialolipoma of the parotid gland is very rare. We report a case of a 38-year-old woman who presented with a painless, slowly growing, mobile lump of the parotid gland. Computed tomography revealed lipoma of the superficial lobe of the parotid gland.

A survey of surgical management of acute cholecystitis in eastern Saudi Arabia.

Background/aim: It is now 60 years since early cholecystectomy was advocated for acute cholecystitis (AC). Yet, surgical opinion remains divided regarding its optimal timing. Furthermore, recent surveys have shown low utilization of early laparoscopic cholecystectomy (LC) for AC.

Laparoscopic cholecystectomy in 427 adults with sickle cell disease: a single-center experience.

Background: Sickle cell disease (SCD) is common in the Eastern Province of Saudi Arabia. Patients with this disease have an increased risk for gallstones. Cholecystectomy is the most common general surgical procedure performed in patients with SCD.

Timing of early laparoscopic cholecystectomy for acute cholecystitis.

Objective: Although many surgeons advocate early laparoscopic cholecystectomy (LC) in acute cholecystitis, debate still exists regarding its optimal timing. This study compares the outcome of LC performed within and after 72 hours of admission in patients with acute cholecystitis.

Methods: Between January 2001 and December 2006, LC was performed in 196 consecutive patients with acute cholecystitis.

Male gender is not a risk factor for the outcome of laparoscopic cholecystectomy: a single surgeon experience.

Background/aim: Previous studies regarding the outcome of laparoscopic cholecystectomy (LC) in men have reported inconsistent findings. We conducted this prospective study to test the hypothesis that the outcome of LC is worse in men than women.

Materials And Methods: Between 1997 and 2002, a total of 391 consecutive LCs were performed by a single surgeon at King Fahd Hospital of the University.

Role of saphenous vein wall in the pathogenesis of primary varicose veins.

Unlabelled: Varicose veins may be due to weakness of the vein wall as a result of structural problems. There are conflicting findings in the literature about these problems especially concerning collagen, elastin and smooth muscle cells content. The aim of this study was to look at the structural abnormalities of varicose veins (with and without valvular incompetence).

Emergency general surgical admissions. Prospective institutional experience in non-traumatic acute abdomen: implications for education, training and service.

Objective: To assess the pattern of non-traumatic acute abdomen (NTAA) in emergency general surgical admissions in Saudi Arabia (SA) and highlight the implications for education, training and patient care.

Methods: A prospective study including all emergency general surgical admissions with NTAA at King Fahd Hospital of the University, Al-Khobar, SA over a 2-year period from October 2001 to September 2003.

Results: There were 3,706 general surgical admissions; 1,661 (45%) electives and 2,045 (55%) emergencies.

Laparoscopic excision of a mesenteric cyst during pregnancy.

Background: Laparoscopic management of mesenteric cysts during pregnancy has not been reported before.

Case Report: A young woman with a mesenteric cyst associated with a crossed ectopic kidney, underwent laparoscopic excision of the cyst in the second trimester of pregnancy. The procedure was completed without complications, and the patient was discharged on the third postoperative day.

Thyroid tuberculosis mimicking carcinoma: report of two cases.

Among 527 patients with thyroid disease who underwent surgery at our hospital during a 20-year period, 2 (0.4%) had tuberculous thyroiditis mimicking carcinoma. The first patient was a 44-year-old man with a solitary thyroid nodule and the second was a 24-year old man with a thyroid abscess.