Small bowel feces sign in association with occlusive mesenteric ischemia.

Small bowel feces sign (SBFS) is a computed tomography (CT) finding that appears as fecal like material in dilated small bowel loops. This sign is usually seen in association with gradually progressive small bowel obstruction. We present a case of occlusive mesenteric ischemia in which the SBFS appeared on CT scan early on in the course of the disease.

Mirizzi syndrome: ten years experience from a teaching hospital in Riyadh.

Objective: Mirizzi syndrome (MS) is an uncommon presentation of cholelithiasis. This study aims to find the incidence and analyze the outcome of management of this condition at Riyadh Medical Complex (RMC) with particular reference to diagnostic methods and outcome of surgical treatment.

Methods: Retrospective study on 17 consecutive patients of MS diagnosed and managed at RMC over ten year period.

Acute small bowel obstruction due to bilharziasis.

Schistosomiasis remains a major world health problem. The disease presents with protean manifestations in the endemic areas. Small bowel schistosomiasis leading to acute intestinal obstruction is an extremely rare clinical presentation.

Outcome of nonoperative management of blunt liver trauma.

Objective: To evaluate our experience with the management of blunt liver trauma at Riyadh Central Hospital, Kingdom of Saudi Arabia.

Methods: The hospital records of 68 patients treated for blunt liver trauma at Riyadh Medical Complex over a 5-year period (1997 through to 2002) were reviewed retrospectively. Patients who were hemodynamically unstable or had peritonitis were treated by urgent laparotomy (operative group).

Primary hyperparathyroidism.

Objective: The aim of the study is to present the clinical pattern, surgical indication and management of primary hyperparathyroidism in a teaching hospital in the Kingdom of Saudi Arabia (KSA).

Methods: The records of patients who underwent surgical treatment for primary hyperparathyroidism at the King Khalid University Hospital, Riyadh, KSA from March 1992 to October 2002 were reviewed for epidemiological data, biochemical, radiological investigation, operative procedures, histopathology result, preoperative localization studies included neck ultrasonogram, neck computerized tomography and thallium-technetium subtraction scan. All patients underwent surgery under general anesthesia and procedures were bilateral, unilateral neck exploration, or minimal invasive parathyroidectomy.

Extra adrenal retroperitoneal paraganglioma.

We herein report a case of a 45-year-old Saudi lady not diabetic nor hypertensive who presented to the emergency room with a one day history of severe central and lower abdominal pain. On examination, she was hemodynamically stable and abdominal examination showed tenderness in the lower abdomen. Her hematological and biochemical investigations were normal.

Outcome of laparoscopic cholecystectomy in acute biliary pancreatitis.

Objective: To evaluate the efficacy, safety, and timing of laparoscopic cholecystectomy in the management of mild to moderate cases of acute biliary pancreatitis.

Methods: The medical records of 158 patients admitted to Riyadh Medical Complex, Riyadh, Kingdom of Saudi Arabia (KSA) from July 1998 to December 2001 were retrospectively reviewed. Acute biliary pancreatitis was diagnosed in patients who presented with abdominal pain with serum amylase level 3 times the normal limits in the absence of hypercalcemia or hyperlipidemia and presence of gallstones on ultrasonography.

Incidence of differentiated cancer in nodular goiter.

Objective: The study aims to determine the incidence of differentiated thyroid cancer in surgically treated thyroid nodules and to study its clinical and pathological aspect. The objective was to formulate a uniform departmental policy for the most appropriate surgical management of this potentially curable disease.

Methods: This is a prospective clinicopathological study carried out at the Department of General Surgery, Riyadh Medical Complex, Riyadh, Kingdom of Saudi Arabia, from January 1996 through to December 2000.

Role of preoperative endoscopic retrograde cholangio pancreaticography in the management of mild to moderate acute biliary pancreatitis.

Background: Controversy still exists about the role and timing of endoscopic retrograde cholangiopancreaicotography (ERCP) in mild to moderate biliary pancreatitis. Routine preoperative ERCP detects persisting common bile duct stones but is associated with definite morbidity and may delay definitive care.

Aim Of Study: The study aims to evaluate the role of ERCP in the management of mild to moderate acute biliary pancreatitis.