Role of pelvic X-ray in blunt trauma patients -- A university hospital experience in Oman.

Objective: To confirm the safety of the advanced trauma life support algorithm by comparing the incidence of pelvic fractures diagnosed by pelvic X-ray and computed tomography and to evaluate the need of pelvic X-ray in the management of haemodynamically stable polytrauma patients in whom computed tomography is deemed necessary.

Methods: The prospective study was conducted at Sultan Qaboos University, Muscat, Oman, from January to December 2012, and comprised stable blunt trauma patients treated according to advanced trauma life support guidelines. All the patients underwent pelvic X-ray on presentation and later had computed tomography scan of abdomen and pelvis.

Diagnostic dilemmas in Intraductal papillomas of the breast - Experience at Sultan Qaboos University Hospital in the Sultanate of Oman.

Objectives: The aim of this retrospective study was to correlate the significance and accuracy of the colour of nipple discharge and breast ultrasound imaging in the diagnosis of intraductal papilloma.

Methods: This is a retrospective study of 34 patients who underwent 36 microdochectomies in Sultan Qaboos University Hospital (SQUH) in the Sultanate of Oman, over a 4 year period of January 2009 till December 2012. The confounders considered were patient age, physical examination findings, nipple discharge cytology result, ultrasound results and biopsy report following microdochectomy.

Mucinous breast cancer with solitary metastasis to humeral head: a case report.

Breast cancer is the most common cause of metastatic deposits in the skeleton, and bone is the most common site of recurrence of breast cancer. Breast cancer metastasis most commonly affects the spine, ribs, pelvis, and proximal long bones; however, only 3.5% of breast cancer patients develop long-bone metastases.

Left sided Amyand's hernia.

Appendicitis within an Amyand's hernia is a rare clinical entity in itself and becomes especially more rare if it occurs in the left inguinal region. We report this rare case of Amyand's hernia where the appendix was found along with gangrenous ceacum during surgery for strangulated left inguinal hernia in an adult, who underwent resection, anastomosis and simple repair for his hernia.

Torsion of an epiploic appendix pretending as acute appendicitis.

Torsion of an epiploic appendix is a rare surgical entity. Its unusual symptomatology, wide variation in physical findings and the absence of helpful laboratory and radiological studies makes it very difficult to diagnose pre-operatively. This is a report of this rare entity found in a patient upon diagnostic laparoscopy performed for suspected acute appendicitis.

Spigelian hernia: a rarity.

Spigelian hernias are rare and generally difficult to diagnose because of their location and vague non-specific symptoms. They are situated between the muscular layers of the abdominal wall and can be easily overlooked because of abdominal obesity. The diagnosis has been considerably aided by the introduction of ultrasonography and computed tomography (CT).