54 results match your criteria: "Al Razi Hospital[Affiliation]"

Article Synopsis
  • Total hip and knee arthroplasty procedures on patients with previous periarticular surgeries (conversion arthroplasties) are complex and may involve higher complication risks, including unexpected positive cultures (UPC) and periprosthetic joint infections (PJI).
  • A study reviewed 205 conversion arthroplasty cases from 2012 to 2018, finding that UPC occurred at rates akin to standard revision arthroplasties, with staphylococcal species being the most commonly isolated bacteria.
  • The study concluded that while UPC are more common in conversion knee arthroplasties than in hips, UPC presence does not significantly increase the risk of developing PJI.
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  • Hemophagocytic lymphohistiocytosis (HLH) is a severe inflammatory condition often triggered by viral infections, with visceral leishmaniasis being a rare but significant cause, especially in tropical regions.
  • A 15-month-old girl showed symptoms of HLH, including fever, weight loss, and enlarged liver and spleen, with lab tests revealing signs of anemia and possible Leishmania infection.
  • Diagnosing HLH related to visceral leishmaniasis is challenging, and careful treatment is necessary to avoid masking symptoms of infections or malignancies; resistance to standard treatments like amphotericin B is also a concern.
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  • Autoimmune encephalitis (AIE) is a quickly progressing brain inflammation disorder, and correct diagnosis is crucial due to many similar conditions that can be mistaken for AIE.
  • The review analyzed 28 studies with 356 patients, concluding that many were misdiagnosed with AIE when they actually had conditions like paraneoplastic limbic encephalitis or other neurological disorders.
  • Clinicians should perform thorough assessments, including medical history and tests, to differentiate AIE from its mimickers before confirming the diagnosis.
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Purpose: Unexpected positive cultures are defined as a single positive culture in intraoperative samples taken during revision surgery after prosthetic joint infection was preoperatively ruled out. This study aims to determine the prevalence of unexpected positive cultures (UPC) in revision total knee arthroplasty (TKA) after unicompartmental knee arthroplasty (UKA). As a secondary objective, this study aims to compare the re-intervention rate in this specific group, between UPC and non-UPC patients.

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Primary hepatic rhabdomyosarcoma is an exceedingly rare type of sarcomas. A 15-year-old boy was admitted to the hospital with abdominal pain. Serial investigation showed a giant heterogeneous mass, with a diameter of 15 cm, located in the right lobe of the liver (segment 4a, 4b, 5, 6, 7, 8), with clear margins, non-homogeneous density in computerized tomography and the Positron Emission Tomography Scan Multi Slice revealed a peripherally slightly metabolically active hepatic mass (205 × 134 × 208 mm).

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Background: Worldwide, breast cancer (BC) is the most frequently discovered tumor in women. Breast self-examination (BSE) is a helpful screening method that gives women more control over their bodies by educating them about the structures of their breasts and assisting in the early detection of any developing breast abnormalities. The purpose of this research was to assess Palestinian girls' degree of BSE awareness and practice.

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Pyogenic Spondylodiscitis Following Nonspinal Cesarean Section.

Cureus

September 2023

General and Visceral Surgery Department, Zeisigwaldkliniken Bethanien Chemnitz, Chemnitz, DEU.

Article Synopsis
  • Pyogenic spondylodiscitis is a rare bacterial infection affecting the spine, primarily seen in elderly patients and occasionally in younger individuals after surgeries.
  • A notable case involved a young woman who developed this condition following a cesarean section, presenting with significant lower back pain and elevated inflammatory markers.
  • After diagnosing the infection through imaging and a needle aspiration, she was treated with antibiotics for six weeks and showed positive recovery with no signs of ongoing infection by the one-year follow-up.
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Primary intestinal lymphangiectasia is a rare disease that affects children and young adults, causing mainly gastrointestinal disorders that lead to edema and immunologic abnormalities. The majority of patients typically present bilateral lower limb edema, along with pericarditis, pleural effusion, or chylous ascites. The goal of the treatment is to restrict the consumption of long-chain fats and administer a formula that includes protein and medium-chain triglycerides.

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One of the most serious complications of snakebite is compartment syndrome (CS), Signs of CS include paresthesia in the distal part and pain that is out of proportion to the severity of the injury, Management involves improving the general condition, and fasciotomy has been found to be effective. An 8-year-old girl was referred to the internal emergency department in our hospital 72 h after a snake bite. She was unconscious, in poor general condition, and had a high fever.

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Introduction: The incidence of ipsilateral adrenal metastasis from RCC varies between 1.1 and 10 %, on the other hand, the presence of bilateral adrenal metastasis from solitary RCC is extremely rare, with less than 20 reported cases in the literature.

Case Presentation: A 68-year-old man presented to the clinic with hematuria.

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Introduction: Hand replantation (HR) surgery is a delicate and complex procedure that requires a multidisciplinary team (MT) and specialized equipment, as well as factors such as ischemia time and injury mechanism that can impact the procedure's potential complications and success rate. We present the first case of successful management within a low-resources setting of an amputated hand in Syria.

Presentation Of Case: A 20-year-old male presented to the emergency department with an amputated left hand at the distal row of carpal bones (CB) with sharp edges.

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Article Synopsis
  • * Conducted with 6,779 students through an online questionnaire, findings revealed that a significant portion felt that teachers could improve their teaching strategies and communication in the online learning environment.
  • * The results indicate that while online learning had some positive effects, such as fostering research and analytical skills, students generally preferred traditional face-to-face education and suggested improvements for future online programs.
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Pseudomyxoma peritonei (PMP) is a rare malignancy of the abdomen, which is usually described as a gelatinous peritoneal fluid. A 33-year-old man came to the ER complaining of recurring abdominal pain with abdominal distention for the past 3 months. Abdominal ultrasound revealed moderate amount of turbulent ascitic fluid with septations, in addition to a mass with irregular margins consisting of liquid and cysts.

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Acute appendicitis is one of the most common causes of acute abdomen in children and young adults, with differential diagnoses involving several surgical, medical as well as obstetrics and gynecology (OB-GYN)-related conditions. Cecal wall necrosis is not usually included in the differential diagnosis of acute appendicitis, mainly because of the rare nature of the condition and the relatively low level of awareness among surgeons. We present a case of isolated cecal wall necrosis presenting as acute appendicitis.

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Shoulder Lipoblastoma in a 2-Year-Old Boy Case Report and Literature Review.

J Orthop Case Rep

December 2021

Department of Orthopaedics, Al Razi Hospital, Shuwaikh Area, Kuwait, P.O Box: 4078, 13001, Suffix.

Introduction: Lipoblastoma is a rare mesenchymal benign tumor of the white fat cells that affect mostly infants and children below 3 years old. MLipoblastoma can be found in various locations in the body, however, it is usually located in the extremities, lower extremities in particular.

Case Report: We describe a case of a 2-year-old Middle Eastern boy who has a rare lipoblastoma of his left shoulder that is unusual.

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Unlabelled: Existing disparities in the perception of scars between patients and practitioners can translate into undesirable physical and psychological outcomes. An understanding of the determinants of surgeons' perceptions on the importance of scar cosmesis is a first step toward bridging this gap.

Methods: In an online survey, surgeons were asked about the extent to which various patient and technical factors affect the importance of scar cosmesis.

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Jones type fifth metatarsal fracture fixation in athletes: A review and current concept.

World J Orthop

September 2021

Department of Orthopaedic Surgery, Avicenne Teaching Hospital, Assistance Publique-Hôpitaux de Paris, University Sorbonne-Paris-Nord, Sorbonne Paris Cité +33, France.

Jones type fifth metatarsal fracture is a common occurrence among athletes at all levels. These fractures may occur due to several mechanisms, but inversions and twisting injuries are considered some of the leading causes in sports. However, while Jones fracture incidences are frequent in the sporting world, there is still a lack of consensus on how such fractures should be effectively managed.

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Background: This study aims to examine risk factors and complications associated with bleeding events in patients with COVID-19 who are on anticoagulation.

Material And Methods: We conducted retrospective review of all patients who were admitted with COVID-19 and developed bleeding events between March and June 2020. Data were analyzed in accordance with three major outcomes.

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Background: We modified the original technique for percutaneous transphyseal screw which was described in 1998 by Metaizeau and colleagues for distal femoral coronal angular deformity correction; the modification is related to the screw direction, whereas the screw is administered in a retrograde pattern, starting from the epiphysis and directed toward the metaphysis. This technique opposes the original technique that was started with a metaphyseal entry point which aimed toward the epiphysis. This study evaluates the efficacy of the newly suggested surgical technique regarding the rate of correction and growth resumption after screw removal.

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Introduction: Benign multicystic peritoneal mesothelioma (BMPM) represents a very rare clinical entity, with only 130 registered cases in the medical literature, therefore it is usually overlooked from the list of differential diagnoses. The treatment consists of surgery and other authors suggest complementing it with hyperthermic intraperitoneal chemotherapy.

Presentation Of Case: A 25-year-old multiparous female experienced periodic abdominal discomfort for two weeks.

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Hydatid disease (HD) is an infection with the metacestode stage of the tapeworm . It is commonly seen in South America, The Middle East, Eastern Mediterranean, Africa and China. Hydatid cysts usually affect the liver followed by the lungs.

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Takayasu's arteritis should be kept under the differential diagnosis of stroke in all young patients. Early, proper diagnosis and treatment are necessary to reduce any further progression, morbidity, and mortality rates of the disease.

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Purpose: The objective of this study was to evaluate the operative management of pes planovalgus deformity in ambulatory cerebral palsy (CP) children by calcaneal lengthening osteotomy described by Evans.

Method: Fifteen children (10 girls and 5 boys) with average age 11 years 6 months (range, 8 years 4 months-14 years 6 months) with 22 feet with pes planovalgus (PPV) deformity were included in this study. Clinical evaluation was made according to Dogan's scale and graded as perfect, good, fair and poor.

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Introduction: For the treatment of unstable non-osteoporotic thoracolumbar fractures, the clinical and radiological outcome of short-segment fixation with the USS™ - Universal Spine System (DePuy Orthopedics, Inc., Warsaw, IN, USA) and the CD HORIZON LEGACY™ 5.5 Spinal System, (Medtronic Sofamor Danek USA, Inc.

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