Fatal hemorrhagic intracranial TB in a renal transplant recipient despite INH prophylaxis.

A 50-year-old ESRD who received LUR renal graft abroad. Since transplanted, he remained dependent on hemodialysis. The patient received steroid pulse therapy twice for rejecrion.

Unusual causes of sudden anuria in renal transplant patients.

Sudden unexplained anuria in renal transplant patients could well be secondary to occult internal hemorrhage rather than the usual vascular thrombotic or obstructive event, even in the completely stable patient. Urgent intervention in such bleeding states can save a patient's life and graft function. Graft survival is very exceptional in graft artery or vein thrombosis.

Intramedullary lipoma of the cervicodorsal spinal cord with intracranial extension: case report.

Background: An unusual case of an extensive intramedullary lipoma of the cervicodorsal spinal cord with intracranial extension causing compression of spinal cord and brainstem is described.

Case Description: A 3-year-old child with lack of limb movement since birth, the cause of which had remained obscure, developed opisthotonos and episodes of severe respiratory difficulty with brief periods of apnea. Craniospinal computed tomography and magnetic resonance imaging (MRI) were diagnostic of lipoma.

Predictive value of EuroSCORE and Parsonnet scoring in Saudi population.

Background: There is no previously published report on the applicability of risk stratification systems to adult cardiac patients in Saudi Arabia.

Aim: We have tried to verify the predictive value of Parsonnet and EuroSCORE in Saudi patients.

Methods: Data of 194 consecutive adult patients operated in our unit over the period of last few years, was obtained retrospectively.

Comparison of pulmonary gas exchange in OPCAB versus conventional CABG.

Background: Cardiopulmonary bypass has been implicated as a cause of acute lung injury in cardiac surgical patients. This could be avoided with off-pump coronary artery bypass surgery. Aim.

Cranial-epidural tuberculosis presenting as a scalp swelling.

Background: Unlike the brain tuberculoma, tubercular osteomyelitis of the skull is very rare and not sufficiently described in the literature. Awareness of this entity makes diagnosis possible.

Case Descriptions: Two unique cases of cranial and epidural tuberculosis (TB) with absence of intradural and brain involvement are presented.

Wandering spleen: a rare cause of mesenteroaxial gastric volvulus.

Gastric volvulus is a rare cause of acute abdomen in children. Usually it is associated with defects such as diaphragmatic hernia, hiatal hernia, eventration, and paralysis of the diaphragm. We report an extremely rare case presenting with acute intractable vomiting and abdominal distention.

Intussusception complicating triplet pregnancy.

Intestinal obstruction complicating pregnancy is one of the surgical emergencies that may be associated with high incidence of morbidity and mortality for both mother and fetus. Our case is a case of triplets' pregnancy at 25 weeks gestation complicated by jejunal intussusception. The patient was admitted to our hospital with acute abdominal pain and diagnosis of intussusception was made.

The value of radiological examination in the management of adenoidal hypertrophy in a pediatric population.

Objective: The objective of this study is to evaluate the role of radiological examination in the management of adenoidal hypertrophy.

Methods: A retrospective study was carried out in the North West Armed Forces Hospital, Tabuk, Kingdom of Saudia Arabia on pediatric patients who had x-ray of lateral naso pharynx to exclude adenoidal hypertrophy, January 2001 to December 2001. The study included; age of the patient, sex and reason for radiology examination and the management rendered.

Calciphylaxis: case report and literature review.

Tissue calcification is a well-recognized common metabolic disease, but calciphylaxis still remains an enigmatic rarity. The latter may be induced experimentally and acquired naturally in human diseases. Although many chronic azotemic or end stage renal disease patients (ESRD) with hyperparathyroidism (HPT) are at risk of calciphylaxis not all of them do develop the disease, even non-renal, patients may also develop this disease.

Laparoscopic treatment of hepatic hydatid cysts with a liposuction device.

Objective: We describe herein a surgical technique, whereby we use a liposuction device for the laparoscopic treatment of hepatic hydatid cysts (HHC).

Methods: Ten patients with 12 hepatic hydatid cysts were treated with this technique. All patients received pre- and postoperative antiscolecidal medications.

Does the management of bronchial asthma by family physicians meet standards of the national protocol?

Objectives: Asthma is a common disease that is sometimes fatal. Its prevalence, morbidity and mortality are increasing. The objective of this paper was to evaluate the proficiency of primary care physicians in general knowledge, diagnosis, classification of severity and management of asthma along the guidelines of the Saudi National Asthma Protocol, and to analyze the association of their proficiency level with certain professional standards.

Do antibiotics decrease post-tonsillectomy morbidity?

Objective: A tonsillectomy audit was carried out and compared with other studies, to emphasize the role of antibiotics.

Methods: This study was carried out at North West Armed Forces Hospital, Tabuk, Kingdom of Saudi Arabia, during the year January 1999 through to December 1999. This is a retrospective study of patients who had tonsillectomy with or with adenoidectomy, the topics audited included indication for surgery, grade of surgeon, method of surgery, length of hospital stay, complications and the use of postoperative antibiotics.

Thyroiditis induced by interferon in dialysis.

We describe a dialysis patient who acquired acute Hepatitis C infection. Her primary renal disease was systemic lupus erythromatosis. She was having goitre but clinically euthyroid and her thyroid function test was normal.

Dandy-Walker syndrome: incidence in a defined population of Tabuk, Saudi Arabia.

Dandy-Walker syndrome (DWS) is characterized by cystic dilatation of the 4th ventricle and absence of the cerebellar vermis. There may also be posterior fossa enlargement, hydrocephalus, hypoplastic cerebellar hemispheres and other malformations within and outside the central nervous system (CNS). The condition is uncommon, and the incidence is unknown.

Laparoscopic colectomy. Where do we stand?

Laparoscopy has changed our approach to surgery, instrumentation and training. The techniques are evolving for a wide range of surgical procedures outside the biliary tree. Currently available data suggests that laparoscopic colectomy can be completed safely in most cases.

Etretinate in the management of harlequin siblings.

Harlequin fetus is the severe form of congenital ichthyosis. There are very few reports of babies with this condition surviving the first few weeks of life. We treated two siblings who lived for 22 months and six weeks respectively.

Cutaneous malignant melanoma: Tabuk experience.

Cutaneous melanoma (CM) has a rising morbidity and mortality in the western world but is rare in certain geographical areas including the Middle East. The aim of this study is to define the pattern of CM in this environment over a period of about two decades. A review of associated histological reports, dermatology, plastic general surgical admissions and outpatient census statistic of the North West Military Hospital (N.