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The Outcome Of Pregnancies Complicated By Hyperemesis Gravidarum, Asma Al-Ojaili, Anna Krolikowska
The Outcome Of Pregnancies Complicated By Hyperemesis Gravidarum, Asma Al-Ojaili, Anna Krolikowska
Saudi Medical Journal
No abstract provided.
Antisperm Antibodies And Unexplained Infertility In Syria. An Unsolved Problem?, Fawza M. Monem, Hassan A. Moalla
Antisperm Antibodies And Unexplained Infertility In Syria. An Unsolved Problem?, Fawza M. Monem, Hassan A. Moalla
Saudi Medical Journal
No abstract provided.
Imaging Of The Cervical Spine In Children
The Functional Anatomy Of The Uretero-Vesical Junction. A Historical Review, Rabie E. Abdel-Halim, Thoraya E. Abdel-Maguid
The Functional Anatomy Of The Uretero-Vesical Junction. A Historical Review, Rabie E. Abdel-Halim, Thoraya E. Abdel-Maguid
Saudi Medical Journal
This paper evaluates the progress of anatomy and dissection during the Middle Ages both in Europe and in the Muslim World. For that purpose, the functional anatomy of the ureterovesical junction and the mechanism of micturition were studied both in the works of Galen (130-200 AD) and in the works of 6 Islamic medical scholars who lived in the period from the ninth to the thirteenth centuries AD (Alrazi, Alzahrawi, Ibn Sina, Al-Baghdadi, Ibn El Nefis and Ibn El Quff). The study relied, only, on original sources in the form of authentic editions and manuscripts. In general, the ideas and …
Dehydroepiandrosterone Sulfate Levels In Women. Relationships With Body Mass Index, Insulin And Glucose Levels, Rowydan N. Al-Harithy
Dehydroepiandrosterone Sulfate Levels In Women. Relationships With Body Mass Index, Insulin And Glucose Levels, Rowydan N. Al-Harithy
Saudi Medical Journal
OBJECTIVE: Dehydroepiandrosterone (DHEA) and DHEA-sulfate (DHEA-S) are the most abundant steroids in human plasma. Previous studies have shown that administration of DHEA-S is more effective than DHEA in reducing adipose tissue mass and cellularity in rats. Another study suggested that maintaining high levels of DHEA-S might prevent the development of obesity. Therefore, this study aims to determine the relationship of plasma dehydroepiandrosterone sulfate (DHEA-S) levels with respect to obesity, fasting insulin and glucose levels in a cohort of obese and normal weight healthy Saudi women. METHODS: This study was carried out at King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi …
Results Of Prostate Biopsies In A Teaching Hospital In Western Saudi Arabia, Abdulmalik M. Tayib, Hisham A. Mosli, Adel A. Al-Ammari
Results Of Prostate Biopsies In A Teaching Hospital In Western Saudi Arabia, Abdulmalik M. Tayib, Hisham A. Mosli, Adel A. Al-Ammari
Saudi Medical Journal
OBJECTIVE: To evaluate the prostate cancer detection rate in 45 patients who underwent transrectal ultrasound scan (TRUS) guided biopsies at King Abdul-Aziz University Hospital (KAUH), Jeddah, Kingdom of Saudi Arabia (KSA) and compare it with the previously reported national and international rates. METHODS: Forty-five charts reviewed for patients underwent TRUS guided biopsies in the period between July 1997 through to November 2002 at KAUH. Patients were entered in the study either as of high serum prostatic specific antigen (PSA) or abnormal digital rectal examination (DRE), or both. Cases with large prostate size or suspected elevation of PSA due to causes …
Persistent Hyperinsulinemic Hypoglycemia Of Infancy In 38 Children, Bassam S. Bin-Abbas, Abdulmohsen N. Al-Mulhim, Nadia A. Sakati, Abdullah A. Al-Ashwal
Persistent Hyperinsulinemic Hypoglycemia Of Infancy In 38 Children, Bassam S. Bin-Abbas, Abdulmohsen N. Al-Mulhim, Nadia A. Sakati, Abdullah A. Al-Ashwal
Saudi Medical Journal
OBJECTIVE: To describe the clinical, biochemical, radiological and electrophysiological features of 38 Saudi children with persistent hyperinsulinemic hypoglycemia of infancy that have been followed since 1983. METHODS: Data from 38 patients followed at King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia from 1983 through to 2002 was retrospectively analyzed. Persistent hyperinsulinemic hypoglycemia of infancy was diagnosed on the basis of high intravenous glucose requirement, high insulin to glucose ratio, negative urinary ketones and normal tandem mass spectrometry. The patients were assessed radiologically by brain magnetic resonance imaging, computed tomography, or both and electrophysiologically by brain stem …
Lipomatosis Of The Parotid Gland In Children, Abdullatif A. Al-Arfaj, Roopa K. Arora, Roshdi R. Al-Metwalli
Lipomatosis Of The Parotid Gland In Children, Abdullatif A. Al-Arfaj, Roopa K. Arora, Roshdi R. Al-Metwalli
Saudi Medical Journal
Parotid lipomatosis is extremely rare in children. Only 4 cases have previously been reported in the English language medical literature. Surgical excision is frequently complicated by recurrence. We report, a fifth case, on a 5-month-old girl with rapidly progressive parotid lipomatosis. Emphasis is laid on the importance of preserving the unusually delicate tumor capsule to prevent tissue spillage and recurrence. The creation of an appropriate cleavage between the mass and the expanded skin with sparse subcutaneous fat, safeguarding the tumor capsule on one side and the skin blood supply on the other, represents a rewarding technical challenge.
Cleft Lip And Palate With Ectopia Lentis Et Pupillae, Reham I. Sha'ban, Wafa M. Asfour
Cleft Lip And Palate With Ectopia Lentis Et Pupillae, Reham I. Sha'ban, Wafa M. Asfour
Saudi Medical Journal
A 7-year-old male child with a history of bilateral cleft lip and palate presented with ectopia lentis et pupillae; there has been no previous reported association between cleft lip and palate and ectopia lentis.
Colocynth Toxicity. A Possible Cause Of Bloody Diarrhea, Sarosh A. Khan, Hamdi H. Shelleh, Abdul R. Bhat, Khalid S. Bhat
Colocynth Toxicity. A Possible Cause Of Bloody Diarrhea, Sarosh A. Khan, Hamdi H. Shelleh, Abdul R. Bhat, Khalid S. Bhat
Saudi Medical Journal
Five cases of toxicity due to consumption of an uncommon wild fruit called Colocynth are described. These cases were seen over a period of 2 years. Severe bouts of bloody diarrhea were encountered in these patients. The plant, its ingredients, the medicinal and other uses, features of toxicity and the management is discussed. Doctors are advised to be aware of this uncommon clinical problem.
Heterotopic Pancreas In The Gall Bladder, Abdul-Wahed N. Meshikhes, Abdullah H. Al-Jaroof, Ramez Atassi
Heterotopic Pancreas In The Gall Bladder, Abdul-Wahed N. Meshikhes, Abdullah H. Al-Jaroof, Ramez Atassi
Saudi Medical Journal
No abstract provided.
Adhesive Intestinal Obstruction In Infants And Children, Ahmed H. Al-Salem
Adhesive Intestinal Obstruction In Infants And Children, Ahmed H. Al-Salem
Saudi Medical Journal
No abstract provided.
Clinical Profile Of Myasthenia Gravis In The Sultanate Of Oman, Poovathoor C. Jacob, John T. Tharakan, Pratap R. Chand, Roshan L. Koul, Alexander P. Chacko
Clinical Profile Of Myasthenia Gravis In The Sultanate Of Oman, Poovathoor C. Jacob, John T. Tharakan, Pratap R. Chand, Roshan L. Koul, Alexander P. Chacko
Saudi Medical Journal
OBJECTIVE: Clinical study and follow up of myasthenia gravis patients in Oman. METHODS: Follow up of 50 consecutive myasthenia gravis patients referred to the Sultan Qaboos University Hospital, Oman for a median period of 3 years from 1997 to 2000. We based the diagnosis on the clinical picture, repetitive nerve stimulation tests and edrophonium test. We performed a computerized tomography scan of the chest and anti-acetylcholine receptor antibodies. We reviewed the results of immuno modulatory treatment including thymectomy and compared these with other studies. RESULTS: Of 50 patients, 6 had purely ocular myasthenia. Of the 44 with generalized myasthenia, 28 …
Predicting Nodal Malignancy From Clinical Data, Abdullah A. Abba, Elijah A. Bamgboye
Predicting Nodal Malignancy From Clinical Data, Abdullah A. Abba, Elijah A. Bamgboye
Saudi Medical Journal
OBJECTIVE: A large variety of disorders can lead to lymphadenopathy. It is important and beneficial to patient management to rapidly differentiate between benign and malignant causes. The objective of the study is to identify factors predicting nodal malignancy from readily available clinical data. METHODS: A retrospective study was carried out on patients admitted to Riyadh Medical Complex, Riyadh, Kingdom of Saudi Arabia between April 1996 and March 2000 with lymphadenopathy, who underwent lymph node biopsy. RESULTS: Univariate analysis suggests 6 variables (age, sex, the presence of other physical signs, abnormal complete blood count, abnormal liver function test and negative Mantoux …
Elucidation Of The Mechanisms Of Hairy-Cell Localization In Tissues And The Process Of The Bone Marrow Fibrosis In Hairy-Cell Leukemia, Khalil A. Aziz
Elucidation Of The Mechanisms Of Hairy-Cell Localization In Tissues And The Process Of The Bone Marrow Fibrosis In Hairy-Cell Leukemia, Khalil A. Aziz
Saudi Medical Journal
Hairy cell leukemia is a chronic B cell leukemia with a number of distinctive features including the unusual tissue distribution of the leukemic cells, hairy cells, and the bone marrow fibrosis. We have been working, for a number of years, on the potential mechanisms behind hairy-cell localization in tissues. In this review, it is summarized how our work has shed very important information regarding these mechanisms and led, eventually, to the full elucidation of the process of the bone marrow fibrosis in hairy cell leukemia.
Retinopathy Of Prematurity At A University Hospital In Riyadh, Saudi Arabia, Saleh A. Al-Amro, Turki M. Al-Kharfi, Abdulla A. Thabit, Saleh M. Al-Mofada
Retinopathy Of Prematurity At A University Hospital In Riyadh, Saudi Arabia, Saleh A. Al-Amro, Turki M. Al-Kharfi, Abdulla A. Thabit, Saleh M. Al-Mofada
Saudi Medical Journal
OBJECTIVE: To prospectively study the incidence and nature of retinopathy of prematurity (ROP) at a University Hospital in Riyadh, Kingdom of Saudi Arabia. METHODS: This study was carried out the Neonatal Intensive Care Unit of King Khalid University Hospital in Riyadh, Kingdom of Saudi Arabia. One hundred and ninety-five consecutive preterm infants with a birth weight of 2000 g or less were screened for ROP. The first examination was performed at 4-7 weeks of postnatal age. RESULTS: Mean gestational age of all premature infants was 28.4 ± 2.4 weeks (range 22-34), mean birth weight was 1103 ± 302 g (range …
Morbidity And Mortality Data Of Cystic Fibrosis Patients, Hanaa Banjar
Morbidity And Mortality Data Of Cystic Fibrosis Patients, Hanaa Banjar
Saudi Medical Journal
OBJECTIVE: To identify factors that contributed to morbidity and mortality of cystic fibrosis (CF) population in the Kingdom of Saudi Arabia (KSA). METHODS: This retrospective chart review was carried out in King Faisal Specialist Hospital and Research Centre, Riyadh, KSA, during a 9 year period, November 1993 to November 2002, on confirmed CF patients, for demographic, clinical and mortality data. RESULTS: A total of 190 CF patients were diagnosed during the 9 years. One hundred and sixty-four (86%) patients are alive, 26 (14%) died. Ninety-nine (52%) were males and 91 (48%) were females. Age at diagnosis 2.8 ± 3.5 years, …
Fixed Forefoot Adduction After Clubfoot Surgery, Mamoun K. Kremli
Fixed Forefoot Adduction After Clubfoot Surgery, Mamoun K. Kremli
Saudi Medical Journal
OBJECTIVE: Studying the causes of residual forefoot adduction deformity after surgical treatment of congenital clubfoot and their management. METHODS: Revision surgery was carried out by the author for 12 patients (13 feet) in King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia, during the period between January 1997 to December 1998. RESULTS: In 12 out of 13 feet, K-wire was not used to fix the navicular bone in its reduced position during primary surgery. In all cases, the navicular was found displaced during revision surgery. CONCLUSION: Revision of soft tissue surgery with relocation of the navicular bone improves the outcome …
Determinants Of Women's Fertility In Oman, Asya A. Al-Riyami, Mustafa Afifi
Determinants Of Women's Fertility In Oman, Asya A. Al-Riyami, Mustafa Afifi
Saudi Medical Journal
OBJECTIVE: International studies have the inverse relationship of women education and empowerment on fertility. Our aim is to study the association of women education, and empowerment with some of the fertility determinants in a community based survey. METHODS: A cross sectional survey of the health status of the Omani community was designed. Face to face interviews with 2037 women, who were or had been married including demographic data, fertility patterns, family planning, 2 women empowerment indices (decision making and freedom of movement), and other modules reproductive health, were carried out during the year 2000. RESULTS: About 31% of the sample …
Results Of Delivery In Umbilical Cord Prolapse, Shakeel A. Faiz, Fawzia A. Habib, Bengt G. Sporrong, Najma A. Khalil
Results Of Delivery In Umbilical Cord Prolapse, Shakeel A. Faiz, Fawzia A. Habib, Bengt G. Sporrong, Najma A. Khalil
Saudi Medical Journal
OBJECTIVE: To review the peripartum clinical course of patients whose pregnancies were complicated by umbilical cord prolapse and to evaluate its impact on neonatal outcome. METHODS: All cases of cord prolapse managed in King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia between 1990-2000 were identified. There were 111 patients identified among 55,789 deliveries. Each maternal and fetal chart was reviewed for parity, age, gestational age, fetal presentation, status of membranes, time from diagnosis to delivery, mode of delivery, baby weight, Apgar scores and cord blood hydrogen ion concentration (PH). The data collected was analyzed using Gold Stat Software Package, …
The Efficiency In The Utilization Of Potential Donors For Organ Transplantation In Riyadh, Saudi Arabia, Mohammed I. Al-Sebayel
The Efficiency In The Utilization Of Potential Donors For Organ Transplantation In Riyadh, Saudi Arabia, Mohammed I. Al-Sebayel
Saudi Medical Journal
OBJECTIVE: Organ transplantation programs have been successful in the Kingdom of Saudi Arabia. This success is limited by organ shortage. The aim of this study is to find out the percentage of actual donors out of all potential donors in intensive care units (ICU), and to look at problems related to the donation process, particularly from the logistical point of view. METHODS: The study was conducted prospectively for a one year period, June 2001 through to May 2002, in 4 main Riyadh hospitals. Mortality data was collected by a medical professional in each ICU and analyzed on a weekly basis. …
Knowledge, Beliefs And Perception Of Youth Toward Acne Vulgaris, Ibrahim A. Al-Hoqail
Knowledge, Beliefs And Perception Of Youth Toward Acne Vulgaris, Ibrahim A. Al-Hoqail
Saudi Medical Journal
OBJECTIVE: This study was carried out to assess the knowledge, concepts and perceptions of the youth towards Acne. METHODS: This cross-sectional study included 700 students of both genders from all geographic areas in Riyadh, Kingdom of Saudi Arabia during the year 2001. They were asked to complete a self administered questionnaire that contained several items measuring different areas in there beliefs, knowledge and perceptions about acne. Acne and non-acne sufferers were included. Responses were matched with demographic data. RESULTS: Five hundred and seventeen students (73.9%) responded to the questionnaire. Male and female responders were 267 (51.6%) and 250 (48.4%). More …
Pigment Polyp In The Common Bile Duct, Abdul-Wahed N. Meshikhes, Faiza T. Al-Talaq, Ahmed A. Al-Faraj, Sami A-Mohsin Al-Moomen
Pigment Polyp In The Common Bile Duct, Abdul-Wahed N. Meshikhes, Faiza T. Al-Talaq, Ahmed A. Al-Faraj, Sami A-Mohsin Al-Moomen
Saudi Medical Journal
We report here a case of a young female with sickle cell disease and a past history of open cholecystectomy 10 years ago presenting with intermittent upper abdominal pain and jaundice. Abdominal ultrasonography revealed a dilated biliary tree with the possibility of a stone in the proximal common bile duct, but cholangiopancreatography showed a polypoid lesion at the junction of the common hepatic and common bile ducts. Biopsy of the lesion was benign. She underwent bile duct exploration and excision of what proved to be a pigment9polyp arising from the cystic duct stump. This is the first reported case of …
Extra Adrenal Retroperitoneal Paraganglioma, Hayan A. Bismar, Khalid R. Murshid
Extra Adrenal Retroperitoneal Paraganglioma, Hayan A. Bismar, Khalid R. Murshid
Saudi Medical Journal
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. Computed tomography of the abdomen showed an 8 x 7 cm retroperitoneal mass located at the aortic bifurcation. The patient had exploratory laparotomy and complete excision of the mass. The histopathological study showed a paraganglioma. The patient had an uneventful postoperative period and follow up.
Unusual Presentation Of Echinococcal Cysts, Farukh Qureshi, Nabeel Maalbared
Unusual Presentation Of Echinococcal Cysts, Farukh Qureshi, Nabeel Maalbared
Saudi Medical Journal
We report a case of echinococcal disease affecting the brain and the kidney. The case is unusual because of multiplicity of the intracerebral lesion and sparing of the liver and lungs. The intracerebral lesion was presented with epileptic convulsions. This was successfully treated surgically. Subsequently renal echinococcal cysts were identified. These were treated by partial nephrectomy due to the location of the cysts. The patient is disease free at 8 years.
Hemophilus Influenzae Serotype-B Meningitis In An Adult Immunocompetent Patient, Hanan A. Babay, Awadh R. Al-Anazy, Abubakar B. Saidu, Abdelmageed M. Kambal
Hemophilus Influenzae Serotype-B Meningitis In An Adult Immunocompetent Patient, Hanan A. Babay, Awadh R. Al-Anazy, Abubakar B. Saidu, Abdelmageed M. Kambal
Saudi Medical Journal
We present a case of meningitis caused by Hemophilus influenzae type-b in an immunocompetent 41-year-old Saudi lady. The patient was successfully treated with Ceftriaxone for 10 days. A review of Hemophilus influenzae meningitis in adults and the impact of conjugated vaccine on the epidemiology of the disease are given.
Retrorectal Cystic Hamartoma: An Unusual Cause Of Retention Of Urine, Mohd S. Ansari, Monish Aron
Retrorectal Cystic Hamartoma: An Unusual Cause Of Retention Of Urine, Mohd S. Ansari, Monish Aron
Saudi Medical Journal
No abstract provided.
Angiolymphoid Hyperplasia With Eosinphilia Presenting With Postauricular Swelling, Ibrahim S. Akram, Syed S. Raza, Latifi Asrar, Mohammed Faizuddin
Angiolymphoid Hyperplasia With Eosinphilia Presenting With Postauricular Swelling, Ibrahim S. Akram, Syed S. Raza, Latifi Asrar, Mohammed Faizuddin
Saudi Medical Journal
No abstract provided.
Atrial Septal Aneurysm And Stroke, Alok Tyagi, Hani T. Benamer
Atrial Septal Aneurysm And Stroke, Alok Tyagi, Hani T. Benamer
Saudi Medical Journal
No abstract provided.
The Role Of Magnesium Sulphate In The Treatment Of Persistent Pulmonary Hypertension Of The Newborn, Khalid M. Saidy, Bashir A. Itto
The Role Of Magnesium Sulphate In The Treatment Of Persistent Pulmonary Hypertension Of The Newborn, Khalid M. Saidy, Bashir A. Itto
Saudi Medical Journal
No abstract provided.