The Experts below are selected from a list of 53088 Experts worldwide ranked by ideXlab platform
Mohammad Ghasemirad - One of the best experts on this subject based on the ideXlab platform.
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isolated hydatid cyst of kidney
Urology, 2009Co-Authors: Faramarz Fazeli, Behzad Narouie, Mohammad Dehghani Firoozabadi, Mohammad Afshar, Anoosh Naghavi, Mohammad GhasemiradAbstract:Objectives Hydatid cyst of the kidney is a very rare condition caused by the larval stage of Echinococcus granulosus . We report a case of isolated hydatid cyst of the kidney. Methods A 32-year-old male patient presented with vague pain in the left lumbar region of 3 months' duration. Abdominal Examination demonstrated a palpable mass in the left flank. The routine laboratory findings were normal. Radiologic studies showed a soft-tissue mass in the mid-portion of the left kidney measuring 115 × 130 mm. Results We performed kidney-sparing pericystectomy, and the cyst was removed intact. The histopathologic findings confirmed the diagnosis. Conclusions In general, surgery is the treatment of choice for a hydatid cyst of the kidney, and kidney-sparing surgery is the most appropriate treatment whenever possible.
Anita Magowska - One of the best experts on this subject based on the ideXlab platform.
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wandering spleen a medical enigma its natural history and rationalization
World Journal of Surgery, 2013Co-Authors: Anita MagowskaAbstract:Introduction Wandering spleen is a rare condition in which the spleen is not located in the left upper quadrant but is found lower in the abdomen or in the pelvic region because of the laxity of the peritoneal attachments. Many patients with wandering spleen are asymptomatic, hence the condition can be discovered only by Abdominal Examination or at a hospital emergency department if a patient is admitted to hospital because of severe Abdominal pain, vomiting or obstipation.
Ayad Ahmad Mohammed - One of the best experts on this subject based on the ideXlab platform.
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caput medusae sign a unique finding during Abdominal Examination in patients with portal hypertension case report
Annals of medicine and surgery, 2020Co-Authors: Ayad Ahmad MohammedAbstract:Portal hypertension is an increase in the portal venous pressure resulting in the formation of dilated veins at the site of porto-systemic venous anastomosis causing shifting of the blood flow from the portal venous system to the systemic circulation. A 53-year-old male presented to the emergency department complaining from hematemesis. He was admitted to the emergency department. Abdominal Examination showed hugely dilated veins in the Abdominal wall with palpable spleen and liver. The hemoglobin level was low and liver enzymes were mildly elevated. The patient received two units of blood and four units of fresh frozen plasma, intravenous propranolol and intravenous vasopressin. Endoscopy showed variceal bleeding which was mild, multiple bandings were performed for the bleeding vessels. The past medical history was negative apart from idiopathic portal vein thrombosis. He was on regular anticoagulants and beta blockers. The patient was prepared to undergo surgical shunting procedure. Acute variceal bleeding is a medical emergency, and patients need aggressive form of treatment. Most drugs like beta-blockers, derivatives of vasopressin and somatostatins work by inducing splanchnic vasoconstriction and decrease the portal venous pressure. Endoscopic band ligation may be required but this has no effect on the portal venous pressure, other alternatives include trans-jugular intrahepatic portosystemic shunts or surgery.
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surgical excision of a giant pedunculated hydatid cyst of the liver
Journal of Surgical Case Reports, 2019Co-Authors: Ayad Ahmad Mohammed, Sardar Hassan ArifAbstract:Hydatid disease is caused by a tape worm Echinococcus Granulosus that lives in the intestines of the definitive host which is the dog or other carnivore. Human is the accidental intermediate host and become infected by ingesting contaminated vegetables or water with the eggs of the parasite. A-37-year old male presented with right side Abdominal pain for 2 months. Abdominal Examination showed a large right side Abdominal mass extending from the right subcostal region to the right iliac fossa. CT-scan showed two cystic lesions in the right lobe of the and a third one extending to the pelvis. During surgery aspiration of 10 liters of bile stained fluid done. Excision of the cysts done. Tube drain put inside the cyst cavity with omentoplasty. There was bile leak to the drain which stopped over one month. The patient received anthelminthic medication for 3 months.
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limy bile syndrome presenting as acute acalculous cholecystitis
Case Reports, 2019Co-Authors: Ayad Ahmad Mohammed, Sardar Hassan ArifAbstract:A 35-year-old woman presented to the surgical clinic complaining of right hypochondrial pain for 4 days. Abdominal Examination revealed tenderness on deep palpation in the right hypochonrdium, with no palpable organs or masses. The patient had repeated attacks of the same pain that mandated repeated admissions to the emergency hospital and treated conservatively. The white blood cell count was 13 000 cells/μL. Ultrasound Examination of the abdomen showed thick-walled gall bladder, thick bile, with no visible stones and acalculous cholecystitis was the diagnosis. Decision done for laparoscopic cholecystectomy. After removal of the gall bladder and opening the bladder, a thick milky contents was found to fill the gall bladder with no stones. The diagnosis of limy bile syndrome then done. Histopathological Examination of the gall bladder showed features of chronic cholecystitis with no malignancy. The patient discharged on the third postoperative day with no complications.
Andrew J Nicol - One of the best experts on this subject based on the ideXlab platform.
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evisceration following Abdominal stab wounds analysis of 66 cases
World Journal of Surgery, 2009Co-Authors: Michelle Da Silva, Pradeep H Navsaria, Sorin Edu, Andrew J NicolAbstract:Background Abdominal stab wounds with evisceration remain an indication for emergency laparotomy. The purpose of this study was validate a policy of mandatory laparotomy for organ evisceration and a policy of selective nonoperative management with serial physical Abdominal Examination for omentum evisceration.
Faramarz Fazeli - One of the best experts on this subject based on the ideXlab platform.
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isolated hydatid cyst of kidney
Urology, 2009Co-Authors: Faramarz Fazeli, Behzad Narouie, Mohammad Dehghani Firoozabadi, Mohammad Afshar, Anoosh Naghavi, Mohammad GhasemiradAbstract:Objectives Hydatid cyst of the kidney is a very rare condition caused by the larval stage of Echinococcus granulosus . We report a case of isolated hydatid cyst of the kidney. Methods A 32-year-old male patient presented with vague pain in the left lumbar region of 3 months' duration. Abdominal Examination demonstrated a palpable mass in the left flank. The routine laboratory findings were normal. Radiologic studies showed a soft-tissue mass in the mid-portion of the left kidney measuring 115 × 130 mm. Results We performed kidney-sparing pericystectomy, and the cyst was removed intact. The histopathologic findings confirmed the diagnosis. Conclusions In general, surgery is the treatment of choice for a hydatid cyst of the kidney, and kidney-sparing surgery is the most appropriate treatment whenever possible.
