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| 5th International Obstetrics & Gynecology Sultanate of Oman
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10-13 December 2007 |
| Department of Obstetrics & Gynecology |
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| Trachoma in Kenya
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Reflections of Ramadan |
| Abdul-Majid Wangai and Maryam Wangai |
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| Flesh-Eating Disease
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An experience of necrotizing fasciitis |
| Mary Lou Lepp |
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| 8th Advanced Medicine Symposium
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Sultan Qaboos University, Sultanate of Oman |
| 5th - 8th March 2007 |
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| Synchronous Bilateral Endometrioid Ovarian Cancer and Uterine Adeno Carcinoma in a Young Woman
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| *Mansour Al-Moundhri, Mariam Mathew and Andrzej Krolikowski |
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| Synchronous carcinomas involving both the ovary and uterine corpus are relatively uncommon. These tumours represent a diagnostic and therapeutic challenge, particularly if they have similar histology. Here we present the case of a 34-year-old woman with bilateral endometrioid cancers of both ovaries and adenocarcinoma of the uterus. |
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| Foreign Bodies in the Upper Aero-Digestive Tract
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| * Murty PSN, Vijendra S Ingle, Ramakrishna S, Fahim A Shah and Varghese Philip |
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| Foreign bodies in the upper aero-digestive tract pose major challenges to the otolaryngologist in both diagnosis and management. Aspirated and ingested foreign bodies are often emergencies, leading to inadequate study and poorly prepared, improper attempts at removal. The authors share their experience in managing upper aero-digestive tract foreign bodies in Omani population at a district hospital, present a statistical review of cases, and highlight certain critical scenarios as well as cultural variations specific to the region.
Keywords: foreign body, aero-digestive tract, bronchoscopy, oesophagoscopy, Oman |
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| Thyrotoxicosis in pregnancy
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A Case Report |
| *Bola R Kamath, Kamla J Rao and Adikari AK Mayadunne |
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| There are various causes of hyperthyroidism in pregnancy such as Graves’ disease and gestational thyrotoxicosis. The thyroid stimulation results from the excessive levels of circulating human chorionic gonadotropin (hCG) produced by the trophoblastic tissue in both hydatidiform moles and choriocarcinoma. We present a pregnant patient with hydatidiform mole who presented with hyperthyroidism
that resolved after evacuation of the mole.
Keywords: thyrotoxicosis, hydatidiform mole, pregnancy, hCG |
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| Pulmonary Infarction
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A Rare case of Adrenal Carcinoma |
| *Sukhpal Sawhney, Ikram Burney and Rajeev Jain |
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| A case report of unsuspected adrenal carcinoma with pulmonary artery obstruction in a young girl who was admitted
with recurrent episodes of hypotension is presented. Computed tomography (CT) scans demonstrated a large right adrenal mass
extending into the inferior vena cava (IVC), right atrium, right ventricle and right pulmonary artery. There are many case reports
in literature documenting IVC and right atrial thrombus in patients with adrenal carcinoma. To our knowledge, this is the first case
report specifically documenting pulmonary infarction secondary to tumour extension into the pulmonary artery.
Keywords: Adrenal carcinoma, Pulmonary infarction, Computed Tomography , Case report, Oman. |
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| Ovarian Vein Thrombophlebitis
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An Unusual Cause of Postpartum Fever and Abdominal Pain |
| *Anupam K Kakaria |
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| Ovarian vein thrombophlebitis is an uncommon, but potentially serious, complication of complicated deliveries. Prolonged
rupture of membranes prior to delivery is a pre-disposing factor. We report a case of a patient with prolonged ruptured
membranes, who developed right ovarian vein thrombophlebitis. The patient was managed medically and responded favourably to
treatment.
Keywords: Prolonged ruptured membranes, Ovrarian vein thrombophlebitis, Postpartum fever, Case report, Oman |
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| Mucormycosis of the Jaw after Dental Extractions
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Two Case Reports |
| Abdulaziz A Bakathir |
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| Mucormycosis is a rare opportunistic fungal infection, which is mainly reported to occur in patients with immunocompromised
conditions such as uncontrolled diabetes mellitus and leukaemias. In this paper, two cases of mucormycosis are reported
after dental extractions. The first case of mucormycosis occurred in the maxilla and mandible of a 14 year old male patient undergoing
chemotherapy for acute myeloid leukaemia. The second case occurred in the mandible of a 49 year old male patient with a recently
diagnosed type-2 diabetes mellitus, presenting with ketoacidosis and underlying undiagnosed acute lymphoblastic leukaemia. The
outcome of these reported cases of mucormycosis was favourable after comprehensive surgical and medical management.
Keywords: Mucormycosis, rhinocerebral mucormycosis, complication of dental extraction, case report, Oman |
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| Rhabdomyosarcoma of the Nasal Vestibule in a Child
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| George H Tanyous |
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| A case of rhabdomyosarcoma in a 2 year old girl without a pre-existing predisposing factor visited
the ENT Department of Sultan Qaboos University Hospital (SQUH). Her clinical condition did not point to
the diagnosis, which came as a histological surprise. The histopathology report was alveolar rhabdomyosarcoma.
Keywords: Nasal rhabdomyosarcoma, pediatric age, Case Report, Oman. |
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| Vaginal hirudiniasis from Dhaherah Province, Oman
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With a Note on Internal Hirudiniasis |
| Mohamed A Idris |
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| A 75 years old lady from the Dhaherah Province, Oman, presented at Ibri Hospital, complaining from abnormal vaginal
bleeding. Histopathological investigations of a cervical biopsy revealed no atypical features. A worm-like organism was removed from
the vagina. Histocytological investigations of the organism revealed typical structures of a leech. The case was identified as vaginal
hirudiniasis, probably due to Limnatis nilotica that necessitated a note on internal hirudiniasis.
Keywords: internal hirudiniasis, vagina, Limnatis nilotica, Case report, Oman. |
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| A Swallowed Fishbone Penetrating the Oesophagus into the Sternomastoid Muscle
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| Sabah M Al-Shukry |
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| A 40-year-old woman presented with the history of swallowing a fishbone one hour earlier. Since the patient was swallowing
normally and the X-ray results were negative, she was reassured and sent home. Twenty days later, when the patient again presented with pain and tenderness in her neck, the fishbone was detected in the left sternomastoid muscle, and removed under local anaesthesia. |
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| The Smallest Miracle Baby that Survived in Oman
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| *Zakia Al Lamki, Rafiq Hemani, Mariam Mathew, Asadur Rahman and Radha Kumari |
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| Extreme prematurity is a major cause of perinatal morbidity and mortality. Management of such babies is a big challenge to neonatologists. Here we report the smallest baby ever survived in Oman.
Key words: extremely low birth weight infant (ELBW), prematurity, intra-ventricular haemorrhage (IVH), retinopathy of prematurity (ROP), adrenal insufficiency of prematurity, bronchopulmonary dysplasia (BPD), reversed end diastolic flow velocity (REDFV). |
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| A strange type of Pica
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| *Marwan M. Al-Sharbati, Ziad A. J. Zaidan, Ala’Adin Al-Hussaini and Khalid Al-Khalili |
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| Pica, where the patient eats non-food items such as mud, clay, varnish etc., is a common behavioural problem seen in children, pregnant women and the mentally retarded. However sponge pica is a very rare variation. We report a case of a 5-year-old Omani girl, who presented with sponge pica since the age of two years, with recent abdominal pain. Investigations showed anaemia, elevated liver enzymes and normal intelligence. There was no evidence of obsessive-compulsive disorder. Both clinical and laboratory findings showed complete recovery after a few weeks of oral iron therapy. Her appetite improved, and she started to gain weight. No recurrence was observed when followed up after two years. Awareness is necessary to detect and treat pica as early as possible to prevent its complications.
Keywords: pica, anemia, sponge pica, abdominal pain, Oman. |
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