Surgical Case Presentations

Congenital Mesentric Cyst With intestinal Obstruction

27 years old Saudi gentleman not known to have any chronic illness presented to our ER on Tues 9th Dec 2008 @ 14:15 PM complaining of abdominal pain and distension with repeated vomiting for 1 day. More>

Ruptured Mesenteric Cyst 

9 year old Saudi male was admitted on 25/9/2008 after being received from peripheral hospital as a case of internal hemorrhage post fall down from bed 2 days before referral. There was no systemic manifestations or chronic illness but he had obvious abdominal distension, guarding with positive rebound tenderness More>                                

Int. Medicine Case Presentations

Lymphocytic  Interstitial  Pneumonia 

33 year old unmarried Saudi lady presented by non productive cough started 1 year before presentation. 6 months later , she developed  Breathlessness  on  moderate exertion, that progressed gradually till it became very difficult for her to move around the house  or to reach the toilet More>        

Mystery of Jaundice

29 Years of Saudi male presented with obvious jaundice and itching with no clue in history and examination for its etiology. This is a review of Jaundice as mystery that requires organized approach to sort out its possible etiologies and start management to prevent possible complications   as soon as possible More>                 

Severe Necrotizing Pancreatitis

70 year old Saudi male admitted  with history of right upper quadrant and epigastric pain, associated with nausea and vomiting. Laboratory results and radiology findings revealed findings diagnostic of acute necrotizing pancreatitis with cyst formation. More>

Pediatrics Case Presentations

Bronchiolitis Survey in KFH Al-Baha Winter 2008-2009

Bronchiolitis is a serious disease if not discovered early and treated properly. This is a presentation of a survey carried out by Pediatrics department in the winter of 2008-2009 season with a review of evidence based literature to come out with a proposal for a suggested protocol for management or such condition. More>  

Wilms' Tumor Presented as Chronic Constipation

3 year old Saudi male presented to ER by his parents complaining of abdominal pain, constipation for one week. This was associated with weight loss and rapid breathing and hypertension. Examination revealed right hypochondrial mass 8X9 cm. More>

1 Year Old Child with Kawasaki Disease

1 Year Saudi baby presented with high fever for 2 weeks and 10 days of vomiting and diarrhea. She had skin rash for one week ahead of presentation. Examination revealed fingers desquamation and echocardiography revealed aneurismal dilatation in coronary arteries. the baby proved to have Kawasaki disease. More>       

Neonatal Jaundice Revealed to be Biliary Atresia

30 day old baby presented with Yellowish skin discoloration since 1 week age with vomiting for 2 days prior to presentation. Stool was pale for the last 2 weeks. Clinical examination was normal for age except for mild hepatosplenomegally. Lab results came normal but Tc-HIDA hepatobiliary scintigraphy disclosed the mystery. More>        

Obstetrics & Gynecology Case Presentation  

HELLP Syndrome Treated Medically with Steroids

39 year old Saudi female with known primary infertility for last 15 years was treated by induction of ovulation and I.U.I that proved successful and pregnancy test came positive after 10 days. This precious pregnancy was in danger due to a full blown HELLP syndrome after 27 weeks of gestation!!! More>

Other Case presentations Varieties

(Anesthesia Dept) Tragedy After Classic Appendicectomy

9 Year old male Saudi child presented with classic history and physical findings of acute appendicitis. After uneventful appendicectomy, his story converted into a tragedy unrelated to anesthesia or surgical intervention. His family gave the medical team a clue for explanation that was too late to save the situation. More>

(Emergency Department) Patient Survived After 31 DC Shocks

75 Years old Saudi male presented to ER with chest pain that revealed to be ischemic heart disease with subsequent cardiac arrest and admission to ICU to survive after receiving 31 DC shocks.  More>