Pulmonary and meningeal tuberculosis patterns in children at King Abdul-Aziz university hospital in Jeddah, Saudi Arabia: A retrospective study

Aims. Our aim is to compare the adequacy and diagnostic yield of samples obtained by the endometrial Explora Sampler I-MX120 with endometrial specimens obtained by conventional dilatation and curettage (D&C).Methods. A total of 1270 endometrial samples were received in the histopathology laboratories at the King Khalid University Hospital, Riyadh, Saudi Arabia, between 2007 and 2010. In the outpatient clinic, the Uterine Explora Model I was used to obtain 996 samples. The remaining 274 samples were obtained by conventional D&C. Sample adequacy and the clustering of inadequate specimens according to age groups by the two different techniques were compared and statistically analyzed.Results. Out of 1270 endometrial samples, 253 (19.9%) were inadequate. The Uterine Explora was used in 88.5% of these inadequate samples (253 samples), and the remaining 11.5% were obtained by D&C. The insufficient tissue incidence was higher with the Explora (17.6%) than with the D&C (2.2%) and the difference was statistically significant(P<0.0001). The ages of the patients, as well as the clinical indications for the procedures, were recorded.Conclusion. This retrospective study demonstrated better specimen adequacy when D&C was used compared to the higher rate of sample insufficiency obtained with the Explora.

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IDIOPATHIC INTRACRANIAL HYPERTENSION IN UNIVERSITY HOSPITAL IN SAUDI ARABIA, RETROSPECTIVE STUDY

International Journal of Advanced Research ◽

10.21474/ijar01/13264 ◽

2021 ◽

Vol 9 (08) ◽

pp. 300-305

Author(s):

Faisal Al-Abass ◽

◽

Kawther Hadhiah ◽

Abdullah Al-Fajri ◽

Hanan AlHabib. ◽

...

Keyword(s):

Saudi Arabia ◽

Retrospective Study ◽

Intracranial Hypertension ◽

Idiopathic Intracranial Hypertension ◽

University Hospital ◽

Hormonal Contraceptives ◽

Common Symptom ◽

Blurred Vision ◽

High Index Of Suspicion ◽

The University

Background: Idiopathic intracranial hypertension (IIH) is one of headache syndromes that is female predominate and associated with increase intracranial pressure without obvious etiology, it has variable clinical presentation, and it needs high index of suspicion to reach diagnosis even with presence of well-established diagnostic criteria. Visual symptoms, which range from visual obscuration to blindness significantly,affect the outcome of this disease. Unfortunately, there is limited literature about IHH in Middle East and in Saudi Arabia in particular. In this retrospective study, we try to shed the light on pseudo-tumor cerebri in university hospital in Saudi Arabia. Methodology: This is a retrospective study conducted among 105 patients with IIH admitted to the university hospital in Saudi Arabia. Data on age, gender, as well as about symptoms, obesity, medication and surgeries, and CT/MRI results was collected. Results: The mean age of patients was 37.72 years old with standard deviation of 13.48 where 96.2 % of patients were females. Headache is the more common symptom presented by 96.2 % of patients followed with blurred vision and papilledema (85.7 %) and over weight (77.1 %). Considering medications taken by patients because of IIH, we found that main medications was Diamox which prescribed to 96.2 % with mean dose of 942.3 mg. Regarding surgical intervention, 4.8 % had a surgery of VP-shunt and 1.9 % had optic nerve fenestration Conclusion: We concluded that IIH incidence is higher among young women with higher body weight and associated with the use of hormonal contraceptives. The main symptoms of IIH are headache with papilledema and visual disturbances. Acetazolamide is the most common prescribed medication for IIH patients while 6.6 % of patients need surgical procedures.

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A Clinical and Pathological Study of Kikuchi–Fujimoto Disease in A University Hospital in Saudi Arabia

Journal of King Abdulaziz University-Medical Sciences ◽

10.4197/med.25-1.4 ◽

2018 ◽

Vol 25 (1) ◽

pp. 23-29

Author(s):

Fahad A. Alghamdi ◽

Mohammed S. Abdelwahed ◽

Abdulaziz Alghamdi ◽

Hani z. Marzouki ◽

Ghadeer A. Mokhtar ◽

...

Keyword(s):

Saudi Arabia ◽

Retrospective Study ◽

Histopathological Examination ◽

Complete Recovery ◽

Benign Disease ◽

University Hospital ◽

Pathological Features ◽

Pathological Study ◽

King Abdulaziz University ◽

Clinical And Pathological Features

Kikuchi–Fujimoto disease is a benign disease of self-limiting course characterized by lymphadenopathy that is often mistaken clinically as lymphoma or infectious lymphadenitis. To prevent such a mistake, a clinical and pathological correlation is recommended. In this retrospective study, we are documenting the clinical and pathological features of this disease through the last 15 years (2001-2016) in King Abdulaziz University Hospital; and comparing results with that of international findings. From a total number of 1805 lymph nodes sent for histopathological examination during that period, only 9 cases had been diagnosed as Kikuchi–Fujimoto disease. Three (33%) cases were 20 years old and under; five (56%) cases were in the ages between 20 to 40 years old and only one (11%) was above 40 years old. Eight (89%) cases were females. Regarding the outcome, all cases showed complete recovery and there was no recurrence. Only two histological phases were seen, namely proliferative and necrotizing phases.

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Appropriateness of dabigatran dosing in patients with nonvalvular atrial fibrillation (NVAF): A retrospective study conducted in a tertiary care university hospital in the eastern province of Saudi Arabia

Journal of the Saudi Heart Association ◽

10.1016/j.jsha.2019.05.002 ◽

2019 ◽

Vol 31 (3) ◽

pp. 130-134

Author(s):

Nasser Alali ◽

Mahmoud Hassan Mahmoud ◽

Mousa Ayesh Alharbi ◽

Sami Nimer Ghazal

Keyword(s):

Atrial Fibrillation ◽

Saudi Arabia ◽

Retrospective Study ◽

Tertiary Care ◽

University Hospital ◽

Nonvalvular Atrial Fibrillation ◽

Eastern Province

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Metformin and intravenous contrast when time not help, A retrospective study at King Abdulaziz University Hospital, Jeddah, Saudi Arabia

International Journal of Medicine in Developing Countries ◽

10.24911/ijmdc.51-1543999258 ◽

2019 ◽

pp. 26-29

Author(s):

Dalya Alqarni ◽

Asma Alshehri ◽

Raghad Aldehasi ◽

Lujain Al-Sayegh ◽

Dania Binrahma ◽

...

Keyword(s):

Saudi Arabia ◽

Retrospective Study ◽

University Hospital ◽

Intravenous Contrast ◽

King Abdulaziz University

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Trends in bariatric surgery and incidentalomas at a single institution in Saudi Arabia: a retrospective study and literature review

Annals of Saudi Medicine ◽

10.5144/0256-4947.2020.389 ◽

2020 ◽

Vol 40 (5) ◽

pp. 389-395

Author(s):

Mohammed Nabil AlAli ◽

Fahad Bamehriz ◽

Hassan Arishi ◽

Mohammed K. Aldeghaither ◽

Fahad Alabdullatif ◽

...

Keyword(s):

Bariatric Surgery ◽

Saudi Arabia ◽

Retrospective Study ◽

Literature Review ◽

Incidental Findings ◽

Infection Type ◽

Tertiary Care ◽

University Hospital ◽

The Mean ◽

H Pylori

ABSTRACT BACKGROUND: Data are lacking on trends in bariatric surgery and the frequency of incidental findings in Saudi Arabia. OBJECTIVE: Report on trends in bariatric surgery as well as our experience in incidental findings along with a literature review (mainly on gastrointestinal stromal tumor). DESIGN: Retrospective chart and literature review. SETTINGS: Academic tertiary care center. PATIENTS AND METHODS: We conducted a retrospective study at King Khalid University Hospital and analyzed the data collected from 2009 to 2019. We collected data on age, body mass index (BMI), H pylori infection, type of bariatric surgery performed, and type and location of incidental findings. MAIN OUTCOME MEASURES: Incidental findings during or after bariatric surgery (in pathology specimen). SAMPLE SIZE: 3052 bariatric surgeries, 46 patients with incidentalomas. RESULTS: The mean and standard deviation for the age of the 46 patients with incidentalomas was 42.1 (13.9) years and the mean (SD) preoperative BMI was 43.4 (6.4) kg/m 2 . Of 3052 bariatric surgeries performed, the most common type was sleeve gastrectomy (93.9%), followed by gastric bypass surgery (4.58%) and gastric banding (1.47%). The total frequency of incidentalomas was 1.5%; 10.8% of patients had gastrointestinal stromal tumors (GIST), with the stomach being the commonest site for incidental findings. Eighty percent of the patients with GIST were positive for H pylori ( P =.01 vs negative patients). CONCLUSION: The number of incidentalomas and other findings were consistent with other reports. All these findings suggest that bariatric surgeons should take special care before, during, and after a laparoscopic operation in obese patients. LIMITATIONS: Since this is a single-center, retrospective study, we did not collect data on important variables such as gender, socioeconomic status of the patient, and family history of obesity, and we did not perform a preoperative esophagogastroduodenoscopy. CONFLICT OF INTEREST: None.

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Pattern of Mandibular Third Molar Impaction in Nonsyndromic 17760 Patients: A Retrospective Study among Saudi Population in Central Region, Saudi Arabia

BioMed Research International ◽

10.1155/2021/1880750 ◽

2021 ◽

Vol 2021 ◽

pp. 1-8

Author(s):

Mahmud Uz Zaman ◽

Naif Salem Almutairi ◽

Mohammed Abdulrahman Alnashwan ◽

Shabab Mohammed Albogami ◽

Nawaf Masad Alkhammash ◽

...

Keyword(s):

Saudi Arabia ◽

Retrospective Study ◽

Central Region ◽

Third Molar ◽

University Hospital ◽

Saudi Population ◽

Third Molars ◽

King Saud University ◽

Second Molar ◽

Mandibular Third Molars

The objective of this study was to study the incidence of type of impaction of mandibular third molars based on the classifications of Pell and Gregory and Winter, which included angulation of the tooth and level of the occlusal surface of the third molar with respect to the second molar, respectively, in a sample of Saudi population in central region. In this retrospective study, orthopantomograms (OPGs) of 17760 patients were examined, who were reported by the Dental University Hospital (DUH) at King Saud University, Riyadh, Saudi Arabia, between the years 2016 and 2020. Out of 17760 radiographs, 2187 (12.31%) patients presented with at least one impacted third molar. Out of which, 1337 (7.52%) patients had bilateral impaction and 850 (4.78%) patients had unilateral impaction ( p < 0.001 ). No gender predominance was noted in the impaction status ( p > 0.05 ). In bilateral impaction, 671 were male (50.2%) and 666 were female (49.8%). Among unilateral impaction, 394 (46.4%) were male and 456 (53.6%) were female. Mesioangular angulation was the most common pattern of impaction (65%) followed by vertical angulation in both bilateral and unilateral impactions. Level A impaction was found to be highest in both bilateral and unilateral impactions which are 48.02% and 54.0%, respectively ( p < 0.05 ). Our study highlights mesioangular impaction and level “A” as the most frequently encountered angulation and level of impaction in impacted teeth. This study result provides us useful data regarding the radiographic status of mandibular third molars in the population of Saudi Arabia.

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