Obstruction in the third part of the duodenum during the healing stage of a pancreatic fistula.
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Adolescent↗
Biomedical subjects
M S al-Manee
Publications and source records attributed to M S al-Manee.
Riedel's thyroiditis. Case report.
A case of Riedel's thyroiditis in a young euthyroid man is presented. The diffusely enlarged and uniformly hard gland extended laterally beyond the sternomastoid muscles. Aspiration cytology suggested malignancy. Isthmectomy with excision of 50% of the fibrous gland and clearance of two-thirds of the tracheal circumference gave a good result.
Adult↗
Solitary caecal diverticulitis. Recognition and management.
Nine cases of solitary caecal diverticulitis treated in Kuwait are presented and the literature is reviewed. The preoperative diagnosis was acute appendicitis in all cases, but diverticulitis was detected during surgical exploration and histologically confirmed. The surgical management in seven cases was simple excision of the diverticulum with closure of resultant defect or invagination of the mucosal bulge with suture of the colonic wall. Right hemicolectomy was performed in two cases because of gangrenous patches in the caecal wall and suspicion of carcinoma. Recognition of solitary caecal diverticulitis requires considerable experience, especially in order to avoid more radical procedures such as right hemicolectomy. Solitary caecal diverticulum does not seem to occur in the indigenous people of Kuwait. All nine patients were of other nationalities, including five from countries of the Far East.
Adult↗
Hürthle cell lesions in thyroid neoplasms.
A study of nine cases of Hürthle cell lesions of the thyroid seen in a period of five years at Al-Adan Hospital, Kuwait, is presented. Chart review of physician's contact, patient follow-up and histopathological review showed two cases (22%) were due to Hürthle cell hyperplasia only, and seven (78%) were Hürthle cell tumours, of which Hürthle cell carcinoma was seen in three cases (33%) and Hürthle cell adenoma in four (44%). Of the four cases with adenoma, three (33%) had solitary lesions and one had an associated papillary carcinoma. The extent of primary surgical treatment did not affect the prognosis of adenoma. It is suggested that lobectomy with isthmectomy should be sufficient treatment for Hürthle cell adenoma, while more radical surgery should be reserved for cases with accepted malignant criteria.
Adenoma↗