Saudi Med J
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Case Reports
Traumatic pseudoaneurysm from the aorta to the left common carotid artery presenting as widened mediastinum.
Diagnosis of pseudoaneurysm of the aorta or its main branches is a challenge in patients with blunt chest trauma. Computed tomography helps to demonstrate intrathoracic hemorrhage and suspected great vascular injury when a chest radiograph reveals widening of the mediastinum. Aortic angiography remains the gold standard in the determination of the site, and severity of vascular injury for definitive surgical intervention. ⋯ Delayed repair of traumatic pseudoaneurysm of the aorta after primary control of associate injuries decreases mortality significantly, thus improving prognosis. We report a case of successful repair of a traumatic pseudoaneurysm of the aortic arch with extension to the left common carotid artery in an 18-year-old female patient. The diagnosis, surgical approaches, and timing of operation are discussed along with case presentation.
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To estimate the prevalence of enuresis in primary school children in Iran and to determine the factors associated with this disorder. ⋯ The prevalence of nocturnal enuresis in Iran is lower than those reported in western countries, however, higher percentage demonstrated severe enuresis. The prevalence of diurnal enuresis is lower than previous studies. Age, gender and the educational level of the mother are the main risk determinants of enuresis and the prevalence of primary nocturnal enuresis appears to be significantly related to positive history of enuresis in father.
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An 18-month-old boy presented with signs and symptoms of obstructive sleep apnea and pulmonary hypertension of 12 months duration. Confirmatory laboratory studies, in the form of echocardiography and overnight oximetry, were carried out, which showed hypoxemia and severe pulmonary hypertension. He had adenotonsillectomy, which resulted in complete resolution of signs and symptoms of pulmonary hypertension. Chronic upper airway obstruction should not be overlooked as it is a reversible cause of pulmonary hypertension.
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A rare case of splenic tuberculosis complicated by splenic rupture is reported. A 73-year-old man, hospitalized for peptic ulcer bleeding, presented in oligemic shock, was transferred to the operating room. ⋯ He had an uneventful recovery. Postoperatively, he received a combination of anti-tuberculous therapy for 6 months.