A 37-year-old patient presenting with pneumaturia: a case study

No Abstract

Right abdominal mass: keep an open mind

Amebic colitis is common in tropics, usually presenting with variable and non-specific symptoms. Amebomas occur rarely, usually in cecum and ascending colon, when they can masquerade as colon carcinoma. This report describes the case of a 27-year-old male who presented with right abdominal mass. Radiological examination prompted us to the differential diagnosis of ameboma and he was treated with metronidazole and broad-spectrum antibiotics for two weeks. Amebic colitis should be considered as a possible diagnosis when dealing with right-sided abdominal mass

Radiological outcomes following surgical fixation with wires versus moulded cast for patients with a dorsally displaced fracture of the distal radius: a radiographic analysis from the DRAFFT2 trial.

AIMS: The primary aim of this study was to report the radiological outcomes of patients with a dorsally displaced distal radius fracture who were randomized to a moulded cast or surgical fixation with wires following manipulation and closed reduction of their fracture. The secondary aim was to correlate radiological outcomes with patient-reported outcome measures (PROMs) in the year following injury. METHODS: Participants were recruited as part of DRAFFT2, a UK multicentre clinical trial. Participants were aged 16 years or over with a dorsally displaced distal radius fracture, and were eligible for the trial if they needed a manipulation of their fracture, as recommended by their treating surgeon. Participants were randomly allocated on a 1:1 ratio to moulded cast or Kirschner wires after manipulation of the fracture in the operating theatre. Standard posteroanterior and lateral radiographs were performed in the radiology department of participating centres at the time of the patient's initial assessment in the emergency department and six weeks postoperatively. Intraoperative fluoroscopic images taken at the time of fracture reduction were also assessed. RESULTS: Patients treated with surgical fixation with wires had less dorsal angulation of the radius versus those treated in a moulded cast at six weeks after manipulation of the fracture; the mean difference of -4.13° was statistically significant (95% confidence interval 5.82 to -2.45). There was no evidence of a difference in radial shortening. However, there was no correlation between these radiological measurements and PROMs at any timepoint in the 12 months post-injury. CONCLUSION: For patients with a dorsally displaced distal radius fracture treated with a closed manipulation, surgical fixation with wires leads to less dorsal angulation on radiographs at six weeks compared with patients treated in a moulded plaster cast alone. However, the difference in dorsal angulation was small and did not correlate with patient-reported pain and function

Expansive soil behaviour and the development of a knowledge based system associated with foundations in expansive soils

SIGLEAvailable from British Library Document Supply Centre-DSC:DXN042548 / BLDSC - British Library Document Supply CentreGBUnited Kingdo

Abdominal Wall Schwannoma: Case Report and Review of the Literature

A 29-year-old female had presented to surgical outpatient's department complaining of lump in the anterior abdominal wall. Ultrasound and magnetic resonance imaging revealed a solid degenerated tumor in the anterior abdominal wall. It was surgically excised, and histopathology confirmed it to be “ancient” schwannoma. To our knowledge, this is the second reported case of an abdominal wall ancient schwannoma in the medical literature

A Sustainable Water Resources Management Plan for Wadi Hanifa in Saudi Arabia

Wadi Hanifah is one of the major natural landmarks in the middle part of Najd plateau. It represents the natural drain for the surface water of a very wide area. The Wadi passes through the city of Arriyadh and about 70% of the city is located within its catchment area.In the last decade, ground water management programs in the city have contributed to the perennial flow in part of the Wadi between the confluence of Al-Aysan channel in the north to after Al-Hair in the south of the Wadi forming a river in the desert. In addition to that, treated wastewater to the tertiary stage is also discharged into the Wadi. Perennial flow is about 0.4 M mVday and is expected to increase by 3 to 4 folds by 2021.This paper will highlight the importance of Wadi Hanifah to Arriyadh city and shall suggest an integrated water resources management plan for Wadi Hanifah. This plan will provide sustainability to the Wadi utilizing a number of measures. These measures are anticipated to improve flood performance of the Wadi, improve surface water quality and hence protect the quality of groundwater. The plan proposes possible scenarios for water reuse to meet present and future needs of the city