Hydrocele of the canal of Nuck: a rare differential diagnosis for an inguinal hernia.

Hydrocele of the canal of Nuck is a rare condition which is commonly misdiagnosed as an inguinal hernia due to the unfamiliarity of clinicians with this pathology. There are three different types of hydrocele of the canal of Nuck, with type 1 being the most common, typically presenting as a unilocular cystic lesion with no communication with the peritoneal cavity. We present a case of a two-month-old female patient with an enlarging inguinal swelling raising the suspicion for an inguinal hernia or lymphadenopathy, with sonographic imaging revealing a fluid collection in the canal of Nuck, suggestive of a hydrocele. Diagnostic radiology plays a crucial role in the initial diagnosis of a canal of Nuck hydrocele, and ultrasound is considered the modality of choice for early diagnosis differentiating it from other causes of inguinal swelling.

Blood Donation Practices and Awareness of Blood Types Among Adults in the United Arab Emirates: A Cross-Sectional Community-Based Study.

Background Blood donation serves as a crucial component of healthcare systems worldwide, ensuring the availability of blood for life-saving therapies and medical procedures. To date, no studies have assessed the knowledge of blood donors regarding their own blood type, overall awareness of blood types, and blood donation practices within the United Arab Emirates (UAE) population. Aim The present study's primary objective is to assess knowledge regarding blood types and blood donation practices among adult blood donors in the UAE. The aim is to evaluate the effectiveness of existing initiatives and propose targeted strategies to recruit new donors and retain existing ones, with a specific emphasis on less common or critical blood types like O-negative. Methods This cross-sectional community-based study involved 259 participants selected through convenience sampling. Interviews were conducted at blood donation sites, and blood type data for each participant was collected from the blood bank following their donation. Statistical analysis was conducted using SPSS Statistics version 25 (IBM Corp. Released 2017. IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY: IBM Corp.), and p-values of <0.05 were considered and reported as statistically significant. Results Blood type distribution showed a prevalence of O+ (41.7%), A+ (22.4%), and B+ (19.7%). Notably, the rarest blood types observed were O- (2.3%) and AB- (0.4%). First-time blood donors comprised 29.7%, while the rest had previously donated blood at least once. About 72.2% of participants identified their blood type correctly, but knowledge regarding the concept of blood compatibility was limited. Emirati nationality, higher education level, and a history of previous blood donations were significantly associated with blood type awareness. Perceived accessibility to blood donation was generally high. The most reported motivational drives for blood donation included awareness of blood donation significance, a sense of ethical duty, and religious beliefs. Conclusion Most participants correctly identified their blood type; awareness was associated with Emirati nationality, higher educational achievement, and a history of previous blood donation. The high perceived accessibility of blood donation, coupled with the observed prevalence of previous blood donations among participants, offers valuable feedback on the current initiatives in the UAE for blood donation. Our study identifies target demographics and motivational triggers, offering valuable insights for optimizing blood donation initiatives in the UAE. These findings provide a strategic foundation for enhancing awareness and participation in this vital healthcare domain.

The role of artificial intelligence in plain chest radiographs interpretation during the Covid-19 pandemic.

Artificial intelligence (AI) plays a crucial role in the future development of all healthcare sectors ranging from clinical assistance of physicians by providing accurate diagnosis, prognosis and treatment to the development of vaccinations and aiding in the combat against the Covid-19 global pandemic. AI has an important role in diagnostic radiology where the algorithms can be trained by large datasets to accurately provide a timely diagnosis of the radiological images given. This has led to the development of several AI algorithms that can be used in regions of scarcity of radiologists during the current pandemic by simply denoting the presence or absence of Covid-19 pneumonia in PCR positive patients on plain chest radiographs as well as in helping to levitate the over-burdened radiology departments by accelerating the time for report delivery. Plain chest radiography is the most common radiological study in the emergency department setting and is readily available, fast and a cheap method that can be used in triaging patients as well as being portable in the medical wards and can be used as the initial radiological examination in Covid-19 positive patients to detect pneumonic changes. Numerous studies have been done comparing several AI algorithms to that of experienced thoracic radiologists in plain chest radiograph reports measuring accuracy of each in Covid-19 patients. The majority of studies have reported performance equal or higher to that of the well-experienced thoracic radiologist in predicting the presence or absence of Covid-19 pneumonic changes in the provided chest radiographs.

A rectosigmoid haemangioma: A rare etiology of rectal bleeding.

Cavernous haemangiomas of the rectosigmoid colon are rare benign vascular neoplasms of the GI tract. Patients usually present at a younger age with various degree of rectal bleeding ranging from mild painless episodic bleeding to life-threatening hemorrhage. High index of suspicion and early diagnosis is crucial to avoid unnecessary biopsy and inappropriate management. We report a case of a 26-year-old male patient with a long history of recurrent rectal bleeding. Contrast-enhanced CT scan of the abdomen and pelvis and MRI confirmed the diagnosis of cavernous hemangioma. Further surgical treatment with rectosigmoid resection and colo-anal anastomosis represents the optimum path of management for our patient.

Large vessel vasculitis and the rising role of FDG PET-CT: A case report and review of literature.

Giant cell arteritis (GCA) is a rare form of large and medium vessel vasculitis affecting about 20 cases per 100,000 persons older than the age of 50 years. GCA results in inflammation and constriction of the temporal arteries, cranial arteries, the aorta, and its major branches. Patients often present with vague constitutional symptoms and fever of unknown origin. GCA is a medical emergency requiring prompt diagnosis and early treatment with glucocorticoids which is essential to avoid irreversible end organ damage such as loss of vision, stroke and aneurysm formation. We report a case of a 63-year-old male patient presenting to our healthcare facility with sudden loss of vision and an ischemic brain infarct to be finally diagnosed as a case of giant cell arteritis with positron emission tomography-computed tomography imaging used to evaluate the full extent of the involved vasculature. Diagnostic imaging with FDG positron emission tomography-computed tomography can play a crucial role in the diagnosis, evaluation of the full burden of the disease and follow up to the response of therapy.

Acute myelitis as a neurological complication of Covid-19: A case report and MRI findings.

During the recent outbreak of coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 coronavirus, there is rising concerns about neurological complications of COVID-19. Fever, headache, and anosmia may occur early during the disease course. Other neurological sequalae such as encephalitis may occur in later phases. We report a case of acute myelitis in a 32-year old male COVID-19 positive patient who presented with a 2-day history of flu-like symptoms then sudden onset paraplegia and urinary retention. The incidence is not known and the pathogenesis of the disease behind this manifestation is still not fully understood. Nevertheless considering the broad differential diagnosis of acute myelitis, prompt clinical, and diagnostic work up was crucial to exclude other causes. Patients presenting with neurological symptoms such as loss of consciousness, ataxia, convulsions, status epilepticus, encephalitis, myelitis or neuritis should raise concerns for COVID-19 infection during this pandemic prompting early diagnosis and initiation of proper management.

A case of peribiliary hepatic cysts in a cirrhotic liver: A mimicker of Klatskin Tumor.

Patients with end-stage liver disease may present to healthcare facilities with features of obstructive jaundice and a picture of hilar cholangiocarcinoma on radiological imaging. Careful observation and knowledge of the presence and higher prevalence of peribiliary hepatic cysts in a cirrhotic liver can aid in differentiating this benign entity from malignancy that may halt or delay the patients' eligibility for receiving a liver transplant. We present a case of a patient with liver cirrhosis initially diagnosed as Klatskin tumor on imaging then as a simple case of multiple peribiliary hepatic cysts with the patient eventually undergoing successful liver transplantation.

Ruptured Berry Aneurysm as the initial presentation of Polycystic Kidney Disease: A case report and review of literature.

Intra-cranial saccular aneurysms, also known as Berry aneurysms, have a well-known association with autosomal dominant polycystic kidney disease (ADPKD). Aneurysmal rupture can be the initial presentation of the disease. ADPKD has two types of gene mutations: PKD1 and PKD2. The latter one is of a milder form presenting later in life. Imaging plays a crucial role in the diagnosis and assessment in order to provide adequate management of these patients however, there are no official standardized guidelines established for screening of these intracranial aneurysms.

Pulmonary venous varix associated with mitral regurgitation mimicking a mediastinal mass: A case report and review of the literature.

Pulmonary vein varix is an unusual cause of a mediastinal mass on a chest radiograph. It may be found as an isolated malformation or as a sequela of pulmonary venous hypertension. We encountered a case presenting with left hemiparesis and a past medical history of rheumatic heart disease. The chest radiograph revealed a well-defined mediastinal mass that turned out to be a hugely dilated pulmonary vein on contrast enhanced computed tomography of the chest. The computed tomography of the brain and upper abdomen revealed bilateral cerebral infarction and splenic infarction. In the literature, one-third of the reported cases of pulmonary vein varix are acquired secondary to mitral valve disease.