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  1. Article: Left-sided appendicitis in intestinal malrotation: a minimally invasive approach.

    Feeney, Gerard / Hannan, Enda / Alagha, Mohammed / Abdeldaim, Yasser

    Journal of surgical case reports

    2022  Volume 2022, Issue 6, Page(s) rjac274

    Abstract: Intestinal malrotation is a rare clinical entity that occurs in 1/6000 live births. Acute appendicitis (AA) is commonly recognized clinically by migratory right iliac fossa pain. We present a rare case of AA in a patient with previously undiagnosed IM ... ...

    Abstract Intestinal malrotation is a rare clinical entity that occurs in 1/6000 live births. Acute appendicitis (AA) is commonly recognized clinically by migratory right iliac fossa pain. We present a rare case of AA in a patient with previously undiagnosed IM that posed a diagnostic challenge due to abnormal caecal location, which was managed by a laparoscopic approach. The presence of undiagnosed congenital anomalies such as IM can render diagnosis of even seemingly straightforward conditions such as AA challenging, meaning that the presence of classical clinical findings cannot always be relied upon. One should have a low threshold for performing cross-sectional imaging in cases where clinical findings do not yield a satisfactory diagnosis. The adult patient with AA in the context of incidental type 1 IM can be managed laparoscopically by a simple modification of standard technique, without the need to correct malrotation, thus allowing the patient to benefit minimally invasive surgery.
    Language English
    Publishing date 2022-06-16
    Publishing country England
    Document type Case Reports
    ZDB-ID 2580919-2
    ISSN 2042-8812
    ISSN 2042-8812
    DOI 10.1093/jscr/rjac274
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Pre and retroperitoneal necrotizing fasciitis after COVID-19 infection: A case report.

    Elashry, Mohamed M / Alagha, Mohammed / Salama, Modea

    Radiology case reports

    2021  Volume 16, Issue 10, Page(s) 2949–2952

    Abstract: Necrotizing fasciitis is a serious infection that originates in the subcutaneous tissues. We present a case of 52 years old male patient who developed preperitoneal and retroperitoneal necrotizing fasciitis 2 weeks after the start of Coronavirus-19 ... ...

    Abstract Necrotizing fasciitis is a serious infection that originates in the subcutaneous tissues. We present a case of 52 years old male patient who developed preperitoneal and retroperitoneal necrotizing fasciitis 2 weeks after the start of Coronavirus-19 infection. Preoperative abdominal computed tomography with intravenous and oral contrast revealed pre and retroperitoneal spread of air loculi with turbid fluid patches within necrotic tissues. After surgical excision of the lesion, histopathological and microbiological examinations of the samples revealed necrotizing fasciitis. This is the first report of preperitoneal and retroperitoneal necrotizing fasciitis after Coronavirus-19 infection in 52 years old male with no history of trauma or immunocompromised condition. Coronavirus-19 infection may increase the liability of patients to develop overwhelming infection and it may also delay the patient presentation causing serious health-related emergencies. The findings of necrotizing fasciitis on clinical grounds or imaging studies can help in diagnosis as well as the surgical intervention and appropriate antibiotics can highly impact the prognosis and survival of the patient.
    Language English
    Publishing date 2021-07-08
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2406300-9
    ISSN 1930-0433
    ISSN 1930-0433
    DOI 10.1016/j.radcr.2021.07.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: A rare anatomical variation of great saphenous vein at the level of saphenofemoral junction.

    Quickert, Timo / Alagha, Mohammed

    Radiology case reports

    2018  Volume 13, Issue 6, Page(s) 1128–1129

    Abstract: The saphenofemoral junction is one of the major connections between the superficial and deep venous system in the leg. It is important to understand the anatomic variations in the lower extremity for treatment of venous disorders. There are many ... ...

    Abstract The saphenofemoral junction is one of the major connections between the superficial and deep venous system in the leg. It is important to understand the anatomic variations in the lower extremity for treatment of venous disorders. There are many variations of the superficial system, most of them are with the great saphenous vein. A rare anatomic variant where the great saphenous vein is located between the superficial femoral and profunda arteries at the level of saphenofemoral junction is discussed in our case report.
    Language English
    Publishing date 2018-09-13
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2406300-9
    ISSN 1930-0433
    ISSN 1930-0433
    DOI 10.1016/j.radcr.2018.07.028
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Diagnostic Performance of Ankle-Brachial Pressure Index in Lower Extremity Arterial Disease.

    Alagha, Mohammed / Aherne, Thomas M / Hassanin, Ahmed / Zafar, Adeel S / Joyce, Doireann P / Mahmood, Waqas / Tubassam, Muhammad / Walsh, Stewart R

    Surgery journal (New York, N.Y.)

    2021  Volume 7, Issue 3, Page(s) e132–e137

    Abstract: ... ...

    Abstract Introduction
    Language English
    Publishing date 2021-07-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2864275-2
    ISSN 2378-5136 ; 2378-5128
    ISSN (online) 2378-5136
    ISSN 2378-5128
    DOI 10.1055/s-0041-1731444
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Diagnostic Performance of Ankle-Brachial Pressure Index in Lower Extremity Arterial Disease

    Alagha, Mohammed / Aherne, Thomas M. / Hassanin, Ahmed / Zafar, Adeel S. / Joyce, Doireann P. / Mahmood, Waqas / Tubassam, Muhammad / Walsh, Stewart R.

    The Surgery Journal

    2021  Volume 07, Issue 03, Page(s) e132–e137

    Abstract: Introduction: Ankle-brachial pressure indices (ABIs) continue to form the basis of diagnostics for lower extremity arterial disease (LEAD). However, there remains a paucity of data to support its accuracy. This study aims to evaluate its diagnostic ... ...

    Abstract Introduction: Ankle-brachial pressure indices (ABIs) continue to form the basis of diagnostics for lower extremity arterial disease (LEAD). However, there remains a paucity of data to support its accuracy. This study aims to evaluate its diagnostic sensitivity and specificity using established arterial-imaging modalities as a benchmark.
    Methods: In this retrospective study, a regional, prospectively maintained, vascular laboratory database was interrogated to identify referred patients with arterial disease who underwent concomitant assessment with ABI and lower limb arterial duplex ultrasound (DUS). Duplex acted as the reference standard. Those who had peripheral computed tomography angiogram (CTA) within 3 months of initial assessment were included in a subgroup analysis to correlate ABI with CTA. The primary end point was the sensitivity and specificity of ABI compared with DUS as the reference standard.
    Results: Concomitant assessment was performed in 438 limbs (250 patients) over a 27-month period. The ABI was normal (0.9 to 1.4) in 196 limbs (44.9%) and abnormal in the remaining 241 limbs (55.1%). False-positive results occurred in 83 out of 241 limbs (34.4%), and false-negative results occurred in 54 limbs out of 196 (27.5%). True-positive results were 158 out of 241 limbs (65.6%), whereas true-negative results were 142 out of 196 limbs (72.4%). ABI using DUS as a benchmark identified a sensitivity for peripheral artery disease of 72.3% and a specificity of 69.3%. Concomitant CTA imaging was available in 200 limbs. The sensitivity and specificity of ABI correlated with CTA were 65.5 and 68.8%, respectively.
    Conclusion: ABIs have a moderate predictive value in the diagnosis of LEAD. Normal range outcomes cannot be taken to infer the absence of LEAD and, as such, further arterial imaging in the form of DUS or angiography should be strongly considered in those with suspected underlying disease requiring intervention. Further noninvasive tests such as exercise studies or pulse volume waveforms should be considered, if diagnostic uncertainty exists, in those requiring nonoperative intervention and risk factor control.
    Keywords ankle-brachial pressure index ; peripheral arterial disease ; duplex Doppler ultrasonography ; CT angiography
    Language English
    Publishing date 2021-07-01
    Publisher Thieme Medical Publishers, Inc.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2864275-2
    ISSN 2378-5136 ; 2378-5128
    ISSN (online) 2378-5136
    ISSN 2378-5128
    DOI 10.1055/s-0041-1731444
    Database Thieme publisher's database

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