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  1. Article: Unusual presentation of intraductal papilloma on the nipple: A case report.

    Rahman, Noura Abdul / Arnaout, Ibrahim / Krimsti, Mariam / Mardini, Amira / Rahme, Kanan / Ishkhanian, Silva

    International journal of surgery case reports

    2024  Volume 117, Page(s) 109483

    Abstract: Introduction and significance: Intraductal papilloma (IDP) is a benign breast lesion characterized by a small, delicate wart-like growth found within the milk ducts. Typically located centrally behind the nipple, IDP often presents with a serous, ... ...

    Abstract Introduction and significance: Intraductal papilloma (IDP) is a benign breast lesion characterized by a small, delicate wart-like growth found within the milk ducts. Typically located centrally behind the nipple, IDP often presents with a serous, serosanguinous, or bloody discharge from the nipple, making it a common cause of abnormal nipple discharge. Differential diagnosis is crucial as it can be mistaken for other conditions such as pigmented Paget's disease and pigmented basal cell carcinoma.
    Case presentation: This case study depicts a 35-year-old female with a painless, pigmented mass on the nipple of her right breast that had been present for four months. Physical examination revealed a well-defined blue nodule measuring 13 × 8 mm. Although mammography and ultrasound did not detect any abnormalities in the breast tissue, a biopsy confirmed the diagnosis of intraductal papilloma. The lesion was surgically excised under local anesthesia without complications.
    Clinical discussion: In this case, IDP presented as a blue nodule near the nipple. Despite the patient's young age and unique presentation, the diagnosis of intraductal papilloma was made based on the identified risk factors for breast tumors. Differential diagnoses considered included mammary Paget disease, nipple duct adenoma, and erosive adenomatosis of the nipple.
    Conclusion: This case report underscores the uncommon occurrence of IDP manifesting on the nipple. A thorough evaluation incorporating medical history, physical examination, imaging studies, and cytological analysis is essential for an accurate diagnosis and to exclude malignancy. Surgical excision was successful in removing the lesion.
    Language English
    Publishing date 2024-03-08
    Publishing country Netherlands
    Document type Case Reports
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2024.109483
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: A rare case of small bowel obstruction caused by Meckel's diverticulum: case report.

    Najm, Mahmoud / Kelzia, Aya / Arnaout, Ibrahim / Kadoura, Lama / Ghazal, Ahmad

    Journal of surgical case reports

    2023  Volume 2023, Issue 6, Page(s) rjad332

    Abstract: Meckel's diverticulum MD is the most common congenital deformity of the gastrointestinal tract. It has a very low reported incidence. We reported a 9-year-old child complaining of symptoms of small bowel obstruction. He had no medical or surgical history. ...

    Abstract Meckel's diverticulum MD is the most common congenital deformity of the gastrointestinal tract. It has a very low reported incidence. We reported a 9-year-old child complaining of symptoms of small bowel obstruction. He had no medical or surgical history. There is no signs of peritonitis and appendicitis. Simple abdominal X-ray diagnosed the obstruction, during surgery we found an MD located 30 cm from the ileocecal valve, fibrous band may be as complication for MD to the anterior abdominal wall at the umbilicus, the small intestines were wrapped around the band, causing the obstruction. The MD and the band were excised with end-to-end anastomosis. We diagnosed our case during surgery. Early surgery is important to preserve bowel from gangrene or necrosis. The patient's well-being improved, and he was discharged from the hospital in good condition.
    Language English
    Publishing date 2023-06-13
    Publishing country England
    Document type Case Reports
    ZDB-ID 2580919-2
    ISSN 2042-8812
    ISSN 2042-8812
    DOI 10.1093/jscr/rjad332
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The prevalence and risk factors of functional dyspepsia among adults in low- and middle-income countries: An international cross-sectional study.

    Arnaout, Ahmad Yamen / Alhejazi, Tala Jouma / Nerabani, Yaman / Hamdan, Ola / Arnaout, Khaled / Arnaout, Ibrahim / Aljarad, Ziad

    Medicine

    2023  Volume 102, Issue 40, Page(s) e35437

    Abstract: Dyspepsia is one of the most common chronic digestive diseases, which is due to underlying organic causes that can be detected, or causes that cannot be detected called functional dyspepsia (FD). There is no epidemiological study to date that measures ... ...

    Abstract Dyspepsia is one of the most common chronic digestive diseases, which is due to underlying organic causes that can be detected, or causes that cannot be detected called functional dyspepsia (FD). There is no epidemiological study to date that measures the prevalence and risk factors of the FD in low- and middle-income countries, so this international cross-sectional study was conducted in 15 low- and middle-income countries from data previously published its protocol NCT05340400. Participants were recruited in the period from 22/April/2022 to 14/June/2022. The diagnosis of the FD was according to clinical manifestations. We determined the physical activity, daily stress, and fatigue of the participants. A large number of collaborators were chosen from different regions and institutions within each country to achieve diversity within the sample and reduce the probability of bias. Our study concluded that the prevalence of FD is much higher in low- and middle-income countries 37.9% [6.2%-44.2%], compared to high-income countries 10% [8%-12%], with a higher rate among the Afro-Caribbean race 47.9%. Sudan obtained the highest prevalence 44.3%, then Egypt 41.4%, while the lowest prevalence was in Algeria 25.7%. Moreover, there are many risk factors, including modifiable ones, such as severe stress, chronic fatigue, smoking, abnormal BMI, insufficient or too many hours of sleep, and previous infection with Covid-19, and non-modifiable ones such as advanced age, chronic diseases, and female sex. Highlighting the prevalence and increasing risk factors of FD in low- and middle-income countries should draw the attention of those responsible for health care in these countries and reduce the risk factors.
    MeSH term(s) Adult ; Female ; Humans ; COVID-19/complications ; Cross-Sectional Studies ; Developing Countries ; Dyspepsia/diagnosis ; Prevalence ; Risk Factors ; Male
    Language English
    Publishing date 2023-10-06
    Publishing country United States
    Document type Clinical Study ; Journal Article ; Multicenter Study
    ZDB-ID 80184-7
    ISSN 1536-5964 ; 0025-7974
    ISSN (online) 1536-5964
    ISSN 0025-7974
    DOI 10.1097/MD.0000000000035437
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The prevalence and risk factors of irritable bowel syndrome (PRIBS study) among adults in low- and middle-income countries: A multicenter cross-sectional study.

    Arnaout, Ahmad Y / Nerabani, Yaman / Douba, Zain / Kassem, Luma H / Arnaout, Khaled / Shabouk, Muhammad B / Zayat, Hussein / Mayo, Wafik / Bezo, Yamen / Arnaout, Ibrahim / Yousef, Ahmad / Zeina, Mohamed B / Aljarad, Ziad

    Health science reports

    2023  Volume 6, Issue 10, Page(s) e1592

    Abstract: Background and aims: Because of the plenty and abundance of risk factors and the expected increase in the prevalence of irritable bowel syndrome (IBS) in the world in general and in low- and middle-income countries in particular, this international ... ...

    Abstract Background and aims: Because of the plenty and abundance of risk factors and the expected increase in the prevalence of irritable bowel syndrome (IBS) in the world in general and in low- and middle-income countries in particular, this international cross-sectional study was conducted in 15 low- and middle-income countries according to our previous protocol, NCT05340400.
    Methods: Participants were recruited in the period from April 22, 2022 to June 14, 2022. The diagnosis of IBS was according to ROME IV. We determined the physical activity, daily stress, and fatigue of the participants. A large number of collaborators were chosen from different regions and institutions within each country to achieve diversity within the sample and reduce the probability of bias.
    Results: The prevalence of IBS appears to be higher in low- and middle-income countries (mean = 25.2%, range [6.2%-44.2%]) than in high-income countries, with a higher prevalence among Africans than Caucasians and Asians. The prevalence of IBS increased in the fourth decade by 32.1% and in the fifth decade by 31.1% (
    Conclusions: Highlighting the prevalence and increasing risk factors of IBS in developing countries should draw the attention of those responsible for health care in these countries and reduce the risk factors.
    Language English
    Publishing date 2023-10-04
    Publishing country United States
    Document type Journal Article
    ISSN 2398-8835
    ISSN (online) 2398-8835
    DOI 10.1002/hsr2.1592
    Database MEDical Literature Analysis and Retrieval System OnLINE

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