Original Research Article
Aug. 9, 2022
Using Ultrasound in the Confirmation of Polycystic Ovary Syndrome
Diana Sulieman Aljammal, Shefaa Saleh Almashaqbeh, Hend Moqbel Harahsheh, Rana Ahmed Alkrimeen, Rawan Nahed Hiyari
SAS J Med | 528-532
DOI : 10.36347/sasjm.2022.v08i08.003
Background: Polycystic ovary syndrome (PCOS) is found in 6–15% of females of reproductive age (1, 2) with polycystic ovaries on pelvic ultrasonography. Polycystic ovaries are nonspecific on ultrasound, overlapping with findings in 40% of people who do not have the syndrome. Aim: To assess the advantages of transabdominal pelvic ultrasound in the confirmation of PCOS. Methods: This prospective investigation compared 45 female participants with PCOS, average age 14.9 years (group I) with 82 female participants with acute appendicitis, average age 14.3 years (group II), at Hashim Bin Al-hussein Military Hospital, Zarqa, Jordan, during the period 2018-2020. Transabdominal pelvic ultrasound was assessed in the two groups. Ovarian volume (0.5 x length x width x thickness) and follicle (3–10 mm in a single plane (follicle number per section) for each ovary) were followed up. The modified Rotterdam criteria (volume more than 10 ml +/- number of follicles more than 10) for polycystic ovaries were used. Pelvic transabdominal ultrasound was performed in cases of doubtful appendicitis with longitudinal and transverse images of the two ovaries and uterus (and endometrial stripe). Correlation between continuous variables was conducted using nonparametric Wilcoxon tests and correlation between categorical variables was performed using Fisher’s exact test. A P-value of less than 0.05 was considered statistically significant. Results: The modified Rotterdam criteria for polycystic ovary morphology (PCOM) were recorded more commonly in group I (66.7% [30/45]) than in group II (10.97% [9/82]). In group I, 30 participants were positive for PCOM: 12/30 (40%) by number of follicles more than 10, 4/30 (13.3%) by volume and 14/30 (46.7%) by number and volume. Most ultrasounds were accurate for confirmation (group I = 93.3% [42/45] and group II = 91.5% [75/82]). In group II, nine participants were positive for PCOM: three by follicle criteria, two by volume and four by volume and ..........
Testicular Metastasis of a Lung Cancer
H. Jabri, R. Cherkaoui, A. Boumehdi, H. Arfaoui, W. Elkhattabi, H. Afif
SAS J Med | 525-527
DOI : 10.36347/sasjm.2022.v08i08.002
Testicular metastases are rare, accounting for about 1% of testicular cancers. Among the metastatic localizations of lung malignant tumors, the testis are seldomly encountered. In this work, we report a case of testicular metastasis of a lung adenocarcinoma in a 45-year-old patient. Our observation underlines the interest of a meticulous and complete clinical examination of the patients, in order to diagnose even rare secondary localizations.
Risk of Aortic Rupture by Displaced Vertebral Bone Fragment Following Spinal Trauma: A Case Report with Review of the Literature
Aziz Benakrout, Ismail Aissa, Said Khallikane, Anass Malhouni, Hicham Kechna, Mustapha Bensghir
SAS J Med | 522-524
DOI : 10.36347/sasjm.2022.v08i08.001
Spinal injuries represent a diagnostic and therapeutic emergency that interest especially the young and active population, they present a great risk of instability and neurological disorders involving the vital and functional prognosis, we present a case of a patient aged 30 years, admitted to the emergency room for trauma of the dorsolumbar spine, the CT scan of the spine objective an unusual displacement of a sharp fragment of the vertebral body L1 putting at risk the abdominal aorta under renal.