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The Role of Endoscopic Retrograde Cholangiopancreatography (ERCP) in the Management of Intra-Biliary Rupture of Liver Hydatid Cysts (IBRH): Follow-Up of 12 Cases

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Case Reports in Clinical Medicine 2014年第9期3卷 533-543页

作者： mohammad abdulrahman alshekhani Taha A. Alkarbuli Naser Abdullah Mohammed Alqazi Hiwa A. Hussein Qalandar H. Kasnazan Ali Hussein Ali Kurdistan Center for Gastroenterology & Hepatology Asulaimaneyah Iraqi Kurdistan Iraq

Background: Intra-biliary rupture of hydatid cyst [IBRH] is not a rare complication of hydatid disease of the liver and surgery until recently is the only definitive treatment. With the introduction of ERCP preoperatively or postoperatively there was a great reduction in the operative complications. There were reports in which the ERCP was the sole treatment of this condition. Objective: To evaluate role of ERCP in the management of cases of IBRH. Design: A retrospective study of 7 cases of IBRH and prospective study of 5 cases of IBRH managed by ERCP. Setting: The ERCP Unit of Kurditan Center for Gastroenterology & Hepatology, Asulaimaneyah-Iraqi, Kurdistan, Iraq. Main Outcome Measurements: Improvement in the symptoms, obstructive liver functions pattern and ultrasonic findings in these patients following ERCP management. Methods: This is a study of 12 cases of IBRH managed by ERCP in the Kurdistan Center of Gastroenterology (KCGE) in Asulaimaneyah-Iraq, from 2007-2010. Seven cases of these were studied retrospectively from the available information on the center computers and on follow-up of these patients, while the other five patients were studied prospectively during the study period. We collected the available information: laboratory investigations, trans-abdominal ultrasonography (TAUS), computed tomography (CT) or magnetic resonance images (when available), before and after ERCP. We depended on the liver functions, trans-abdominal ultrasound and the clinical presentation before and after the ERCP;some patients were contacted via mobile phone for follow-up. Results: Cases were more males than females (58% vs 42%);most were from the ages between 30 - 50 years. The clinical presentation was fever, jaundice, itching and right hypochondrial pain in most patients. The liver function tests were obstructive pattern with elevated direct bilirubin and alkhaline phosphates in most patients. The trans-abdominal ultrasound revealed dilated common bile duct and single liv

关键词： Intra-Biliary Rupture of Hydatid Cyst ERCP Obstructive Jaundice

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Risk Factors for Stroke in Sulaimaniyah Iraqi Kurdistan Region-Iraq

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International Journal of Clinical Medicine 2016年第9期7卷 639-651页

作者： Ahmed Saeed Mohamed Mohamed A. M. alshekhani Sulaimaniyah General Teaching Hospital Sulaimaniyah Iraqi Kurdistan Iraq Department of Medicine Directory of Health Sulaimaniyah Iraqi Kurdistan Region Iraq

Background: Stroke is a frequent medical problem and a leading cause of death and disability worldwide. Several conditions and lifestyle factors have been associated with stroke. Aim: To evaluate risk factors in stroke patients in Sulaimani city. Results: 110 patients with stroke were included in this study, hypertension was found to be the most common risk factor in current study. Out of 110 cases, 83 (75.5%) were hypertensive. Peak stroke-prone age was (60 - 69) year for male, (70 - 79) year for female. We found a statistically significant relation between level of TSC, LDL with ischemic stroke (r = 0.4047, P Conclusion: Hypertension is the leading risk factor of stroke. It is therefore essential to detect and treat hypertension at its outset. High value of atherogenic index mostly associated with ischemic stroke .while no relation found with haemorhagic stroke.

关键词： Stroke Risk Factors CT Scan Brain Lipid Profile Echocardiography

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Large number of <i>Fasciola hepatica</i>discovered during endoscopic retrograde cholangiopancreatography (ERCP)

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Case Reports in Clinical Medicine 2013年第2期2卷 177-178页

作者： Mohamed alshekhani Hiwa Hussein Taha Karbuli Kalandar Kasnazan Kurdistan Center for Gastroenterology & Hepatology Sulaymaniyah Iraq

Fascioliasis is a zoonotic infection of herbiviores, occasionally affecting humans who ingest fresh water plants. We report a case of a young woman who presented to our center with vague abdominal discomfort & discovered on abdominal ultrasound to have gall stones & dilated common bile duct. She was scheduled for ERCP which revealed a large number of fasciola worms draining from the common bile duct to the duodenum.

关键词： Fasiolahepatics Obstructivejaundice Triclabendazole

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