Esophageal web complicating an isolated esophageal lichen planus

Lichen planus [LP] is a chronic, idiopathic disorder affecting the mucosal surfaces, skin and nails. Esophageal involvement in this disease is rare and only few cases were found in literature, thus making its diagnosis challenging as it can be easily misdiagnosed as gastroesophageal reflux disease. Currently, little is known about its pathogenesis and management. We report a case of a previously healthy 32-year-old female who presented with the complaint of dysphagia, which was later diagnosed endoscopically as an esophageal web. Biopsy of the lesion revealed a histological diagnosis of an esophageal lichen planus [ELP]. This was treated with multiple Esophagogastro Duodenoscopy [OGD] dilatation sessions and local steroids. We also reviewed similar reported cases in the literature, stressing on the importance of the successful management of such a disease and its complications

retrospective histopathological analysis of appendiceal tumors for 10 years

Objective: To evaluate the incidence of appendiceal tumors in different sex and age groups

Design: A Retrospective Study

Setting: Pathology Department, Bahrain Defence Force Hospital, Bahrain

Method: A retrospective review of 2,310 appendectomy specimens submitted to the Pathology Department between 1 January 2006 and 31 December 2015

Result: During the study period, 2,310 appendectomy specimens were reviewed; 19 [0.8%] of the samples were histologically diagnosed as appendiceal tumors. Of the 19 appendiceal tumors, 9 [47%] were carcinoid, 6 [32%] were benign, including mucinous cystadenoma and neuroma and 4 [21%] were malignant. The mean age of carcinoid tumors is 35 years, ranging from 14 to 51 years. The mean age of malignant appendiceal tumors is 46 years, ranging from 30 to 60 years. Appendiceal tumors were found to be more common in males than in females. The male to female ratio is 2: 1 for both carcinoid and benign tumors and 3: 1 for malignant tumors

Conclusion: Appendiceal tumors are rare. The most common tumors are carcinoid tumors. In some cases, an appendectomy alone is a sufficient treatment for a tumor. However, in cases of malignancy, a right hemicolectomy is required

Chronic eosinophilic rhinosinusitis clinical implications

Background: Eosinophilic Chronic Rhinosinusitis [ECRS] is clinically characterized by extensive disease and poor prognosis

Objectives: To evaluate eosinophilic mucin in Chronic Rhinosinusitis [CRS]

Design: A Retrospective Study

Setting: Bahrain Defence Force Royal Medical Services, Bahrain

Methods: Fifty-nine patients with chronic rhinosinusitis with nasal polyps were included in the study. Clinical data, CT findings and histopathology were documented

Results: Twenty-six [44.1%] patients were diagnosed with eosinophilic chronic rhinosinusitis [ECRS] with nasal polyps. Headache, bilateral nasal polyps, total sinus opacification and occluded ostiomeatal complex were more common in patients with ECRS compared to patients with noneosinophilic CRS. P-value less than 0.05 was considered statistically significant

Conclusion: Patients with ECRS are likely to have severe disease presentation compared to patients with non-eosinophilic CRS. Clinical findings could differentiate ECRS from noneosinophilic CRS

Clinicopathological profile of cardiac myxomas in Bahraini population

Background: Cardiac tumors could be either primary [benign or malignant] or secondary. Myxomas are the most frequent benign cardiac neoplasms of the heart, usually affecting the ages between 30 and 70 years and are typically found in females

Objective: To evaluate the clinicopathological manifestations of cardiac myxomas in the Bahraini population. Design: A Retrospective Study. Setting: Mohammed Bin Khalifa Cardiac Center, BDF-RMS Hospital, Bahrain

Method: Twelve cases of cardiac myxoma patients were reviewed from 2005 to 2012. Personal characteristics and clinicopathological manifestations were documented

Results: Twelve patients with cardiac myxoma tumors were included in the study. Seven [58%] patients were females; the age range was from 44 years to 70 years and the mean range was 57.6 years. In eight [67%] patients, the tumors were found in the left-atrium, in three [25%] patients in the right-atrium and in one [8%] patient in the right-ventricle. The most common presentation was chest pain, seven [58%], followed by neurological symptoms, five [42%] and shortness of breath, four [33.5%]. Five [42%] patients had diabetes mellitus, four [33.3%] had dyslipidemia and two [17%] had hypertension

Conclusion: Myxomas were the most common benign primary cardiac tumors in our institute, mostly arising from the left-atria. Five years of follow-up revealed no recurrence. Most patients presented with extra-cardiac manifestations and surgical intervention was the treatment of choice

Pre-analytical stage of blood sample collection: a challenge to the clinical laboratories

Clinical Laboratory Total Testing process is highly complex. Most errors in the venous blood testing process are pre-analytical. Improvement in the pre-analytical stage would yield a better laboratory result. To evaluate the standards of pre-analytical procedures and identify sources of error in the venous blood sample collection and implement necessary measures to improve the quality of the sample and reduce the sampling errors. A Prospective Study. Biochemistry Section, Bahrain Defence Force [BDF] Military Hospital. The study was performed on samples received from medical wards for biochemistry analysis from March 2013 to May 2014. The study consisted of three phases, which included sampling error data collected for six months, finding types, sources of errors and solutions and data collected again for six months after implementing the necessary measures. Pre-implementation and post-implementation patient sample error data were statistically analyzed; P-value

Non-Hodgkin's lymphoma of the nasal cavity: a case report

A case of primary non-Hodgkin's lymphoma arising in the nasal cavity is described. A 43-year-old Arab man presented with a three month history of nasal obstruction and epistaxis. The diagnosis was confirmed by histological examination of a biopsy specimen which showed a diffuse, large cell non-Hodgkin's lymphoma of B-cell phenotype and was staged as IE by the Ann-Arbor staging system. The patient died from his illness after six months from the initial dose of chemotherapy regimen. The clinical presentation, pathological features and clinical course of this tumor are discussed with a review of the literature

Congenital seminal vesicle cyst in a 3 years old boy [A case report]

Cysts of the seminal vesicle, although rare, are well recognized clinical entities which are now seen with increasing frequency with modern pelvic imaging modalities. These cysts may be unilateral or bilateral; congenital or acquired. Seminal vesicle cysts may arise from inflammation of the seminal vesicle or from embryological remnants such as Mullarian duct. Surgical removal has been the treatment of choice either by an abdominal or laparoscopic approach. Here we present a case of seminal vesicle cyst of congenital type in a 3 year old boy, who also had a non-functioning left pelvic ectopic kidney

Benign myoepithelioma of the parotid gland

Myoepithelioma is a rare neoplasm of the salivary gl and. We report a case of myoepithelioma of the parotid gl and in a 30 year old male. The patient was treated by partial parotidectomy and showed no evidence of recurrence after seven years follow up. The tumor was well defined, encapsulated and measured 1.5 cm in diameter. It was exclusively composed of myoepithelial cells with no evidence of epithelial component. The clinical presentation, pathology and management of myoepithelioma are discussed