Diaphragmatic hernia diagnosis and management

Road traffic accidents [R.T.A] are common in Saudi Arabia because of the high speed driving and this is reflected on the high incidence of blunt diaphragmatic injuries in addition to the penetrating injuries. This study included 16 cases of diaphragmatic hernia, 6 cases of them were congenital and 10 cases of them were traumatic. Four cases out of 6 patients with congenital diaphragmatic hernia were of Bochdalek type, while the other 2 cases were of Morgagni type. Eight cases out of 10 patients with traumatic diaphragmatic hernia were due to road traffic accident, while the other two cases were due to stab wounds to the left lower chest. Types, mechanisms of injury, clinical and radiological appearances, methods of diagnosis and methods for exploration and repair were discussed

Haematogenous tuberculosis

Haematogenous tuberculosis is a tuberculosis affection of multiple organs not related to each other except by blood stream. In this study there were 40 patients with haematogenous tuberculosis out of 1419 patients with different chest diseases admitted to Taif Chest Hospital [which is the biggest hospital for chest diseases in the Kingdom of Saudi Arabia] during a period of one year forming incidence of 2.82%, this indirectly denotes that kingdom Saudi Arabia is an intermediate prevalence area according to WHO Classification. The total number of tuberculosis patients whether pulmonary or extrapulmonary admitted to Taif chest hospital during that period was 577, out of them 40 patients were haematogenous tuberculosis [6.93%] which is a high incidence one and this raises the importance of BCG vaccination as BCG does not prevent infection but prevent haematogenous dissemination