Abstract book 6th RMS 16.indd

Conclusion: The diagnosis of Nasal BCC in
expert hands is a clinical diagnosis, Surgical
excision in theatre under loup magnification
and good light source with immediate
well planned reconstruction performed in
selected patients is one of the best option
for management of nasal BCC. Both local,
loco regional flaps and full thickness skin
grafts provide excellent aesthetic subunit
restoration of nose depending on each
individual case circumstances.
464
Perforation of Meckel’s Diverticulum
by Wood Splinter (Preoperatively
Presented as Acute Appendicitis):
Case Report with Review of
Literature
Haitham S. Rbiehat MD JBS, Hala Adnan
Alsokhni MD Hematopathologist, Odai Musa
Sayegh MD JBS
* Royal Medical Services, KHMC (Jordan)
haithamrbihat@yahoo.com
Objectives: We report this rare case so as
to remind our physicians of this anomaly
when evaluating acute abdomen.
Abstract: Meckel’s diverticulum as we
know is a rare congenital anomaly
of the gastrointestinal tract, occurring in
about 2% of population.
Most of the time it is asymptomatic but
found accidentally during laparotomy for
other pathologies.
It could contain ectopic tissue like gastric
or pancreatic tissue.
Meckel’s diverticulum has its own
complication such as bleeding, intestinal
obstruction, inflammation, intussusceptions
and neoplasm.
It may be complicated by perforation by
foreign bodies which is rare as in our case
here and after review of its incidence in
the literature it was 0.5% of symptomatic
diverticulae.
In our case, the patient presented with
symptoms of acute appendicitis, proved
at opearation as Meckel’s diverticulum
perforated by a wood splinter that had
been swallowed accidentally.
465
Isolated Form of Sarcoidosis in the
Spleen
Sahel Hammouri MD*, Dr. Mohammad Ajlouni
Dr. Mohmmad shorman,
* Consultant General Surgeon, Royal Medical
Services (Jordan)
sahelhammouri@yahoo.com
Objectives: Sarcoidosis is a rare chronic,
multisystem granulomatous disorder
while isolated splenic sarcoidosis cases are
very rare We report such a case and we
review the literature pertaining to primary
sarcoidosis of the spleen
Methods: A 48 year old female patient
presented with left upper abdominal pain
and B symptoms of two months duration.
She was found to have left hypochonreal
tenderness and splenomegaly. Abdominal
Ultrasound: showed multiple solid masses
of the spleen. Abdominal laparoscopy:
revealed large spleen with multiple
solid nodules Histopathology: Splenic
Sarcoidosis. Chest and Abdominal CT
scan were negative. Full CBC count and
bone marrow biopsy were normal. Liver
and kidney function test were normal
splenectomy was done. The patient
underwent uneventful recovery and
discharged home.
Results: Sarcoidosis is a chronic,
multisystem granulomatous disorder, it is
rare forming (1 per 100000) furthermore,
isolated splenic sarcoidosis cases are very
rare, it is characterized by an accumulation
of T lymphocytes and mononuclear
phagocytes, noncaseating epithelioid
granulomas, and derangements of the
normal tissue architecture and it has
unknown etiology most patients progress to
remission spontaneously.inaddition to that,
corticosteroid therapy can be consedered
in sarcoidosis treatment and splenectomy
usually reserved as last resort for patient with
massive splenomegalybut does not alter
disease progression.
Conclusion: isolated splenic sarcoidosis
cases are very rare form of sarcoidosis,most
patients progress to remission spontaneously.
however, corticosteroid and splenectomy has
in important place in their treatment.
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