Unusual mechanism of vascular trauma: Femoral artery penetration by wooden stick and delayed repair case report.

Introduction And Importance: Penetrating vascular trauma in the pediatric population is uncommon but can lead to serious complications, especially with delayed presentation. Injuries involving the superficial femoral artery (SFA) are rare and pose diagnostic and management challenges, particularly in resource-limited rural settings. Retained foreign bodies such as wooden sticks further complicate vascular injuries and increase the risk of infection and thrombosis.

Comprehensive analysis of neurological disease patterns in a fragile health system in Somalia.

Neurological disorders are increasingly prevalent in developing countries, particularly in sub-Saharan Africa. However, data regarding the epidemiology of these conditions in Somalia remain limited. This study aims to analyze the patterns of neurological diagnoses among patients admitted to the neurology department of a tertiary referral hospital in Mogadishu, Somalia.

Management of traumatic giant superficial femoral artery pseudoaneurysm: a case report.

Introduction And Importance: Pseudoaneurysms (PSAs) are localized vascular dilatations resulting from arterial wall disruption, where blood leakage is contained by surrounding tissue or remaining arterial layers. While some PSAs may spontaneously resolve, they pose significant risks, including rupture, distal embolization, thrombosis, and compression of adjacent structures. Traumatic PSAs can mimic other soft tissue pathologies, complicating timely diagnosis.

An atypical presentation of Wellens' syndrome with critical right coronary artery stenosis instead of left anterior descending artery stenosis: a case report.

Background: Wellens' syndrome is identified by specific electrocardiographic changes biphasic or deeply inverted T waves in the precordial leads that are strongly associated with significant stenosis of the left anterior descending artery (LAD). This syndrome is regarded as a high-risk indicator of impending anterior wall myocardial infarction. While the classic association is with LAD stenosis, atypical presentations involving other coronary arteries, such as the right coronary artery (RCA), are uncommon but significant.

Massive middle cerebral artery stroke in a young patient with a large Chiari network and possible patent foramen ovale: A case report.

The Chiari network is a congenital remnant in the right atrium, usually considered benign, but its presence may increase the risk of paradoxical embolism when associated with a patent foramen ovale (PFO), particularly in young patients. We report the case of a previously healthy 2-year-old male who presented with sudden-onset right-sided hemiparesis and aphasia. Brain MRI revealed an acute ischemic infarction in the left middle cerebral artery (MCA) territory, and echocardiography identified a Chiari network in the right atrium.

Late Presentation of Isolated Persistent Left Superior Vena Cava with Absent Right Superior Vena Cava Manifesting as Heart Failure: A Case Report.

Background: Persistent left superior vena cava (PLSVC) with absent right superior vena cava (RSVC) is a rare congenital venous anomaly, typically asymptomatic and discovered incidentally. In rare cases, it may contribute to hemodynamic disturbances and arrhythmias, potentially leading to heart failure, especially when associated with other cardiac anomalies or conduction abnormalities.

Case Presentation: We report the case of a 45-year-old male who presented with progressive symptoms of heart failure, including dyspnea, fatigue, and reduced exercise tolerance.

Navigating Dysphagia Aortica in a 90-Year-Old Patient: A Case Report.

Background: Dysphagia aortica is an uncommon condition caused by esophageal compression from vascular malformations, often complicating the clinical course in the elderly. This case explores the management of dysphagia aortica in a 90-year-old Somali woman, emphasizing challenges posed by age-related anatomical changes and comorbidities.

Case Presentation: The patient presented with chest discomfort, dyspnea, and dysphagia for liquids and solids.

Calcified left ventricular aneurysm: Delayed thrombus formation leading to multiorgan thrombosis.

After a myocardial infarction, left ventricular aneurysms (LVAs) can form thrombus within the aneurysmal sac, which can then embolize and cause multi-organ thrombosis. This case demonstrates a rare occurrence of delayed thrombus formation in a calcified LVA, emphasizing the importance of prompt diagnosis and management. A 55-year-old male from rural Somalia arrived with severe abdominal pain and confusion.

Study of Radioclinical and Risk Factors of Cerebral Venous Thrombosis: A Retrospective Analysis of Patients Presenting to a Tertiary Hospital in Mogadishu, Somalia.

Background: Cerebral venous thrombosis (CVT) is a rare but potentially life-threatening condition characterized by the formation of a blood clot in the dural venous sinuses or cerebral veins. CVT presents a diverse array of clinical symptoms, making its diagnosis challenging. Understanding regional variations and specific risk factors associated with CVT is crucial, especially in low-resource settings like Somalia, where epidemiological data is limited and healthcare resources are scarce.

Giant right coronary artery aneurysm presenting with recurrent syncope: A diagnostic challenge.

Coronary artery aneurysm (CAA) is a rare form of coronary artery disease characterized by abnormal dilation of a coronary artery segment. While CAAs can present with various symptoms, syncope is notably uncommon, with limited documented cases. We present the case of a 24-year-old woman with a 2-month history of recurrent syncope, occurring in the absence of other symptoms.

Parachute tricuspid valve unique case and the first case in Somalia.

Atrioventricular valve parachute deformity is rare and is generally seen in the mitral position, called the parachute mitral valve. It is rare to see it in the tricuspid valve and up to now, there have been approximately 14 cases of parachute abnormalities in tricuspid valves in a literature review. We present here a 21-year-old male who presented to the emergency department with progressive shortness of breath over several months.

Etiology, Risk Factors and Outcome of Spontaneous Intracerebral Hemorrhage in Young Adults Admitted to Tertiary Care Hospital in Mogadishu, Somalia.

Introduction: Spontaneous Intracerebral hemorrhage (ICH) in young patients is less common and not well studied compared to ICH in older patients. The etiology, risk factors and outcome of ICH in young patients may have regional and ethnic differences. The study aims to investigate the clinical characteristics, risk factors, etiology and outcome of spontaneous intracerebral hemorrhage in young adults in Somalia.

A blunt traumatic giant pseudoaneurysm of the brachiocephalic artery: A case report from Somalia.

Introduction: Pseudoaneurysm of the brachiocephalic artery is a rare condition that can occur as a result of various causes, including trauma, iatrogenic injury, and infection. The clinical presentation of brachiocephalic artery pseudoaneurysms can vary depending on the size and location of the pseudoaneurysm. The treatment options for innominate artery pseudoaneurysms include both surgical and endovascular approaches.

Door-to-Balloon Time and Mortality Among Patients Undergoing Primary PCI, Challenges and Experience from Somalia's Largest PCI Center.

Introduction: The door-to-balloon time, the time between a patient's arrival at the hospital and percutaneous coronary intervention, is crucial for managing myocardial infarction. Aiming for less than 90 minutes is recommended, as shortened times are associated with improved outcomes. However, limited healthcare resources, infrastructure, transportation and poverty impact management, leading to poorer outcomes and delayed door to balloon time.

Gensini Score's Severity and Its Relationship with Risk Factors for Coronary Artery Disease Among Patients Who Underwent Angiography in Somalia's Largest PCI Centre.

Aim: Coronary artery diseases (CAD) are chronic disorders in which atherosclerosis plays a major role in their pathogenesis. Their severity is directly related to cardiovascular outcomes. The assessment of Coronary Artery severity is quite complex, in which different parameters are used, such as the gensini score, syntax score, etc.

Isolated Inferior Sagittal Sinus Thrombosis in Young Patient: Rare Case Report.

Cerebral venous thrombosis (CVT) is a less common type of stroke, mostly in young patients. The majority of these cases are due to thrombosis of superior sagittal sinus and transverse sinus. Isolated thrombosis of the inferior sagittal sinus is very rare.

Outcomes of Women with Preeclampsia and Eclampsia Admitted in the Intensive Care Unit at a Tertiary Care Hospital in Mogadishu, Somalia.

Intensive care for a hypertensive mother with preeclampsia or eclampsia is crucial for both maternal and neonatal outcomes. This study highlights the level of morbidity and mortality among women with preeclampsia and eclampsia admitted to the intensive care unit. .

Management of an accidental penetrating cardiac injury in a 4-year-old girl.

Introduction: Penetrating cardiac injuries are a significant challenge for surgeons and can have varying outcomes depending on factors such as initial care, characteristics of the wounds, and surgical management. These injuries can result from both stab wounds and gunshot wounds, with different mortality rates associated with each. Life-threatening illnesses include penetrating injuries to the heart.