Hamed Gobran - Academia.edu (original) (raw)

Papers by Hamed Gobran

The Egyptian Journal of Hospital Medicine

Background: Low platelets count (PLT), high spleen volume on ultrasonography, and a high Child-Pu... more Background: Low platelets count (PLT), high spleen volume on ultrasonography, and a high Child-Pugh score are among the most reported recent cirrhosis assessment characteristics. Objective: This study aimed to evaluate the utilization of platelet count combined with magnetic resonance imaging to measure spleen volume (SV) and right liver volume to identify cirrhosis and esophageal varices (EV). Patients and methods: A total of 50 cirrhotic patients diagnosed by abdominal ultrasound and/or MRI. They were referred from the General Medicine and Tropical Departments of Zagazig University Hospitals. We studied platelet count combined with magnetic resonance imaging to measure spleen volume and right liver volume for detection of severity of cirrhosis and esophageal varices. Results: The best cutoff value of SI/platelet count in prediction of cirrhosis and child C were ≥ 3.24 and ≥ 6.625 respectively. SV/platelet count and SI/platelet count differed significantly among groups. RVPS differed significantly between groups and was significantly lower in OV. The best cutoff value of SI/platelet count and SV/platelet count in prediction of OV were ≥ 5.05 and ≥ 3.24 respectively. RVPS differed significantly between studied groups as it was significantly lower in OV. Conclusion: With the advancement of the Child-Pugh class, the ratio of SV/PLT and SI/PLT increased, as the Child-Pugh class progressed PLT and RVPS diminished. RVPS can be used as a new combination parameter to determine the occurrence of cirrhosis and discriminate between the CPS classes.

Zagazig university medical journal, 2020

The renal artery exhibits wide spectrum of origin variation. The renal artery anatomy plays a con... more The renal artery exhibits wide spectrum of origin variation. The renal artery anatomy plays a considerable role in selecting donors. 3-D angiotomography is the best modality for vascular anatomic evaluation. The aim of the present study was first, to provide morphometric data concerning the renal arteries in people of Aseer region, K.S.A. and second, to establish relationships between those arteries. Methods: Data from a retrospective review were performed using 3-D MDCT angiography of 100 consecutive Saudi patients fulfilled all research criteria and had a readable CTA were selected (54 males and 46 females) with mean age 54.7 ± 5.2 years. Results: The median level of the origin of right renal artery and left renal artery is at the level of the lower third of L1 and the disc between L1 and L2, respectively. The mean of the measured angle of the right renal and left renal arteries is 55o± 7o and 85o ±8o, respectively. There was no difference between the diameters of the main renal a...

Submit Date:16-07-2019 Revise Date: 28-07-2019 Accept Date: 04-08-2019 ABSTRACT Background: plant... more Submit Date:16-07-2019 Revise Date: 28-07-2019 Accept Date: 04-08-2019 ABSTRACT Background: plantar fasciitis is the most common cause of inferior heel pain. Sonography should be the initial imaging modality for straight forward confirmation of clinically suspected plantar fasciitis. MRI may be reserved for cases where a more diagnosis of plantar fasciitis is not satisfactory to explain the clinical presentation and when complex pathology is suspected. the aim of the study is to assess the role of MRI in assessment of plantar fasciitis. Methods: This study was carried out at Radio diagnosis Department, Zagazig University Hospitals; the study was carried on 18 patients and 18 asymptomatic volunteers were used as a control group. Ultrasonography and MRI were done to all patients. Results: The plantar fascia was thickened in symptomatic feet. The thickness of the plantar fascia in symptomatic feet was (2.9 – 8.4 mm; 6.01± 1.4) measured by ultrasound which was significantly thicker than...

EJMM-Volume 30-Issue 1

Background: Cases with pure neural leprosy (PNL) are difficult in their diagnosis and usually los... more Background: Cases with pure neural leprosy (PNL) are difficult in their diagnosis and usually loss the early management opportunity. Objective: to evaluate Real time PCR and high resolution ultrasonography of peripheral nerves as diagnostic tools in PNL. Methodology The study included 25 suspected PNL and 25 healthy controls. All patients were subjected to ultrasonography cross-sectional area (CSA) measurement. Fine needle aspiration (FNA) was obtained, and followed by Ziehl-Neelsen (ZN) staining, and real time PCR. Results: ZN staining demonstrated M leprae bacilli in only 8 cases while their DNA was detected in 92 % cases (Sensitivity of both were 100%, and 44.4%, respectively). Only the left median and right and left posterior tibial nerves CSA measurements showed good performance in distinguishing patients of PNL. Median nerve cut off=15.5 mm2 , with a sensitivity of 72%), and right and left posterior tibial nerves CSA Cut Off were 12, 11.5 mm2 with sensitivity of 76-84%. Conclu...

Background: Obstructive Jaundice is a common surgical problem, MultiDetector Computed Tomography ... more Background: Obstructive Jaundice is a common surgical problem, MultiDetector Computed Tomography in diagnosis of biliary tract obstruction has a vital role as post processing techniques can be utilized to identify variant biliary anatomy to guide preoperative biliary surgery planning, determine level and cause of obstruction, early tumor detection and staging of biliary cancer are the key factors for possible cure by surgical resection, our aim is to evaluate the role of MDCT in diagnosing level and cause of biliary obstruction. Patients and Methods: Sixty nine patients with clinically suspected biliary obstruction were encountered in the study and subjected to clinical assessment including full history taking, clinical examination and imaging assessment by MDCT, our findings were correlated to standard reference examinations including: Operative/ERCP/Biopsy and histopathology findings. Results: Our results showed that the most affected age group was group between 60: <70 years old, males were affected more than females. The most common clinical presentation in our patients was yellowish discoloration of the skin and sclera followed by biliary colic. Right hypochondrial tenderness was the main clinical finding on clinical examination in our study. Our patients were categorized according to the cause of biliary obstruction into seven groups: Malignant stricture group 52.2% (36patients), Calcular group 24.6% (17patients), Iatrogenic group 5.8% (4patients), Porta hepatis lesions group 5.8% (4patients), Benign stricture group 4.3% (3patients), Inflammatory group 4.3% (3patients), Congenital group 1.4% (1patient). Conclusions: MultiDetector computed tomography provides a modality with high diagnostic performance for differentiating benign from malignant lesions and in detecting biliary calculi.

The Egyptian Journal of Hospital Medicine

Background: Low platelets count (PLT), high spleen volume on ultrasonography, and a high Child-Pu... more Background: Low platelets count (PLT), high spleen volume on ultrasonography, and a high Child-Pugh score are among the most reported recent cirrhosis assessment characteristics. Objective: This study aimed to evaluate the utilization of platelet count combined with magnetic resonance imaging to measure spleen volume (SV) and right liver volume to identify cirrhosis and esophageal varices (EV). Patients and methods: A total of 50 cirrhotic patients diagnosed by abdominal ultrasound and/or MRI. They were referred from the General Medicine and Tropical Departments of Zagazig University Hospitals. We studied platelet count combined with magnetic resonance imaging to measure spleen volume and right liver volume for detection of severity of cirrhosis and esophageal varices. Results: The best cutoff value of SI/platelet count in prediction of cirrhosis and child C were ≥ 3.24 and ≥ 6.625 respectively. SV/platelet count and SI/platelet count differed significantly among groups. RVPS differed significantly between groups and was significantly lower in OV. The best cutoff value of SI/platelet count and SV/platelet count in prediction of OV were ≥ 5.05 and ≥ 3.24 respectively. RVPS differed significantly between studied groups as it was significantly lower in OV. Conclusion: With the advancement of the Child-Pugh class, the ratio of SV/PLT and SI/PLT increased, as the Child-Pugh class progressed PLT and RVPS diminished. RVPS can be used as a new combination parameter to determine the occurrence of cirrhosis and discriminate between the CPS classes.

Zagazig university medical journal, 2020

The renal artery exhibits wide spectrum of origin variation. The renal artery anatomy plays a con... more The renal artery exhibits wide spectrum of origin variation. The renal artery anatomy plays a considerable role in selecting donors. 3-D angiotomography is the best modality for vascular anatomic evaluation. The aim of the present study was first, to provide morphometric data concerning the renal arteries in people of Aseer region, K.S.A. and second, to establish relationships between those arteries. Methods: Data from a retrospective review were performed using 3-D MDCT angiography of 100 consecutive Saudi patients fulfilled all research criteria and had a readable CTA were selected (54 males and 46 females) with mean age 54.7 ± 5.2 years. Results: The median level of the origin of right renal artery and left renal artery is at the level of the lower third of L1 and the disc between L1 and L2, respectively. The mean of the measured angle of the right renal and left renal arteries is 55o± 7o and 85o ±8o, respectively. There was no difference between the diameters of the main renal a...

Submit Date:16-07-2019 Revise Date: 28-07-2019 Accept Date: 04-08-2019 ABSTRACT Background: plant... more Submit Date:16-07-2019 Revise Date: 28-07-2019 Accept Date: 04-08-2019 ABSTRACT Background: plantar fasciitis is the most common cause of inferior heel pain. Sonography should be the initial imaging modality for straight forward confirmation of clinically suspected plantar fasciitis. MRI may be reserved for cases where a more diagnosis of plantar fasciitis is not satisfactory to explain the clinical presentation and when complex pathology is suspected. the aim of the study is to assess the role of MRI in assessment of plantar fasciitis. Methods: This study was carried out at Radio diagnosis Department, Zagazig University Hospitals; the study was carried on 18 patients and 18 asymptomatic volunteers were used as a control group. Ultrasonography and MRI were done to all patients. Results: The plantar fascia was thickened in symptomatic feet. The thickness of the plantar fascia in symptomatic feet was (2.9 – 8.4 mm; 6.01± 1.4) measured by ultrasound which was significantly thicker than...

EJMM-Volume 30-Issue 1

Background: Cases with pure neural leprosy (PNL) are difficult in their diagnosis and usually los... more Background: Cases with pure neural leprosy (PNL) are difficult in their diagnosis and usually loss the early management opportunity. Objective: to evaluate Real time PCR and high resolution ultrasonography of peripheral nerves as diagnostic tools in PNL. Methodology The study included 25 suspected PNL and 25 healthy controls. All patients were subjected to ultrasonography cross-sectional area (CSA) measurement. Fine needle aspiration (FNA) was obtained, and followed by Ziehl-Neelsen (ZN) staining, and real time PCR. Results: ZN staining demonstrated M leprae bacilli in only 8 cases while their DNA was detected in 92 % cases (Sensitivity of both were 100%, and 44.4%, respectively). Only the left median and right and left posterior tibial nerves CSA measurements showed good performance in distinguishing patients of PNL. Median nerve cut off=15.5 mm2 , with a sensitivity of 72%), and right and left posterior tibial nerves CSA Cut Off were 12, 11.5 mm2 with sensitivity of 76-84%. Conclu...

Background: Obstructive Jaundice is a common surgical problem, MultiDetector Computed Tomography ... more Background: Obstructive Jaundice is a common surgical problem, MultiDetector Computed Tomography in diagnosis of biliary tract obstruction has a vital role as post processing techniques can be utilized to identify variant biliary anatomy to guide preoperative biliary surgery planning, determine level and cause of obstruction, early tumor detection and staging of biliary cancer are the key factors for possible cure by surgical resection, our aim is to evaluate the role of MDCT in diagnosing level and cause of biliary obstruction. Patients and Methods: Sixty nine patients with clinically suspected biliary obstruction were encountered in the study and subjected to clinical assessment including full history taking, clinical examination and imaging assessment by MDCT, our findings were correlated to standard reference examinations including: Operative/ERCP/Biopsy and histopathology findings. Results: Our results showed that the most affected age group was group between 60: <70 years old, males were affected more than females. The most common clinical presentation in our patients was yellowish discoloration of the skin and sclera followed by biliary colic. Right hypochondrial tenderness was the main clinical finding on clinical examination in our study. Our patients were categorized according to the cause of biliary obstruction into seven groups: Malignant stricture group 52.2% (36patients), Calcular group 24.6% (17patients), Iatrogenic group 5.8% (4patients), Porta hepatis lesions group 5.8% (4patients), Benign stricture group 4.3% (3patients), Inflammatory group 4.3% (3patients), Congenital group 1.4% (1patient). Conclusions: MultiDetector computed tomography provides a modality with high diagnostic performance for differentiating benign from malignant lesions and in detecting biliary calculi.