Adli azam | Universiti Teknologi Mara (original) (raw)
Papers by Adli azam
International Journal of Surgery
There are reports of spontaneous or recurrent haemothorax, in which an aberrant vessel or rib spu... more There are reports of spontaneous or recurrent haemothorax, in which an aberrant vessel or rib spur is the cause. We report a case of 13 years old male who presented twice with spontaneous haemothorax which bleeding from an aberrant vessel was the apparent cause on the first encounter and was later found to have a rib spur. He underwent left VATS procedure which was well tolerated without any complications.
Scholars Journal of Medical Case Reports
Tracheobronchial Injury is a relatively uncommon condition which is associated with high mortalit... more Tracheobronchial Injury is a relatively uncommon condition which is associated with high mortality. Majority occurring from blunt chest trauma sustained from deceleration injury in road traffic accidents. We present a case of a 17-year-old young male who presented in the acute setting of post motorcycle accident with respiratory distress, subcutaneous emphysema, right pneumothorax and fracture of posterior right 8th-9th ribs. CT shows right main bronchus anterior wall tear, with extensive subcutaneous emphysema, pneumomediastinum, bilateral pneumothorax and pneumoperitoneum. Thoracotomy confirmed the findings. Lacerated segment of right lower lobe bronchus was resected and (end-to-end) anastomosis was performed. Post-surgery was complicated with empyema thoracis which required decortication. Early detection and prompt surgical repair is fundamental and carries a high success rate in tracheobronchial injuries, however post-surgery complications need to be entertained and managed adeq...
Menonton drama televisyen sebagai bahan hiburan, dan sumber pengetahuan tidak dapat disangkal lag... more Menonton drama televisyen sebagai bahan hiburan, dan sumber pengetahuan tidak dapat disangkal lagi sejak sekian lama. Mudah untuk diakses samada melalui televisyen itu sendiri, atau secara atas talian, setiap drama Melayu tempatan mempunyai para pengikut dan peminatnya tersendiri yang terdiri daripada pelbagai latar belakang yang sama atau berbeza. Walaubagaimanapun, kewujudan elemen dan babak perubatan di dalam drama Melayu sedikit terganggu apabila terdapat kesilapan – kesilapan di dalam pemaparannya di televisyen yang nyata boleh mengelirukan para penonton, serta mampu mencemarkan imej industri drama tempatan, juga imej institusi perubatan negara kita. Oleh itu, bagi mengelakkan kesilapan ini daripada terus berulang, beberapa saranan yang diperoleh melalui metode temu bual secara mendalam bersama enam orang penerbit drama tempatan telah dikenal pasti. Dipandu oleh penggunaan faktor struktur pengetahuan daripada model Teori Literasi Media yang dibangunkan oleh Potter (2004), terda...
The Medical journal of Malaysia, 2020
We report a 39-year-old male with accidental findings of posterior mediastinum mass at right supe... more We report a 39-year-old male with accidental findings of posterior mediastinum mass at right superior aspects, located at T2 with close proximity to trachea, superior vena cava, azygus vein, right subclavian artery and oesophagus. Apart from intermittent right shoulder pain, there was no other significant symptom. He opted for conservative management initially, given the benign nature and proximity to important structures. We postulated that robotic approach will be of advantage for this particular case which was successfully performed with uneventful recovery. This case illustrated the advantages of robotic-assisted surgery, compared to conventional VATS in otherwise potentially difficult case to undertake.
Malaysian Journal of Medical Sciences, 2015
Malignant chest wall tumour is rare. The presentation is usually aggressive that requires extensi... more Malignant chest wall tumour is rare. The presentation is usually aggressive that requires extensive resection to prevent recurrence. However, the extensive resection is to the expense of causing defect on the chest wall and hence, respiratory mechanics. Two cases of chest wall tumour are discussed including the surgical approach of radical tumour resection which was combined with placement of titanium mesh and Tranverse Rectus Abdominis Myocutaneus (TRAM) flap to cover the defect and preserve respiratory mechanical functions. The morbidity of using titanium mesh demonstrated in the case series were infection and injury to surrounding tissue due to its rigidity and large size which required its removal. However the formation of 'pseudopleura' made the thoracic cage return back as closed cavity even after the removal of the titanium mesh and allow normal respiratory functions.
The Medical journal of Malaysia, 2021
Classical constrictive pericarditis (CP) is an unusual and rare complication after coronary arter... more Classical constrictive pericarditis (CP) is an unusual and rare complication after coronary artery bypass grafting. It can be transient, progressive or fixed form of cardiac constriction. However recently recognized transient variant of constrictive pericarditis can be managed with medical therapy, though other progressive and irreversible forms may require pericardiectomy. We describe a 65-year-old male patient who developed a classical but a very early transient CP, just within two weeks as a result of post cardiac injury syndrome after coronary bypass surgery. The patient had a complete recovery following medical treatment.
We report a 39-year-old male with accidental findings of posterior mediastinum mass at right supe... more We report a 39-year-old male with accidental findings of posterior mediastinum mass at right superior aspects, located at T2 with close proximity to trachea, superior vena cava, azygus vein, right subclavian artery and oesophagus. Apart from intermittent right shoulder pain, there was no other significant symptom. He opted for conservative management initially, given the benign nature and proximity to important structures. We postulated that robotic approach will be of advantage for this particular case which was successfully performed with uneventful recovery. This case illustrated the advantages of robotic-assisted surgery, compared to conventional VATS in otherwise potentially difficult case to undertake.
The Malaysian journal of medical sciences : MJMS, 2015
Malignant chest wall tumour is rare. The presentation is usually aggressive that requires extensi... more Malignant chest wall tumour is rare. The presentation is usually aggressive that requires extensive resection to prevent recurrence. However, the extensive resection is to the expense of causing defect on the chest wall and hence, respiratory mechanics. Two cases of chest wall tumour are discussed including the surgical approach of radical tumour resection which was combined with placement of titanium mesh and Tranverse Rectus Abdominis Myocutaneus (TRAM) flap to cover the defect and preserve respiratory mechanical functions. The morbidity of using titanium mesh demonstrated in the case series were infection and injury to surrounding tissue due to its rigidity and large size which required its removal. However the formation of 'pseudopleura' made the thoracic cage return back as closed cavity even after the removal of the titanium mesh and allow normal respiratory functions.
Academia Letters, 2021
Interstitial Lung Disease (ILD) is a general category that includes diverse and heterogeneous par... more Interstitial Lung Disease (ILD) is a general category that includes diverse and heterogeneous parenchymal lung diseases developed from widespread inflammatory and/or fibrotic processes. To establish the diagnosis of specific ILD can be challenging especially in IPF (Idiopathic Pulmonary Fibrosis) in clinical pattern but not typical Usual Interstitial Pneumoniae (UIP) pattern on imaging ie High Resolution Computed Tomography (HRCT)(1). Apart from laboratory tests, imaging and pulmonary function tests, lung tissue analysis is a method to reach an accurate diagnosis in selected cases. Surgical biopsy is superior to FNAC or transbronchial biopsy to yield enough tissue for more definitive diagnosis, however in need have to be in balance with the risk of the surgery and the perioperative insults, including both anesthesia and mechanical ventilation. We reviews all patients underwent VATS wedge biopsies with indication of ILD at UiTM Medical Specialist Centre. The selection for surgical biopsy was decided at the Multi Disciplinary Team (MDT) meeting, which involved the Pulmonologist, Thoracic Radiologist and Thoracic Surgeon. The decision in this MDT is to ensure the biopsy does affect clinical management and justify the risk of associated surgery(2). The pulmonologist screened the patient with inconclusive diagnosis of ILD requiring tissue biopsy base on the clinical findings. The radiologist analyzed the imaging and identified the most accurate site for biopsy to yield probable tissue for diagnosis. The surgeon ensured the operability of the patients and confirmed
Academia Letters, 2021
Interstitial Lung Disease (ILD) is a general category that includes diverse and heterogeneous par... more Interstitial Lung Disease (ILD) is a general category that includes diverse and heterogeneous parenchymal lung diseases developed from widespread inflammatory and/or fibrotic processes. To establish the diagnosis of specific ILD can be challenging especially in IPF (Idiopathic Pulmonary Fibrosis) in clinical pattern but not typical Usual Interstitial Pneumoniae (UIP) pattern on imaging ie High Resolution Computed Tomography (HRCT)(1). Apart from laboratory tests, imaging and pulmonary function tests, lung tissue analysis is a method to reach an accurate diagnosis in selected cases. Surgical biopsy is superior to FNAC or transbronchial biopsy to yield enough tissue for more definitive diagnosis, however in need have to be in balance with the risk of the surgery and the perioperative insults, including both anesthesia and mechanical ventilation. We reviews all patients underwent VATS wedge biopsies with indication of ILD at UiTM Medical Specialist Centre. The selection for surgical biopsy was decided at the Multi Disciplinary Team (MDT) meeting, which involved the Pulmonologist, Thoracic Radiologist and Thoracic Surgeon. The decision in this MDT is to ensure the biopsy does affect clinical management and justify the risk of associated surgery(2). The pulmonologist screened the patient with inconclusive diagnosis of ILD requiring tissue biopsy base on the clinical findings. The radiologist analyzed the imaging and identified the most accurate site for biopsy to yield probable tissue for diagnosis. The surgeon ensured the operability of the patients and confirmed
Heart, Lung and Circulation
The Malaysian journal of medical sciences : MJMS
Malignant chest wall tumour is rare. The presentation is usually aggressive that requires extensi... more Malignant chest wall tumour is rare. The presentation is usually aggressive that requires extensive resection to prevent recurrence. However, the extensive resection is to the expense of causing defect on the chest wall and hence, respiratory mechanics. Two cases of chest wall tumour are discussed including the surgical approach of radical tumour resection which was combined with placement of titanium mesh and Tranverse Rectus Abdominis Myocutaneus (TRAM) flap to cover the defect and preserve respiratory mechanical functions. The morbidity of using titanium mesh demonstrated in the case series were infection and injury to surrounding tissue due to its rigidity and large size which required its removal. However the formation of 'pseudopleura' made the thoracic cage return back as closed cavity even after the removal of the titanium mesh and allow normal respiratory functions.
International Journal of Surgery
There are reports of spontaneous or recurrent haemothorax, in which an aberrant vessel or rib spu... more There are reports of spontaneous or recurrent haemothorax, in which an aberrant vessel or rib spur is the cause. We report a case of 13 years old male who presented twice with spontaneous haemothorax which bleeding from an aberrant vessel was the apparent cause on the first encounter and was later found to have a rib spur. He underwent left VATS procedure which was well tolerated without any complications.
Scholars Journal of Medical Case Reports
Tracheobronchial Injury is a relatively uncommon condition which is associated with high mortalit... more Tracheobronchial Injury is a relatively uncommon condition which is associated with high mortality. Majority occurring from blunt chest trauma sustained from deceleration injury in road traffic accidents. We present a case of a 17-year-old young male who presented in the acute setting of post motorcycle accident with respiratory distress, subcutaneous emphysema, right pneumothorax and fracture of posterior right 8th-9th ribs. CT shows right main bronchus anterior wall tear, with extensive subcutaneous emphysema, pneumomediastinum, bilateral pneumothorax and pneumoperitoneum. Thoracotomy confirmed the findings. Lacerated segment of right lower lobe bronchus was resected and (end-to-end) anastomosis was performed. Post-surgery was complicated with empyema thoracis which required decortication. Early detection and prompt surgical repair is fundamental and carries a high success rate in tracheobronchial injuries, however post-surgery complications need to be entertained and managed adeq...
Menonton drama televisyen sebagai bahan hiburan, dan sumber pengetahuan tidak dapat disangkal lag... more Menonton drama televisyen sebagai bahan hiburan, dan sumber pengetahuan tidak dapat disangkal lagi sejak sekian lama. Mudah untuk diakses samada melalui televisyen itu sendiri, atau secara atas talian, setiap drama Melayu tempatan mempunyai para pengikut dan peminatnya tersendiri yang terdiri daripada pelbagai latar belakang yang sama atau berbeza. Walaubagaimanapun, kewujudan elemen dan babak perubatan di dalam drama Melayu sedikit terganggu apabila terdapat kesilapan – kesilapan di dalam pemaparannya di televisyen yang nyata boleh mengelirukan para penonton, serta mampu mencemarkan imej industri drama tempatan, juga imej institusi perubatan negara kita. Oleh itu, bagi mengelakkan kesilapan ini daripada terus berulang, beberapa saranan yang diperoleh melalui metode temu bual secara mendalam bersama enam orang penerbit drama tempatan telah dikenal pasti. Dipandu oleh penggunaan faktor struktur pengetahuan daripada model Teori Literasi Media yang dibangunkan oleh Potter (2004), terda...
The Medical journal of Malaysia, 2020
We report a 39-year-old male with accidental findings of posterior mediastinum mass at right supe... more We report a 39-year-old male with accidental findings of posterior mediastinum mass at right superior aspects, located at T2 with close proximity to trachea, superior vena cava, azygus vein, right subclavian artery and oesophagus. Apart from intermittent right shoulder pain, there was no other significant symptom. He opted for conservative management initially, given the benign nature and proximity to important structures. We postulated that robotic approach will be of advantage for this particular case which was successfully performed with uneventful recovery. This case illustrated the advantages of robotic-assisted surgery, compared to conventional VATS in otherwise potentially difficult case to undertake.
Malaysian Journal of Medical Sciences, 2015
Malignant chest wall tumour is rare. The presentation is usually aggressive that requires extensi... more Malignant chest wall tumour is rare. The presentation is usually aggressive that requires extensive resection to prevent recurrence. However, the extensive resection is to the expense of causing defect on the chest wall and hence, respiratory mechanics. Two cases of chest wall tumour are discussed including the surgical approach of radical tumour resection which was combined with placement of titanium mesh and Tranverse Rectus Abdominis Myocutaneus (TRAM) flap to cover the defect and preserve respiratory mechanical functions. The morbidity of using titanium mesh demonstrated in the case series were infection and injury to surrounding tissue due to its rigidity and large size which required its removal. However the formation of 'pseudopleura' made the thoracic cage return back as closed cavity even after the removal of the titanium mesh and allow normal respiratory functions.
The Medical journal of Malaysia, 2021
Classical constrictive pericarditis (CP) is an unusual and rare complication after coronary arter... more Classical constrictive pericarditis (CP) is an unusual and rare complication after coronary artery bypass grafting. It can be transient, progressive or fixed form of cardiac constriction. However recently recognized transient variant of constrictive pericarditis can be managed with medical therapy, though other progressive and irreversible forms may require pericardiectomy. We describe a 65-year-old male patient who developed a classical but a very early transient CP, just within two weeks as a result of post cardiac injury syndrome after coronary bypass surgery. The patient had a complete recovery following medical treatment.
We report a 39-year-old male with accidental findings of posterior mediastinum mass at right supe... more We report a 39-year-old male with accidental findings of posterior mediastinum mass at right superior aspects, located at T2 with close proximity to trachea, superior vena cava, azygus vein, right subclavian artery and oesophagus. Apart from intermittent right shoulder pain, there was no other significant symptom. He opted for conservative management initially, given the benign nature and proximity to important structures. We postulated that robotic approach will be of advantage for this particular case which was successfully performed with uneventful recovery. This case illustrated the advantages of robotic-assisted surgery, compared to conventional VATS in otherwise potentially difficult case to undertake.
The Malaysian journal of medical sciences : MJMS, 2015
Malignant chest wall tumour is rare. The presentation is usually aggressive that requires extensi... more Malignant chest wall tumour is rare. The presentation is usually aggressive that requires extensive resection to prevent recurrence. However, the extensive resection is to the expense of causing defect on the chest wall and hence, respiratory mechanics. Two cases of chest wall tumour are discussed including the surgical approach of radical tumour resection which was combined with placement of titanium mesh and Tranverse Rectus Abdominis Myocutaneus (TRAM) flap to cover the defect and preserve respiratory mechanical functions. The morbidity of using titanium mesh demonstrated in the case series were infection and injury to surrounding tissue due to its rigidity and large size which required its removal. However the formation of 'pseudopleura' made the thoracic cage return back as closed cavity even after the removal of the titanium mesh and allow normal respiratory functions.
Academia Letters, 2021
Interstitial Lung Disease (ILD) is a general category that includes diverse and heterogeneous par... more Interstitial Lung Disease (ILD) is a general category that includes diverse and heterogeneous parenchymal lung diseases developed from widespread inflammatory and/or fibrotic processes. To establish the diagnosis of specific ILD can be challenging especially in IPF (Idiopathic Pulmonary Fibrosis) in clinical pattern but not typical Usual Interstitial Pneumoniae (UIP) pattern on imaging ie High Resolution Computed Tomography (HRCT)(1). Apart from laboratory tests, imaging and pulmonary function tests, lung tissue analysis is a method to reach an accurate diagnosis in selected cases. Surgical biopsy is superior to FNAC or transbronchial biopsy to yield enough tissue for more definitive diagnosis, however in need have to be in balance with the risk of the surgery and the perioperative insults, including both anesthesia and mechanical ventilation. We reviews all patients underwent VATS wedge biopsies with indication of ILD at UiTM Medical Specialist Centre. The selection for surgical biopsy was decided at the Multi Disciplinary Team (MDT) meeting, which involved the Pulmonologist, Thoracic Radiologist and Thoracic Surgeon. The decision in this MDT is to ensure the biopsy does affect clinical management and justify the risk of associated surgery(2). The pulmonologist screened the patient with inconclusive diagnosis of ILD requiring tissue biopsy base on the clinical findings. The radiologist analyzed the imaging and identified the most accurate site for biopsy to yield probable tissue for diagnosis. The surgeon ensured the operability of the patients and confirmed
Academia Letters, 2021
Interstitial Lung Disease (ILD) is a general category that includes diverse and heterogeneous par... more Interstitial Lung Disease (ILD) is a general category that includes diverse and heterogeneous parenchymal lung diseases developed from widespread inflammatory and/or fibrotic processes. To establish the diagnosis of specific ILD can be challenging especially in IPF (Idiopathic Pulmonary Fibrosis) in clinical pattern but not typical Usual Interstitial Pneumoniae (UIP) pattern on imaging ie High Resolution Computed Tomography (HRCT)(1). Apart from laboratory tests, imaging and pulmonary function tests, lung tissue analysis is a method to reach an accurate diagnosis in selected cases. Surgical biopsy is superior to FNAC or transbronchial biopsy to yield enough tissue for more definitive diagnosis, however in need have to be in balance with the risk of the surgery and the perioperative insults, including both anesthesia and mechanical ventilation. We reviews all patients underwent VATS wedge biopsies with indication of ILD at UiTM Medical Specialist Centre. The selection for surgical biopsy was decided at the Multi Disciplinary Team (MDT) meeting, which involved the Pulmonologist, Thoracic Radiologist and Thoracic Surgeon. The decision in this MDT is to ensure the biopsy does affect clinical management and justify the risk of associated surgery(2). The pulmonologist screened the patient with inconclusive diagnosis of ILD requiring tissue biopsy base on the clinical findings. The radiologist analyzed the imaging and identified the most accurate site for biopsy to yield probable tissue for diagnosis. The surgeon ensured the operability of the patients and confirmed
Heart, Lung and Circulation
The Malaysian journal of medical sciences : MJMS
Malignant chest wall tumour is rare. The presentation is usually aggressive that requires extensi... more Malignant chest wall tumour is rare. The presentation is usually aggressive that requires extensive resection to prevent recurrence. However, the extensive resection is to the expense of causing defect on the chest wall and hence, respiratory mechanics. Two cases of chest wall tumour are discussed including the surgical approach of radical tumour resection which was combined with placement of titanium mesh and Tranverse Rectus Abdominis Myocutaneus (TRAM) flap to cover the defect and preserve respiratory mechanical functions. The morbidity of using titanium mesh demonstrated in the case series were infection and injury to surrounding tissue due to its rigidity and large size which required its removal. However the formation of 'pseudopleura' made the thoracic cage return back as closed cavity even after the removal of the titanium mesh and allow normal respiratory functions.