ABSTRACT MATERIAL AND METHODS We prospectively evaluated 199 individuals with high pre-test clinical suspicion of OSAS. Of these, 123 patients were morbidly obese (Group A) and 76 were non-obese (Group B). We performed six channel cardio-respiratory polygraphy and assessed the correlation between the Desaturation Index (DI) and the Apnea Hypopnea Index (AHI) for both groups. RESULTS In gro...

Spontaneous uterine rupture in early second trimester is extremely rare specially absence of predisposing factors. A pregnant patient presented at 15 weeks’ gestation with lower abdominal pain and vomiting since two days. Ultrasound findings deranged liver function tests reinforced the diagnosis chronic disease pregnancy. Clinical course a day later raised suspicion ruptured uterus was immediat...

Hiatal hernias are usually sporadic and uncommon, requiring a high index of suspicion. Preterm monochorionic-monoamniotic twins with recurrent emesis had inconclusive radiographs contrast study consistent hiatal hernia. Genetic testing was performed due to concerns for familial inheritance. Early diagnosis treatment essential prevent complications.

We appreciate the comments of Khalil and Sarkar [1] that they made concerning our paper about traumatic diaphragmatic rupture [2]. We also appreciate the fact that they mentioned the difficulties in the early diagnosis of right-sided diaphragmatic injuries. Meanwhile, we did not understand why they do not agree with our conclusion that a high index of suspicion is of utmost importance for the d...

INTRODUCTION The risk of a cardiovascular event increases with the number of cardiovascular risk factors. The aim of this study was to identify patients with acute coronary syndromes (ACS) who were at high clinical suspicion for obstructive sleep apnea syndrome (OSAS). We also report the clinical characteristics of ACS patients at high clinical suspicion for OSAS. METHODS We studied 158 conse...

Sigmoid volvulus in pregnancy is a very rare condition. Despite this, clinicians should have a high index of suspicion of this condition if they encounter a pregnant woman with symptoms suggestive of bowel obstruction. Incorrect diagnosis may be catastrophic, resulting in major complications, including fetal and maternal death.

Hepatic artery pseudoaneurysm is a rare complication of laparoscopic cholecystectomy. A high index of suspicion and early identification and therapy are important points needed to prevent rupture. We report a case of complex biliary and vascular injuries 4 weeks after a laparoscopic cholecystectomy. The patient had recurrent bleeding from a hepatic artery pseudoaneurysm that has been treated su...