Sacrococcygeal masses encompass a diverse range of pathologies. Prenatal ultrasound facilitates early detection of congenital sacrococcygeal masses. We present the case of a newborn of a 22-year-old woman who was identified to have a sacrococcygeal mass by prenatal ultrasound that was initially diagnosed as sacrococcygeal teratoma. On examination after delivery, a large midline mass in the sacrococcygeal region was observed, which was globular in shape and had smooth, thin skin with bluish discoloration. Magnetic resonance imaging revealed a cystic lesion that protruded through a caudal sacral defect, consistent with a sacrococcygeal meningocele. The patient underwent surgical repair of the meningocele without any intraoperative complications and had preserved motor function in the lower extremities after the procedure. This case underscores the challenge of distinguishing sacrococcygeal teratoma from meningocele based on clinical presentation and prenatal ultrasound findings. An accurate preoperative diagnosis is essential for effective surgical planning.
Pituitary apoplexy is a rare and potentially life-threatening condition that usually occurs in the setting of a pre-existing pituitary tumor, which may be undiagnosed. There are a growing number of reports describing the pituitary apoplexy associated with coronavirus disease 2019 . We present the case of a 41year-old man who presented with a gradually worsening headache for four days. It was a bilateral frontal headache of sharp quality with no radiation. He scored the headache as 9 out of 10 on the 10-point severity scale. He had no previous episodes of similar headaches. Fundoscopic examination revealed bilateral optic disc blurring suggestive of papilledema and cranial nerves examination revealed bilateral hemianopia. The patient was admitted for further investigation and management. As part of the admission protocol, the patent underwent a nasopharyngeal swab for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which yielded positive results. Computed tomography demonstrated a large solid intrasellar mass with areas of high density suggesting hemorrhage along with a small amount of subarachnoid hemorrhage space in the left parietal lobe. The findings were consistent with pituitary apoplexy in the setting of pituitary macroadenoma. Intravenous hydrocortisone was administered. The patient underwent transsphenoidal surgical resection of the pituitary tumor, which resulted in significant improvement in the patient's symptoms. Pituitary apoplexy is a rare condition. The case suggests that COVID-19 may predispose to the development of pituitary apoplexy.
An arachnoid cyst is a benign lesion filled with cerebrospinal fluid that usually develops in the middle cranial fossa. The arachnoid cyst may become symptomatic if it has a large size or when it gets ruptured. Spontaneous rupture of an arachnoid cyst is a very rare complication. We report the case of an 11-year-old girl who was brought to the emergency department with a complaint of a progressive headache that was associated with vomiting. On examination, she was found to have papilledema. Subsequently, magnetic resonance imaging of the brain was performed to exclude any space-occupying lesion. The scan demonstrated a right extra-axial temporal lesion, measuring 7.8 x 5.4 x 4.9 cm on maximum dimensions, along with an extension to the right cerebral convexity in a crescentic shape. The lesion follows the signal intensity of cerebrospinal fluid on all sequences and exhibited no post-contrast enhancement or restricted diffusion. The lesion exerted a mass effect in the form of compression of the right temporal lobe. These findings were consistent with an arachnoid cyst with subdural hygroma. The patient was referred to the neurosurgery team. Then, the right temporal arachnoid cyst was drained through the right temporal craniotomy and the subdural hygroma was drained through a frontal Burr hole. The patient was seen after one month in the pediatrics clinic and was completely asymptomatic.
Introduction The demand for dermatologists is increasing due to the rising prevalence of skin diseases and the growing importance of dermatological care. However, there is limited research investigating the factors that influence medical students' interest in pursuing dermatology as a career option in Saudi Arabia, specifically in the Eastern Province. Methods This cross-sectional study aimed to assess the impact of dermatology rotation experience on the interest and perception of medical students and interns in the Eastern Province of Saudi Arabia. The participants consisted of medical students and interns located specifically in the Eastern Province. Data were collected through an online self-administered questionnaire that captured socio-demographic characteristics and evaluated the impact of dermatology rotation experience using a 3-point Likert scale. Convenient non-probability sampling was employed by sharing the questionnaire link on popular social media platforms. Results A total of 697 medical students from the Eastern Province of Saudi Arabia participated in this study, with an almost equal distribution between genders. A substantial proportion of participants expressed a strong preference for dermatology as their future career. While approximately 60% had completed a dermatology rotation, more than half found the process tiring. However, most participants agreed that dermatology offers flexible working hours, a better lifestyle, superior career options, and higher earnings compared to other healthcare professions. The study also revealed that factors such as age, marital status, academic level, GPA (grade point average), and income influenced the impact of the dermatology rotation. Conclusion This study sheds light on the factors influencing medical students' interest in dermatology and their perceptions of dermatology rotations. The findings emphasize the importance of diversity, early exposure, educational interventions, and supportive environments in promoting dermatology as a career choice. Overcoming barriers, enhancing transparency in assessment systems, and improving educational experiences can further foster interest in dermatology among medical students and address the growing demand for dermatological care.
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