Priapism is considered a rare disorder and even more rare when it occurs as a complication of COVID-19. To the best of our knowledge, only eight studies have reported priapism as a complication of COVID-19. Here, we report the case of a 66-year-old male with COVID-19 who presented with neglected priapism for three days. On local examination, penile erection was apparent in association with blackened areas on the glans penis extending to the midpenile shaft denoting penile gangrene. A clear line of demarcation was noticed at the midpenile shaft. Penile duplex was performed, showing no blood flow in both cavernosal arteries. Penile aspiration was performed, and the cavernosal blood sample showed evidence of ischemic priapism. Given the presence of penile gangrene extending to the midshaft of the penis and the poor general condition of the patient, the decision was made to perform partial penectomy and suprapubic tube placement. We recommend the establishment of a guideline for the diagnosis and prevention of thrombotic diseases in patients with COVID-19 infection as there is increasing evidence of COVID-19-related thrombotic manifestations.

Objectives: Text neck syndrome was first described by Fishman D. It refers to neck pain caused by repetitive stress injury resulting from prolonged neck flexion among smartphone users. The association of neck disability with various behaviors during the use of smartphones is still unclear in the literature. Therefore, we aimed to estimate the frequency of such factors and evaluate whether they contribute to text neck. Methods: A cross-sectional study was conducted at six medical colleges in Jeddah, Saudi Arabia, from July 2020 to January 2021. An electronic, self-administered questionnaire was distributed to medical students online. In addition, participants were asked to complete the smartphone addiction scale-short version (SAS-SV) and the neck disability index (NDI). Results: A total of 428 medical students participated, of which 304 (71.02%) were female, while 124 (28.97%) were male. The mean age was 22.11 ± 2.07 years. The prevalence of text neck syndrome was 68.1%. Among the participants, 49.5% had mild, 16.1% had moderate, and 2.6% had severe neck disabilities. The Spearman correlation coefficient showed a moderate positive correlation between SAS-SV and the NDI (rs = 0.328, P < 0.001). Conclusion: The current study found that most medical students had a neck disability, and there was a significant association between text neck syndrome and smartphone use. In addition, a lack of appropriate neck positioning and prolonged use of smartphones were found in most students. Therefore, more emphasis should be placed on raising awareness of the necessity of maintaining appropriate sitting posture and limiting the duration of mobile phone use.

I have read the interesting and informative paper recently published by Alghnam and colleagues that examined associations between obesity and diabetes (DM) and hypertension (HTN) [...]

Introduction: Remitting Seronegative Symmetrical Synovitis with Pitting Edema (RS3PE) is a rare syndrome which was first reported by McCarty et al. in 1985. The association between RS3PE and both benign tumors and cancers has been reported in the literature. Case Presentation: We hereby report a case of RS3PE associated with an early-stage colorectal cancer. A 67-year-old male patient not known to have any medical illness presented to the rheumatology clinic complaining of bilateral joint pain in both ankles for 5 weeks associated with symmetrical feet edema. Laboratory findings showed negative rheumatoid factor (RF), anti-nuclear antibody (ANA), and anti-cyclic citrullinated peptide (anti-CCP). Inflammatory markers (C-reactive protein and erythrocyte sedimentation rate) were high. Ultrasound showed grade II synovitis in both ankles without erosions. The symptoms rapidly resolved with short-term low-dose corticosteroid. Fecal occult blood was requested, and it returned positive. Colonoscopy was done and showed polyploid lesions in transverse colon. The histopathological analysis revealed adenocarcinoma of the large bowel. Conclusion: In conclusion, RS3PE patients should be screened for concomitant malignancy in order to intervene immediately and treat cancer at an early and curable stage. Further studies on screening methods of malignancy in such patients are essential and critical to prevent the devastating complications.

Introduction: Heterotopic pancreatic (HP) tissue defined as tissue that is found outside the anatomical location of the pancreas. It can occur anywhere in the gastrointestinal tract with the stomach and small bowel being the most common sites. The diagnosis of HP is considered difficult and usually discovered as an incidental finding in laparotomy. However, it can present as a case of intussusception or even perforation. Case Presentation: In this case, we report a 23-year-old male with a history of abdominal pain with vomiting that lasted for 7 days. Computed tomography (CT) scan was suggestive of intussusception. Laparotomy was done and a mass was found adherent to the jejunal wall. Partial resection of the jejunum was performed including the mass. The histopathological analysis confirmed it to be mixed exocrine and endocrine heterotopic pancreatic tissue. Conclusion: Heterotopic pancreatic tissue in the jejunum is rare. However, it should be considered in the differential diagnosis of jejunal masses.