Shahla Haleem

Low tension breast hydatid cyst—A case report

INTRODUCTION Features of low tension in breast hydatid cyst and symptoms secondary to cyst dying and disintegration are unique and not yet reported in the literature. MATERIAL AND METHOD An young woman of 30 years complained about pain and vague swelling in the right breast during follow-up with albendazole therapy following second laparotomy for post-surgical residual cavity of hydatid cyst in the left lobe of the liver. Breast ultrasound was diagnostic. RESULTS Segmental breast excision revealed a large dead hydatid cyst. Postoperative course was uneventful. CONCLUSIONS Breast hydatid cyst may become symptomatic and hypotensive after start of albendazole therapy.

Smooth Venous Loop Arterio Venous Fistula for Hemodialysis

Venous-end-to-arterial-side, smooth-loop arteriovenous (AV) fistulae were created in 41 patients (33 men, 8 women) just above the wrist between the cephalic vein and the radial artery. Blood flow through these fistulae was quite satisfac tory (200-300 mL/min) and maturation occurred in only two to three weeks. Complications included transitory edema of hand (9 patients), primary failure (2 patients), and late aneurysmal formation (1 patient). The fistulae were in regular use for from one to twenty-eight months, with one to eighty-three dialyses per patient.