Splenic abscess is a rare complication of laparoscopic sleeve gastrectomy (LSG) with only a few cases reported in the literature. Here we report a 41-year-old healthy female with a BMI of 42 who had laparoscopic sleeve gastrectomy complicated with splenic vein thrombosis and splenic infarctions in the early postoperative period and progressed to a splenic abscess with a late-diagnosed leakage from the gastric remnant. She was treated with laparoscopic splenectomy and a Roux-en-Y esophagojejunostomy.

Background: Schizencephaly is a rare primary congenital brain defect of heterogeneous nature resulting from abnormal morphogenesis with a very early disruption of the grey matter migration during embryogenesis. Braga et al (2018) reviewed 156 articles including 734 patients with schizencephaly, and none of them had facial dysmorphism, low set ears or micrognathia Patients and methods A dysmorphic male infant who was referred to the neuropsychiatric consultation clinic of the Children Teaching hospital of Baghdad medical city was studied. Results Four month male infant presented with psychomotor retardation with no interaction with the mother and no recognition of her face. He had low set ears, retrognathia, and facial dysmorphism with narrow and upslanting palpebral fissures and thin upper lips. Family history was negative for a similar condition. Brain CT-scan showed open limb bilateral schizencephaly and karyotype showed normal finding. Conclusion: A new dysmorphic syndrome associated with schizencephaly, facial dysmorphism, low set ears and micrognathia is reported.

Objectives: Multidrug resistant Corynebacterium species are increasingly reported as the ethiological agent of various clinical infections. Thus, the purpose of this research was to evaluate the in vitro antimicrobial activity of three essential oils Salvia sclarea, Eucalyptus globulus and Eugenia caryophyllata against Corynebacterium species. Methods: Twenty-four multidrug resistant strains including C. striatum, C. amycolatum, C. urealyticum, C. aurimucosum, C. imitans, and C. jeikeium were used in the study. Inhibition diameter zone, minimum inhibitory concentration and minimum bactericide concentration of these oils were determined using agar disc diffusion method and microdilution method. Tigecycline was used as positive control. Results: Our study showed that Eugenia caryophyllata had the best activity. Eucalyptus globulus extract exhibited a moderate activity and Salvia sclarea was inactive against all the species tested. We found that C. amycolatum was more resistant to the essential oils than other species. On the other hand, tigecycline was effective on the majority of the strains (37.5%), but his action was lower than Eugenia caryophyllata oil. Conclusion: These results support the use of clove oil as a natural alternative to treat infections caused by multidrug resistant corynebacteria.

Today, the success of conservative surgery in breast cancer depends not only on an appropriate selection of patients, but also on the combination of adequate surgical margins with an acceptable aesthetic result. Multiple causes, can influence the probability that these borders are affected by tumor, so in this work cytology of the section margins was performed at the time of the freeze biopsy, achieving as a fundamental purpose of the study, to guarantee the advantages of cytology Transoperative, as a safe tool in breast cancer conservative surgery, among other possibilities, which in the last decade have enabled, the decrease in reinterventions caused by this cause and improve the survival of patients.

Background: Mowat Wilson syndrome was probably first described in a 2.5-year old boy by Lurie et al (1994) from Baltimore School of Medicine. However, the syndrome was named after Mowat et al (1998) who provided a detailed description of six children with syndrome and discussed the occurrence of similar syndromes in the literature. Mowat Wilson syndrome is a mental and growth retardation syndrome associated with distinctive facial dysmorphism consisting of deep set large eyes, hypertelorism, and open mouthed expression most of the time, low set ears, and other congenital abnormalities including agenesis of the corpus callosum and skeletal deformities. The syndrome is commonly associated with Hirschsprung disease or chronic constipation. In the hands of experts, the distinctive facial features allow the clinical diagnosis of Mowat-Wilson syndrome. The aim of this paper to report a study of the first case of Mowat syndrome in Iraqi boy which was associated with pseudo rocker bottom deformity of the feet. Materials and Methods: A sixteen months old boy with Mowat syndrome is studied and the literature reporting the syndrome was studied. Results: The boy was the first child of a non-consanguineous healthy parents. He had psychomotor retardation, poor feeding and poor growth, and chronic constipation during infancy. Distinctive facial dysmorphism included deep set large eyes, hypertelorism, open mouthed expression most of the time, low set ears, and also high arched palate. Skeletal deformities included congenital dislocation of the right hip and pseudo rocker bottom feet deformity. Brain MRI showed agenesis of the corpus Conclusion: The 383 case of Mowat syndrome is an Iraqi boy who had an unusual deformity of the feet “Pseudo rocker bottom feet” which has not been reported before with this syndrome.