Ayyub Masoud

BariClip gastroplasty is an emerging bariatric technique designed to preserve gastric anatomy while providing restrictive weight loss. While preliminary reports have shown promising outcomes, the variety of complications remains incompletely defined. We report the case of a woman in her late 40s with BMI > 35 and a medical history of hypothyroidism, who underwent elective BariClip placement as a primary bariatric intervention. On the second postoperative day, she presented with abdominal discomfort, nausea, and distention. A computed tomography scan revealed inferior slippage of the BariClip and esophageal hematoma. Diagnostic laparoscopy confirmed migration of the device with associated multiple perforations along the gastric wall. The clip was removed, and the perforations were repaired by primary suturing. On the first postoperative day of the secondary operation, the patient developed acute dyspnea and was diagnosed with pulmonary embolism, treated with therapeutic anticoagulation, and discharged home in good condition on postoperative Day 10.

Background: Achieving breast symmetry is an important aesthetic goal following reconstruction post-mastectomy; however, little is known about women’s awareness, attitudes, and barriers regarding Contralateral Breast Symmetry Procedures (CBSP) in Jordan. Objectives: To assess awareness, perceptions, and barriers toward contralateral breast symmetry procedures among breast cancer survivors who underwent reconstruction at King Hussein Cancer Center. Methods: A cross-sectional study was conducted from July to Oct 2025 at KHCC, among 314 women diagnosed with breast cancer who had post-breast reconstruction. Data were collected using a structured Arabic questionnaire, which was developed based on existing literature, validated by an expert panel, and piloted on 10 women for clarity and reliability. The final tool demonstrated acceptable internal-consistency (Cronbach’s α = 0.712). The questionnaire captured sociodemographic and clinical data and detailed knowledge, attitudes, and barriers related to CBSP. Descriptive statistics summarized the data. Results: Participants’ mean age was 45.8 years; the majority were married (83.8%) and held university degrees (65.6%). Most reconstructions used silicone implants (94.6%). Only 6.4% had undergone CBSP, primarily delayed breast augmentation or mastopexy, with 75% reporting satisfaction. Awareness of CBSP was limited (37.9%), and less than one-third had discussed CBSP options with their surgeon or knew about insurance coverage. While 82.5% valued symmetry for body image, 31.5% viewed it as unnecessary after cancer recovery. Main barriers included satisfaction with current appearance (48.1%), fear of additional surgery (32.2%), financial constraints (37.3%), and lack of physician counseling (27.1%). Trust in medical team recommendations was high (89.2%). Conclusions: Contralateral breast symmetry procedures are under-recognized and infrequently pursued, primarily due to limited awareness, financial concerns, and insufficient counseling. Focused education and enhanced surgeon–patient communication are essential to support women’s aesthetic and psychological needs after reconstruction in Jordan.

Case: A 63-year-old man with poorly controlled diabetes presented with severe low back pain and radiculopathy. Magnetic resonance imaging revealed L4–L5 spondylodiscitis. Computed tomography –guided biopsy identified Leclercia adecarboxylata, a rare Gram-negative bacillus, sensitive to all tested antibiotics. He received intravenous broad-spectrum antibiotics followed by oral ciprofloxacin for 3 months, achieving complete recovery without relapse. Conclusion: As far as we know, this is the first reported case of isolated L. adecarboxylata spondylodiscitis. This case underlines the potential role of the organism as an uncommon pathogen in spinal infections and stresses the importance of image-guided biopsy and microbiological culture to provide an accurate diagnosis and appropriate therapy.