The general surgery department of Khamis Mushayt General Hospital received a lady who had been suffering, for several months, from severe abdominal pains, including constipation and increased abdominal swelling. During clinical checkup, she was diagnosed with a large mass in the right side of the abdomen. After the necessary medical examinations, x-ray and MRI scans, she had an immediate abdominal exploratory surgery due to her abdominal pains. She was found with a large mesenteric cyst, 28cm in diameter, attached to the mesenteric root along the upper mesenteric vessels. The whole cyst was excised without any complications. Thank Allah she was discharged from the hospital the fourth day after the surgery.
It is noted that the importance of the case lies in the scarcity, in addition to the cyst’s large size before being diagnosed and excised.
It is worth mentioning that the Ministry of Health (MOH), in line with its contribution to achieve the targets of the National Transformation Program 2020, has launched the initiative of (Reforming and Restructuring the Primary Healthcare), as part of 40 initiatives designed to develop and improve the Kingdom's healthcare services and facilities to meet the needs of the community and the aspiration of our wise leaders - May Allah protect them.
This new initiative aims to provide advanced outstanding primary healthcare services, to boost satisfaction with this sector's services, and to foster the outpatients' trust in health services. The initiative also seeks to restore confidence in primary healthcare centers, given the growing numbers of outpatients, to ensure accessibility to all beneficiaries to reduce the burden on different health professionals, to boost the preventive measures, and provide facility-based health services, in addition to reducing congestion on emergency departments and outpatient clinics.
MOH has recently launched the new design templates of primary healthcare centers at As-Sulaymaniyah, Al-Wadi, Al-Khaleej, Al-Murabba, and Al-Mansoura districts. All are model centers. Also, all MOH's centers will be reconstructed with similar templates, in addition to new centers that will be set up. The new centers will provide all preventive, health and community services, while complying with CBAHI's standards. The services include consultation clinics, primary mental clinics, as well as other services such as immunization, maternity care, family medicine and early detection of chronic diseases. Furthermore, the community will be engaged by creating community council to take part in planning health services. Each center will incorporate a training center for family medicine fellowship with a unified e-record database. The new centers feature a modern architectural style and the required safety supplies. It is noted that the work is currently underway to start the stage of mega centers according to MOH-approved medial facility identity.