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Saving a Newborn with a Rare and Massive Abdominal Mass at NICU at Mouwasat Hospital Dammam

Saving a Newborn with a Rare and Massive Abdominal Mass at NICU at Mouwasat Hospital Dammam

Saving a Newborn with a Rare and Massive Abdominal Mass at NICU at Mouwasat Hospital Dammam

Saving a Newborn with a Rare and Massive Abdominal Mass at NICU at Mouwasat Hospital Dammam
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23/11/2025

Dammam - Mouwasat Hospital

The Neonatal Intensive Care Unit (NICU) at Mouwasat Hospital–Dammam has achieved remarkable medical success by managing a rare and complex case of a newborn diagnosed prenatally with a large abdominal mass.

Case Details

The case was handled under the supervision of Dr. Weam Al Sidawi, Consultant Neonatologist, through a multidisciplinary approach involving neonatology, pediatric surgery, and obstetrics teams to ensure accurate planning and family reassurance. 

Prenatal Diagnosis and Postnatal Challenges 

Fetal MRI revealed a massive abdominal mass on the right side, requiring comprehensive postnatal evaluation to rule out associated anomalies. Immediately after birth, the baby suffered from severe respiratory distress, significant abdominal distension, and inability to tolerate feeding or discontinue oxygen support. 

Advanced Diagnostic Evaluation 

Ultrasound scans confirmed bilateral hydronephrosis, more pronounced on the right side. A VCUG test, performed under the supervision of Dr. Mohamed Al Jalouli – Consultant Pediatric Surgeon, ruled out posterior urethral valve obstruction. Kidney function and urine output were within normal limits. 

Further MRI imaging revealed a multicystic dysplastic kidney (MCDK) on the right side measuring an extraordinary 11 cm, along with an additional cyst on the left side measuring 4.5 cm. Such an unusually large size is extremely rare and often requires surgical removal due to pressure on adjacent organs. 

Minimally Invasive Intervention 

After thorough discussion among the multidisciplinary team and consultation with the family, the decision was made to perform ultrasound-guided cyst drainage under general anesthesia, with readiness for nephrostomy tube placement if required. 

The procedure, expertly carried out by Dr. Ahmed Taher – Consultant Interventional Radiologist, was completed with exceptional precision and without complications. The intervention immediately relieved intra-abdominal pressure, resulting in significant improvement in the baby’s condition and stabilization of vital signs—without the need for kidney removal at this stage. 

Mouwasat's commitment to excellence

This case demonstrates the importance of early diagnosis, multidisciplinary collaboration, and advanced interventional techniques in saving the lives of newborns with critical conditions. It reflects the high level of care and medical excellence provided by the teams at Mouwasat Hospital—Dammam, in line with international standards. 




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19/02/2026

Al Khobar – Mouwasat Hospital 

Mouwasat Hospital in Al Khobar continues to strengthen its position as a leading center in pediatric urology and advanced robotic surgery, following the successful treatment of a 4-year-old girl who was suffering from recurrent flank pain and severe renal discomfort caused by a congenital ureteral obstruction. 

Accurate Diagnosis Through Advanced Imaging 

The young patient was referred to Mouwasat Hospital after undergoing a series of diagnostic studies, including:

  • Ultrasound imaging 
  • CT scan 
  • Nuclear medicine renal scans conducted in the hospital’s Nuclear Medicine Department 

The results revealed a significant narrowing of the ureter, the tube responsible for transferring urine from the kidney to the bladder. This obstruction led to hydronephrosis, reduced kidney function, and repeated pain episodes, increasing the risk of recurrent urinary infections. 

Congenital ureteral obstruction is considered one of the more complex pediatric urological conditions, and if left untreated, it may gradually progress to kidney damage or even renal failure. 

Robotic Repair of the Ureteral Obstruction 

Thanks to the expertise of Dr. Abdulrahman bin Abdulkarim Al Muhrej, Consultant in Urologic Oncology, the robotic system allowed for high-precision suturing and delicate handling of the tissues, ensuring an optimal reconstruction outcome. The procedure was completed smoothly, and the child was able to leave the hospital the next day, resuming eating and walking with only minimal pain. 

Why Robotic Surgery Is the Preferred Technique 

Robotic-assisted surgery has become the gold standard for managing complex ureteral conditions due to several advantages:

  • Exceptional precision in tissue handling 
  • Smaller incisions and reduced postoperative pain 
  • Lower blood loss 
  • Faster recovery time 
  • Higher success rates, especially in delicate pediatric cases 

Dr. Al Muhrej has performed numerous robotic repairs for ureteral obstruction in both children and adults, achieving consistently excellent clinical outcomes. 

Expanding the Role of Robotic Surgery in Urology 

Robotic systems are now widely utilized at Mouwasat Hospital for a variety of urological procedures across all age groups, including the following:

  • Partial and radical nephrectomy (kidney removal) 
  • Adrenal gland surgery 
  • Prostate surgery 
  • Bladder surgery 

This reflects Mouwasat Hospital’s commitment to incorporating advanced surgical technology and providing patients with advanced, minimally invasive treatment options. 

Important Medical Advice 

Dr. Al Muhrej stresses the importance of early evaluation when kidney dilation is detected, as determining the cause promptly is crucial to preserving kidney function. Not all cases require surgery, but timely consultation with a specialist helps guide appropriate management and prevent long-term complications. 

Saving a Newborn with a Rare and Massive Abdominal Mass at NICU at Mouwasat Hospital Dammam

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Saving a Newborn with a Rare and Massive Abdominal Mass at NICU at Mouwasat Hospital Dammam
26/02/2026

Qatif - Mouwasat Hospital 

Mouwasat Hospital in Qatif continues to achieve outstanding medical successes in the diagnosis and treatment of gastrointestinal diseases using advanced endoscopic technologies. This comes following the successful diagnosis and management of a complex case involving a 60-year-old patient who had been experiencing rectal bleeding for several months without receiving a clear diagnosis. 

A Diagnostic Journey: From Prolonged Symptoms to a Precise Discovery 

The patient had visited several hospitals within and outside the region over the course of months, yet no definitive explanation for his recurrent symptoms was identified. Upon arriving at Mouwasat Hospital in Qatif, he was evaluated by the Gastroenterology Clinic team led by Dr. Mahdi Al-Jaroudi, Gastroenterology & Endoscopy Consultant, who conducted a comprehensive assessment while taking into account his chronic respiratory condition and hypertension—factors that required careful medical decision-making. 

Based on the initial evaluation, the medical team recommended performing a colonoscopy at the hospital’s Advanced Endoscopy Unit to determine the source of bleeding. 

Discovery and Endoscopic Removal of the Lesion 

During the colonoscopy, the medical team discovered a large polyp measuring 4.5 cm inside the colon. Thanks to the expertise of the specialized team and the advanced capabilities of the endoscopy unit, the polyp was completely removed endoscopically without the need for surgical intervention and without any complications—demonstrating the high level of precision and skill in handling such cases. 

Pathology Findings: Early-Stage Colon Cancer Successfully Controlled 

Pathology results confirmed that the lesion was a cancerous colon tumor. The positive outcome was that the tumor had been fully removed, and all surrounding tissues were completely clear, indicating successful early control of the condition and eliminating the need for further invasive treatments. 

Advanced Care Aligned with International Standards 

This achievement reflects Mouwasat Hospital in Qatif’s commitment to delivering advanced medical care using state-of-the-art diagnostic and therapeutic endoscopic technologies. The hospital continues to provide high-quality services led by a distinguished team of specialists dedicated to ensuring the best outcomes for patients.

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