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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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13/08/2026

Riyadh – Mouwasat Hospital

Mouwasat Hospital in Riyadh has recorded a new medical success story after a multidisciplinary medical team successfully treated a patient who arrived at the Emergency Department suffering from acute hemorrhagic shock and multiple serious injuries following a gunshot wound.

Emergency Department Response

The patient was transported to the Emergency Department at Mouwasat Hospital in Riyadh by the Saudi Red Crescent. He had sustained a gunshot wound that entered through the right side of his back and exited through the abdomen.

The injury caused severe damage to the abdominal wall with protrusion of parts of the intestines, in addition to fractures and extensive damage to the rib cage.

Immediately upon the patient’s arrival, the medical team managed the case in accordance with approved Advanced Trauma Life Support protocols. His condition was urgently assessed, and he was prepared for immediate surgical intervention.

Emergency Exploratory Abdominal Surgery

The patient underwent emergency exploratory abdominal surgery under the supervision of Dr. Ahmed Abdel Fattah Habib, Consultant in General and Gastrointestinal Surgery.

The procedure revealed severe damage and bleeding in the right lobe of the liver, along with a superficial injury to the right kidney. These findings required precise surgical intervention to control the bleeding and manage the injuries.

Multidisciplinary Medical Teamwork

A multidisciplinary medical team participated in managing the patient’s injuries and controlling the bleeding. The team included:

  • Dr. Ahmed Abdel Fattah Habib, Consultant in General and Gastrointestinal Surgery.
  • Dr. Halil, Consultant in Liver Surgery.
  • Dr. Mohammed Fawzan, Consultant in Kidney and Urological Surgery.
  • Dr. Mohammed Ali, Consultant in Thoracic Surgery.

The medical team also examined the intestines, colon, and other abdominal organs to ensure that there were no additional injuries that could pose a threat to the patient’s life.

Patient Stabilization After Surgery

The procedure was successfully completed, and the patient was transferred to the Intensive Care Unit in a stable condition. He was later moved to an inpatient room to continue receiving the necessary medical care and follow-up.

By the grace of God, the patient’s condition gradually improved until he became stable and ready for discharge from the hospital. A regular follow-up plan was also arranged through the outpatient clinics.

Mouwasat Hospital’s Readiness to Manage Critical Cases

This case reflects the high level of readiness and integration among the different medical and surgical specialties at Mouwasat Hospital in Riyadh. It also highlights the availability of qualified medical professionals, advanced expertise, and modern technologies required to manage complex and critical cases around the clock, contributing to the delivery of prompt and integrated medical care in the most critical circumstances.

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
15/08/2026

Riyadh: Mouwasat Hospital

In a new medical achievement reflecting a high level of expertise in managing critical cases, the cardiac surgery team at Mouwasat Hospital in Riyadh successfully saved the life of a patient suffering from one of the most serious complications of an acute heart attack. The patient was treated through an integrated medical and surgical intervention involving several specialties.

Acute Heart Attack Complicated by Ventricular Septal Rupture

The patient arrived at the hospital in critical condition after suffering an acute heart attack involving the coronary arteries, which resulted in an acute ventricular septal rupture.

Ventricular Septal Rupture is a rare and serious complication of myocardial infarction. In this case, it resulted in acute cardiogenic shock and severe pulmonary edema, requiring urgent medical intervention to save the patient’s life.

Coronary Angioplasty and Stent Placement

The patient’s treatment began with an immediate intervention by the cardiac catheterization team led by Dr. Saleh Al-Ghufaili, Consultant in Interventional Cardiology.

A successful therapeutic cardiac catheterization procedure was performed, and coronary stents were inserted to restore blood flow to the heart muscle.

Due to the severity of the patient’s condition, circulatory support was provided using an Intra-Aortic Balloon Pump to help improve the heart’s pumping efficiency and enhance blood circulation.

Intensive Care to Prepare the Patient for Surgery

The intensive care team, led by Dr. Haitham Othman, Consultant and Head of the Intensive Care Department, closely monitored the patient’s condition for two weeks.

The medical team implemented a precise treatment plan aimed at stabilizing the functions of the heart and other vital organs and preparing the patient to undergo surgery with the highest possible level of safety.

Complex Surgery to Repair the Rupture and Reconstruct the Left Ventricle

Following the stabilization of the patient’s condition, the cardiac surgery team led by Dr. Waleed Al-Ayyad, Consultant Cardiac Surgeon, performed a complex and high-risk surgical procedure with the participation of:

  • Dr. Mohamed Ali, Cardiac Surgery Specialist.
  • Dr. Adel Al-Jabali, Consultant in Cardiac Anesthesia.

The procedure involved repairing the ventricular septal rupture and reconstructing the left ventricle that had been damaged by the heart attack. Advanced surgical techniques and approaches were used with the aim of restoring the efficiency of the heart muscle and improving its function.

Patient Recovery Following Heart Surgery

By the grace of God, and through the integration of the cardiac catheterization, intensive care, anesthesia, and cardiac surgery teams, the procedure was completed successfully, and the patient recovered well.

The patient was transferred from the Intensive Care Unit to the inpatient ward only one week after surgery in a stable condition to continue his treatment and rehabilitation program.

The Importance of Early Intervention and Multidisciplinary Care

This case highlights the importance of rapid diagnosis and early treatment of acute heart attacks, as well as the essential role of multidisciplinary collaboration in managing complex cardiac complications. This integrated approach can contribute to improving the chances of survival and achieving better treatment outcomes.

Mouwasat Hospital in Riyadh continues to strengthen its capabilities in treating heart diseases and performing complex cardiac procedures by attracting specialized medical professionals and providing advanced therapeutic technologies and equipment. This approach supports Mouwasat Medical Services Company’s commitment to delivering advanced healthcare in accordance with quality and patient safety standards.

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