Highlights Ileocolic intussusception is the most common type of intussusception. Jejunojejunal intussusception rarely occur. Most common Causes of intussusception in adult are adhesion, adenoma, lipoma. Jejunojejunal intussusception may be a complication of a jejunostomy feeding tube.

Background: Nodular thyroid disease is very common and surgeons needs to differentiate benign from malignant nodules. Fine needle aspiration cytology of malignancy (FNAC) can assist the surgeon to select the proper technique for thyroid nodule management. The clinical parameters of patients with thyroid nodules were explored and the rate of malignancy was assessed. As well, the role of fine needle aspiration cytology in the diagnosis of these nodules compared to histopathological findings was evaluated. Patients and Methods: In the current prospective cross-sectional study, 79 patients diagnosed with thyroid swelling were undergone medical and clinical examinations, biochemical tests, and fine needle aspiration cytology at Azadi Teaching Hospital in Iraq in 2016. Tissue specimens of thyroid were sent for histopathological diagnosis. Results: Thyroid nodules were more common in female (84.8%), the mean age was 40.28 years. The most common indication of surgical intervention was dysphagia. Multi-nodular was the commonest type of thyroid nodules (73.4%) followed by a follicular adenoma (8.9%) and Hashimoto's thyroiditis (7.6%). Prevalence of malignancy was 7.6% and papillary thyroid cancer was the most common cancer (6.3%). Sensitivity, specificity, positive predictive value, negative predictive value and accuracy rate of fine needle aspiration cytology through histopathological diagnosis were 66.7%, 100%, 100%, 97.3%, and 97.5%, respectively. Conclusions: The most common types of thyroid nodules were a multi-nodular goiter, follicular adenoma, and thyroiditis. Fine needle aspiration cytology is easily applicable and reliable method for thyroid nodules evaluation with an acceptable sensitivity.

Background: In this study, we have used the middle hepatic vein with the right lobe, and we studied the venous outflow dynamics immediately after transplant retrospectively meanwhile we studied the impact of the graft function on donor functionality and overall donor safety.   Method: Between October 2017 to October 2020, we performed 40 adult to adult live donor liver transplants at Zheen International Hospital (Erbil, Kurdistan Region). Postoperative Doppler ultrasound was performed for recipients and donors immediately after surgery and then daily until discharge.    Results: The donor age (28.5 ± 6.9) year, male/ female 19/ 21, intensive care unit stay (1.2 ± 0.43), floor stay (5.2 ± 1.4) days, their portal vein velocity (43.5 ± 18.4 ml/sec), hepatic artery resistive index (0.6 ± 0.09) and triphasic/ continuous venous outflow 30/10, their postoperative day one and at the discharge total serum bilirubin were  (2.8 ± 1.8) and (2 ± 1.4), their postoperative day one and at the discharge international normalization ratio were (1.7 ± 0.5) and (1.2 ± 0.2) respectively. The recipient age (48.5 ± 11.3), male/female 27/13, intensive care unit stay (4.75 ± 3.9), floor stay (7.7 ± 3.7) days, portal vein velocity (63.96 ± 24.65 ml/sec), hepatic artery peak systolic velocity (74.76 ± 32.85) hepatic artery resistive index (0.7 ± 0.15), and triphasic/continuous venous outflow 27/13.   Conclusions: Middle hepatic vein incorporation in live donor liver graft is safe with a favorable outcome for recipient and donor, doppler US is one the important tool for evaluation and follow up of donor and recipient for detection of vascular complications and assessment of venous outflow and graft function. In addition, early discharge of the donor is a reasonable option.