Journal of College of Physicians and Surgeons Pakistan (JCPSP), is the prestigious, peer reviewed monthly biomedical journal of the country published regularly since 1991. College of Physicians and Surgeons Pakistan is the parent body of this Journal.


The College of Physicians and Surgeons of Pakistan (CPSP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide credits to educational activities.

CPSP designates '3 AMA PRA Category 1 Credits' for review of the manuscript of an original study.


Latest Articles
Volume 30 | Issue 5 | May 2020
Move Towards Sub-specialisation in Surgical Pathology in Pakistan: Lagging behind the Clinical Colleagues?

By Muhammed Mubarak

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Programmed Intermittent Epidural Bolus at Different Intervals Combined with Patient-controlled Epidural Analgesia on Body Temperature during Labour Analgesia

By Beilei Li, Shuai Yuan, Aidi Chen, Dongyun Ma, Wenhong Fu

ABSTRACT  Objective: To explore the effects of programmed intermittent epidural bolus (PIEB) combined with patient-controlled epidural analgesia (PCEA) at different intervals on body temperature and serum CRP, TNF-α, IL-6 levels in parturient women receiving analgesia. Study Design: Descr...

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Serum Ang and CysC Levels in Essential Hypertension Complicated by Hypertensive Emergencies

By Junqiang Teng, Rongtu Lei, Xinwen Huang

ABSTRACT Objective: To explore the value of serum angiotensin Ⅱ (Ang II) and cystatin C (CysC) levels in predicting hypertension emergency in patients with essential hypertension. Study Design: Experimental study. Place and Duration of Study: Hangzhou Hospital of Zhejiang Medical and Health ...

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Comparison of Collum Angle of Maxillary Central Incisors in Different Incisor Relationships

By Zahra Khalid, Kashif Iqbal, Sana Khalid, Aima Riaz, Abdullah Jan

ABSTRACT Objective: To compare the collum angle of maxillary central incisors in patients with different incisor relationships. Study Design: Comparative, cross-sectional study. Place and Duration of Study: Department of Orthodontics, Armed Forces Institute of Dentistry, Combined Military Hospital, ...

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Influence of Preemptive Analgesia with Oxycodone Hydrochloride on Stress Hormone Level of Geriatric Patients undergoing Gastrointestinal Surgery

By Jinli Zhang, Yixuan Zhang, Hongli Yan, Ke Zhang

ABSTRACT Objective: To determine the influence of preemptive analgesia with oxycodone hydrochloride on stress hormone level of geriatric patients undergoing gastrointestinal surgery, and evaluate the analgesic effect. Study Design: Rrandomised controlled trial. Place and Duration of Study: Departmen...

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Effect of Anastomosis Technique on Pancreatic Fistula Formation in Proximal Pancreaticoduodenectomy

By Ozgur Yildirim Yildirim, Nazmi Özer

ABSTRACT Objective: To find out the association between the pancreatic fistula development and the pancreaticoduodenectomy anastomosis technique performed in three different ways; namely, telescopic pancreatojejunostomy (PJ), ducto-mucosal Wirsungo jejunostomy (WJ), and Peng's variant of the tel...

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Erythrocyte Autoantibody Positivity in Serological Cross-matching

By Bulent Atik, Tugba Kula Atik, Hulya Duran, Ozgur Baykan, Tuba Ersal, Emine Avci, Emre Ispir, Bayhan Bektore

ABSTRACT Objective: To investigate the erythrocyte autoantibody positivity detected in the serological cross-matching (XM), and its  possible effects on salient hemogram parameters. Study Design: A descriptive study. Place and Duration of Study: Balıkesir Atatürk City Hospital’s B...

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Effect of Radioactive Iodine Treatment on Saliva Rate in the Early Post-treatment Period

By Taner Demirci, Ceyhun Varim, Ayse Demirci, Mahmut Apaydin, İlknur Öztürk Uysal, Mustafa Ozbek

ABSTRACT Objective: To investigate the effects of radioactive iodine therapy (131I) on saliva production rate in the early post-treatment period. Study Design: Descriptive, analytical study. Place and Duration of Study: Department of Endocrinology, Ankara Diskapi Yildirim Beyazit Research ...

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Association of Dry Eye Disease with Diabetic Retinopathy

By Hina Nadeem, Tayyaba Gul Malik, Abdullah Mazhar, Aalia Ali

ABSTRACT Objective: To find out the relationship of dry eye disease with diabetic retinopathy, duration of diabetes and blood sugar levels in patients of type 2 diabetes using ocular surface disease index (OSDI). Study Design: Cross sectional observational study. Place and Duration of Study: Rashid ...

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Association of Comorbid Conditions with Six-month Survival and Disease Outcome in Patients of Necroinflammatory Otitis Externa

By Khalid Cheema, Nukhbatullah Awan, Nadeem Raza, Khadija Khan, Samina Qamar, Sobia Ashraf

ABSTRACT Objective: To determine association of gender, causative organisms, control of diabetes, facial paralysis, infectious agent, and hearing loss with disease outcome, in terms of six-month improvement of symptoms, static condition or expiry of patients presenting with necroinflammatory otitis ...

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Ureteral Access Sheath Applicatıon Without Fluoroscopy in Retrograde Intrarenal Surgery

By Aykut Aykac, Ozer Baran, Sercan Sari

ABSTRACT Objective: To compare the results and complications of the two techniques of ureteral access sheath application, with and without using fluoroscopy. Study Design: A comparative study. Place and Duration of Study: Department of Urology, Karabuk University Medical Faculty Training and Researc...

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Efficiency and Safety of The Retrograde Intrarenal Surgery in Younger Compared to Elderly Patients

By Berat Cem Ozgur, Musa Ekici, Mehmet Murat Baykam, Emre Demir

ABSTRACT Objective: To determine the outcomes of retrograde ıntrarenal surgery (RIRS) and its complications in  both young and elderly patients. Study Design: An observational study. Place and Duration of Study: Departments of Urology, University of Health Sciences, Ankara Research and Trainin...

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Accuracy of Thermal Imaging Camera in Identification of Perforators

By Muhammad Jibran Rabbani, Asma Ilyas, Ammara Rabbani, Zain ul Abidin, Moazzam Nazeer Tarar

ABSTRACT Objective: To determine the diagnostic accuracy of thermal imaging camera in the identification of perforators using peroperative visual inspection as gold standard. Study Design: Descriptive study. Place of Study: Jinnah Burn and Reconstructive Surgery Centre / Allama Iqbal Medical Colleg...

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Harmonic Scalpel for Internal Mammary Artery Harvest

By Shi-Min Yuan

ABSTRACT Internal mammary artery (IMA) harvest by using a harmonic scalpel for coronary artery bypass grafting (CABG) have not been sufficiently evaluated. This review aimed to assess the outcomes of IMA harvest by a harmonic scalpel and to compare by conventional electrocautery. The study materials...

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Surgical Treatment of Gastric GIST: Feasibility of Laparoscopic Resection and Postoperative Outcome

By Costache Mircea Florin, Filip Bogdan, Lupascu Cristian, Trofin Ana Maria, Danciu Mihai, Scripcariu Viorel

ABSTRACT Objective: The aim of this study is to evaluate clinical manifestations and the possibility of laparoscopic treatment of large gastric stromal tumors. Study Design: A case-series. Place and Duration of the Study: Ist Surgical Unit, Saint Spiridon Hospital Iasi and the Ist Oncological Surgic...

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Lateral Supraorbital Approach for the Surgical Clipping of Ruptured Tiny Anterior Circulation Aneurysms

By Tao Jiang, Lili Yan, Mingyu Chen, Junfei Cao, Yanjie Shen, Zhenhua Ren

ABSTRACT Objective: To evaluate the efficacy and usefulness of clipping procedure by lateral supraorbital approach for tiny anterior circulation aneurysms. Study Design: An observational study. Place and Duration of Study: Department of Neurosurgery, The Second Hospital of Anhui Medical University, ...

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Bortezomib-based Triplet Regimens for Remission Induction in Multiple Myeloma

By Saima Humayun Toor, Tariq Mahmood Satti, Raheel Iftikhar, Syed Kamran Mahmood, Ghassan Umair Shamshad, Jahanzeb Ur Rehman

ABSTRACT Objective: To compare the efficacy and side effect profile of different bortezomib-based triplet regimens for remission induction in patients with multiple myeloma (MM). Study design: Observational study. Place and Duration of study: Armed Forces Bone Marrow Transplant Centre, Rawalpindi fr...

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Therapeutic Plasma Exchange Combined with Total Thyroidectomy to Rescue a Case of Thyroid Storm Intolerant to Antithyroid Drugs

By Xiaoxia Hu, Haidong Wang, Jie Li, Hong Shi, Xia Liu, Jirui He

ABSTRACT Thyroid storm is a syndrome related to acute exacerbation of thyrotoxicosis for which timely diagnosis and treatment are crucial. Importance of antithyroid drug therapy in thyroid storm patients has been emphasised in clinical treatments for a long time. These patients should receive defini...

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Hyperargininemic Encephalopathy with Unique Clinical Presentation and Novel Genetic Mutations

By Sundarachary Nagarjunakonda, Rajeswari Daggumati, Sridhar Amalakanti

ABSTRACT Hyperargininemia is a urea cycle disorder that has rarely been reported in adults. We present a case of arginase deficiency disorder in a 32-year man with metabolic encephalopathy. He presented with progressive limb spasticity, changes in personality, cognitive decline (impaired judgement, ...

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Mycobacterium Abscessus: A Rare Cause of Peri-Ductal Mastitis in Endemic Regions

By Aisha Shaikh, Lubna Mushtaque Vohra

ABSTRACT Mycobacterium abscessus is a rapidly growing non-tuberculous, multi-drug resistant mycobacterium (NTM). Its common clinical presentation includes pulmonary infection followed by wide spectrum of skin and soft tissue infections. Chronic breast conditions, such as peri-ductal mastitis are rar...

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Multimodal Imaging of Optic Nerve Drusen in a 10-year Hyperopic Child

By Sehnaz Ozcaliskan, Ozgur Artunay

ABSTRACT Optic nerve drusen (OND) are abnormal calcified acellular deposits located within the prelaminar portion of the optic nerve. They are usually asymptomatic and detected incidentally during fundoscopic examination. They have a clinical significance due to their appearance which mimicks true p...

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A Case with Neonatal-onset Type 2 Neuronal Ceroid Lipofuscinosis: A Novel Mutation

By Ozgun Uygur, Mehmet Yekta Oncel, Pinar Gencpinar, Merve Saka Guvenc, Nihal Olgac Dundar

ABSTRACT Neuronal ceroid lipofuscinosis (NCL) is a lysosomal storage disorder that causes progressive neurodegenerative disease as a result of storage in neurons and other cells. Late infantile type (NCL Type 2) of NCL, which is the most common neurodegenerative disease in childhood, is characterise...

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Polycystic Ovary Syndrome, Subfertility and Vitamin D Deficiency

By Arfa Azhar, Fatima Abid, Rehana Rehman

ABSTRACT Polycystic ovarian syndrome (PCOS) is the most common endocrine female disorder, affecting 4-18% women of reproductive age. The prevalence of PCOS in South Asian women, especially in Pakistani women, is much higher (52%) as compared to white population (20 - 25% in UK). In Pakistan, vitamin...

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Effect of Phototherapy on Peripheral Blood Cells in Hyperbilirubinemic Newborns

By Abdullah Kurt, Merve Sezen Tosun, Nilgün Altuntaş, Sara Erol

ABSTRACT This study was conducted to determine the neutrophil/lymphocyte ratio, lymphocyte/monocyte ratio, platelet/lymphocyte ratio; and to evaluate the effect of phototherapy on the peripheral blood cells in newborns with indirect hyperbilirubinemia. A total of 180 newborns consisting o...

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Seroprevalence of Hepatitis C Virus (HCV) and Hepatitis B Virus (HBV) In District Vehari, Pakistan

By Muhammad Zeeshan Ahmed, Haseeba Shahzad, Tazeen Rao, Aleema Ali, Noreen Samad

ABSTRACT The aim of the study was to evaluate the prevalence of hepatitis C virus (HCV) and hepatitis B virus (HBV) in district Vehari, Pakistan; and to highlight the alarming situation of HCV. This survey was conducted in the district from June to August 2018. A total of 697 (72.99%) cas...

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Impacted Right Maxillary Third Molar Fused With Supernumerary Tooth

By Xinjia Cai, Lin Cui, Kejia Chen

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Aberrant Sectoral Biliary Duct Encountered Retrospectively on MRCP with Postoperative Collection

By Mahnoor Hafeez

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Postoperative Recurrence of Trigeminal Neuralgia with Brown Spots on the Nerve Root

By Wei Tian, Zhuangzhi Wang, Xin Meng, Jidian Zou, Pingping Yu

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Testicular Lymphoma: A Rare Cause of a Testicular Mass

By Kamal Kant Sahu, Ajay Kumar Mishra, Amos Lal, James Oshea

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Elective Abdominal Aortic Aneurysm Repair Complicated with Chylous Ascites

By Zia Ur Rehman

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Special Issue

Special Supplement 2 | Volume 29 | December 2019
Case Reports Special Supplement-2019

By Editor JCPSP

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Anaesthetic Management of Cerebral Arterio-venous Malformation Excision Using Awake Craniotomy: Initial Experience of Two Cases

By Waleed Bin Ghaffar, Khalid Ahsan, Faraz Shafiq, Ather Enam2

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Accessory Cardiac Conduction Pathway with an Unusual Presentation

By Ikram Ahmed Rana, Wajeeha Afzal

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A Single Coronary Artery with an Absent Right Coronary and a Superdominant Left Circumflex Giving off a Branch Supplying the Right Coronary Artery Territory

By Imran Iftikhar, Adeel Ur Rehman, Hamid Sharif Khan

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Partial Malrotation of Bowel Loops in an Adolescent with Left Hypochondrial Pain

By Kanwal Laique, Syed Mubarak Ali

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Neurolymphomatosis of the Sciatic and Tibial Nerves

By Muhammad Talha Yaseen, Pir Abdul Ahad Aziz, Kashif Siddique, Taimoor Ali Tariq

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Self-expanding Metallic Stent Placement in Malignant Terminal Ileal Stricture

By Kailash Raj Makhejani, Muhammad Mansoor Ul Haq, Jawaid Iqbal, Naila Zahid

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Topical Sevoflurane: An Alternative Treatment for Pressure Ulcers

By Isin Gencay

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Strangulated Intrapericardial Diaphragmatic Hernia after Hybrid Maze Procedure

By Muhammad Fahim, Tim Campbell-Smith

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Improvement of Esophageal Anastomotic Leak by Vacuum-assisted Closure in Three Cases with Gastric Cancer

By Seracettin Egin, Semih Hot

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Kallmann Syndrome with Syndactyly

By Farid Kassidi, Majdouline Boujoual, Moulay El Mehdi El Hassani

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Acute Viral Hepatitis: Simultaneous Infection from Hepatitis A, B and E Viruses

By Nazish Butt, M. Ali Khan, Farhan Haleem

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A Case of Polyautoimmunity: Celiac Hepatitis, Grave's Disease and Autoimmune Hemolytic Anemia

By Nazish Butt, Muhammad Ali Khan, Zain Abid, Farhan Haleem

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Sigmoid Sinus Thrombosis with Cerebellar Tuberculous Abscess: A Rare Case of Chronic Headache with Vision Loss

By Ahmed Tanjimul Islam, Kafil Uddin, Ahmed Ali, Pijush Kumar Kundu, Munzur Alahi, Mukul Kumar Sarkar

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Tumour-to-tumour Metastasis: Cutaneous Melanoma Metastasizing to Leiomyoma Uteri

By Jelena Amidzic, Nenad Solajic, Aleksandra Fejsa Levakov, Matilda Djolai, Nada Vuckovic

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High Grade Encapsulated Papillary Carcinoma of Breast in a Young Female

By Madiha Bilal Qureshi, Naila Kayani

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Deep-seated Hibernoma of Thigh: A Rare Benign Adipocytic Tumor

By Muhammad Omar Afzal, Ata-ul-Haq , Sobia Mazhar, Moazzam Nazeer Tarar

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Solitary Endobronchial Papilloma: A Rare Entity

By Muhammad Soban Arif Maan, Muhammad Waleed, Amir Humza Sohail, Asna Sulaiman, Javaid Ahmed Khan

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The First Described Case of Bizarre Leiomyoma of the Portal Vein

By Murat Ferhat Ferhatoglu

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A Patient of Advanced NSCLC with a New EGFR Exon 19 Insertion Mutation and its Response to EGFR-TKIs

By Ning Zhu, Caixia Dong, Shanshan Weng, Ying Yuan, Ying Yuan

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Surgically-assisted Rapid Maxillary Expansion under Local Anesthesia

By Cansu Gul Koca, Ihsan Sami Guvenc

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Pelvic Angiosarcoma Around Total Hip Prosthesis

By Alberto Sánchez-García, Alberto Pérez García, Enrique Salmerón González

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Surgical Treatment of Ankylosing Spondylitis with Andersson Lesion

By Fengguang Yang, Liang Yang, Enhui Ren, Yong Yang, Jing Wang, Xuewen Kang

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Recurrent, Large, Extraskeletal Osteosarcoma at the Back

By Muhammad Danish Muneeb, Mirza Agha Naushad Baig

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Laparoscopic Resection of Isolated Retroperitoneal Gastric Duplication Cyst in an Infant

By Vipul Gupta, Usman Javaid, Ghadir Jaber, Diary Mohd, Mamoun AlMarzouqi

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A Case of Immunoglobulin (Ig) G4-related Sclerosing Periaortitis Mimicking Mediastinal Malignant Tumor

By Fuat Erel, Mustafa Kuzucuoglu, Nurhan Sarioglu, Eren Altun

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Benign Broncho-esophageal Fistula Presenting as Unresolved Pneumonia

By Waseem M. Hajjar, Lamyaa A. Althawadi, Nada A. Bin Semaih, Adnan W. Hajjar, Sami A. Al-Nassar

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Robot-assisted Laparoscopic Nephroureterectomy for a Nephrogenic Adenoma of Ureter

By Keiran David Clement, Catherine Thompson, Omar M. Aboumarzouk

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Bladder-sparing Approach in a Woman with Muscle-invasive Primary Bladder Melanoma

By Mehmet Necmettin Mercimek, Ender Ozden

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Unilateral Synchronous Multiple Kidney Tumors Managed by Laparoscopic Partial Nephrectomy: Five-year Follow-up

By Mehmet Necmettin Mercimek, Latif Mustafa Ozbek, Ender Ozden

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A Mature Cystic Teratoma of the Urinary Bladder

By Safdar Shah, Wajid Ali, Imran Ansari, Shams-ul -Islam

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