Epub Ahead of Print

Hemophagocytic Lymphohistiocytosis (HLH) In a Pediatric Patient: A Case Report

By Saad Waheed, Saima Gillani,

Hemophagocytic Lymphohistiocytosis (HLH) is an uncommon but a potentially fatal disease characterized by high grade fever, hepato-splenomegaly, derang...


Nerve-preserving cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for advanced primary caecal cancer invading pelvic side-wall: Report of a case with right leg limping

By Ethem Unal, Abdullah Yildiz, Sema Yuksekdag,

Radical surgery to achieve optimal cytoreduction in locally advanced caecal cancer can dictate femoral or sciatic nerve resection, especially in cases...


Anaesthetic management of Tracheal injury following Blunt Neck trauma – An Unusual Late Presentation

By Muhammad Saad Yousuf, Mohammad Bin Pervez, Saulat Fatimi, Khalid Samad,

Tracheal injuries following blunt neck trauma are life threatening surgical emergencies with high risk of mortality. A high index of suspicion is nece...


A Rare Complication Chylous Ascites after Aortobifemoral Bypass Surgery

By Görkem Yiğit, Alp Yildirim, Mustafa Ozdemir, Anil Ozen, Hakki Zafer Iscan,

Injury of the lymphatic trunk during abdominal aortic surgery causes leakage of chyleinto the peritoneum resulting in chylous ascites. A 53-year male,...


Brain Abscess caused by Lactococcus Lactis in a young male

By Intisar Ahmed, Kashif Aziz, Hameed Tareen, Muhammad Arslan Ahmed,

Lactococcus lactis cremoris is one of the gram positive cocci, not known to be pathogenic in humans. We report a case of brain abscess due to Lactococ...


Painless Posterior Scleritis ; A rare Presentation

By Summaya Khan, Mahum Faheem, Imran Basit, Ammarah Ashraf,

Posterior scleritis is an underdiagnosed condition due to its rarity and a misdiagnosed condition due to its varied presentation.1 Therefore, it is im...


Spectacle Cord Retained Oculo-Orbital Prosthesis: A Case Report

By Shefali Goel, Saumyendra V Singh, Neetu Singh, Deeksha Arya, Pooran Chand,

Retention of an orbital prosthesis plays a key role in treatment success and patient acceptance as does aesthetics. Though numerous retentive aids are...


Embolization of The Coronary Arterial Tree With Thick Contrast Material During Coronary Angiography: A Case Report

By Waleed M Ghaleb, Abdelfatah Elasfar, Mohsen Alarbash, Abdulrahman Aldiri-, Abdulhalim Jamal Kinsara,

A 58-year male was referred to our center with an acute inferior ST elevation myocardial infarction (STEMI). During the primary percutaneous coronary ...


Littoral Cell Angioma of the spleen presenting with thrombocytosis and splenic infarct

By Nazmi özer, Alper Sozutek,

Littoral cell angioma is a non-hematologic vascular neoplasm originating from littoral cells lining the splenic red pulp. The diagnosis is usually mad...


Sarcoidosis Presenting With Bilateral Optic Disc Edema As The Initial Presentation: A Case Report

By Merve Beyza Yildiz, Sevcan Balci, Sehnaz Ozcaliskan, Ece Turan Vural,

Sarcoidosis is a chronic, progressive, granulomatous inflammatory disease of unknown etiology that affects multiple organ systems. Granulomatous anter...


Familial Amyloidotic Polyneuropathy Type 1 – A Hereditary Legacy

By Joel Pinto, Paulo Almeida, Flavio Pereira, Susana Cavadas,

Familial amyloidotic polyneuropathy type 1 (FAP 1) is a systemic autosomal dominant amyloidosis associated with transthyretin mutation. It is characte...


challanges in management of multiple splenic abscesses caused by Extensively Drug Resistant (XDR)salmonella typhi

By Ch Muhammad Zubair, Muhammad Ameer Musa, Muhammad Musa Haider, Zulfiqar Ali Khosa,

Extensively drug-resistant (XDR) Typhoid emerged in Hyderabad, Pakistan in 2016. It spread regionally and globally due to fast travelling. An immuno-c...


Primitive Neuroectodermal Tumor of the Testis: A Case Report and Review of Literature

By Tarık Demir, Altay Aliyev, Mesut Seker, Cevper Ersoz, Ganime Coban, Haci Mehmet Turk,

A 21-year male presenting with left testicular mass and retroperitoneal lymphadenopathy underwent radical orchiectomy; and his pathological examinatio...


Peripheral Giant Cell Granuloma of posterior maxilla in a nine year old child. A case report

By Hamza Hassan Mirza, Abul Khair Zalan, Anser Maxood, Anika Gul, Zainab Memon, Muhammad Sulaiman,

Peripheral giant cell granuloma is a relatively uncommon benign reactive gingival lesion of the oral cavity. A 9-year boy presented with a painless, s...


CLADOPHIALOPHORA BANTIANA AS A CAUSE OF RARE FUNGAL BRAIN ABSCESS: A CASE SERIES

By Zafar Ali, Muhammad Usman, Usama Rehman, Fatima Anwar,

Cerebral phaeohyphomycosis refers to Central Nervous System infection caused by dematiaceous molds, which have many genuses. Cladophialophora bantian...


Management of A Firmly Lodged Endotracheal Tube: A Case of High Quality Communication

By Gabrielle Thompson, Mark Harrison, Hassan Ahmad,

This article describes a case of endotracheal tube firmly lodged in the trachea of a patient due to denuded subglottic cartilage and subglottic swelli...


Damage Control Surgery Saves Patient With Gastric Lymphoma From Radical Gastrectomy

By Gang Chen, Min-min Zhang, Jun-min Zhu, Jie Mao, Yu-min Li,

The concept of damage control surgery was first introduced in the 1990s. It has great significance in the treatment for critically ill patients, which...


Primary renal leiomyosarcoma

By Changyi Quan, Yunshen Ding,

To optimise the diagnosis and treatment of primary renal leiomyosarcoma, we present    our experience with a similar case and review the literature...


Novel inflammation biomarkers in patients with mycosis fungoides treated with bexarotene

By Funda Tamer, Ayla Gulekon,

Mycosis fungoides (MF) is a skin lymphoma characterized by atypical T lymphocyte infiltration which may present with patches and tumors in advanced st...


Adenocarcinoma in orthotopic neobladder 19 years after radical cystoprostatectomy

By Orkunt Ozkaptan, Alkan Cubuk, Erdinc Dincer, Osman Murat Ipek,

Radical cystectomy and orthotopic neobladder are the most preferred surgical approaches for the treatment of invasive bladder cancer. Secondary tumour...


Intentional Replantation for a Right Mandibular Premolar: A Case Report

By Sheng-jin Xue, Qing-bin Zhang, Wei-qun Guan,

The present study reports a case of intentional replantation (IR) for a right mandibular second premolar (#45). For the present case, root canal retre...


Synchronous breast cancer and renal leiomyoma; a case report

By Caner Ediz, Neslihan Kaya, Serkan Akan,

We present a case of a 49-year Turkish woman who had synchronous renal leiomyoma and breast cancer. The patient was evaluated for a suspicious breast ...


Myomectomy for a large submucosal fibroid at the time of caesarean section: A case report

By Jian An, Jinxiao Lin, Pengming Sun,

Submucosal uterine fibroids are usually associated with infertility and miscarriage. Hence, term pregnancies with large submucosal fibroids are rare i...


Topiramate induced acute transient myopia and angle narrowing : case series

By Summaya Khan, Ammarah Ashraf Awan, Hassaan Javaid, Muhammad Azeem Khizer,

Sulphamate drugs, widely prescribed for various systemic conditions, are reported to have rare ocular adverse-effects, usually within weeks of initiat...


Primary T-Cell Lymphoma of The Parotid Gland

By Osman Ilkay Ozdamar, Gul Ozbilen Acar, Servet Karaca, M Tayyar Kalcioglu, Tulay Zenginkinet,

Primary malignant lymphomas of parotid gland are very rare. Most are B-cell lymphomas, and T-cell lymphomas are very rare. Unfortunately, fine needle ...


Gastric adenocarcinoma of fundic gland type: A clinicopathological observation

By Lixin Wang, Gang Chen, Jinggui Jiang,

We investigated the clinicopathological features, diagnosis and differential diagnosis of a patient with gastric adenocarcinoma of the fundic gland ty...


Pancreatic acinar cell carcinoma presenting with diffuse pancreatic enlargement: A case report

By Hongwei Li, Yaping Wu, Xiaodan Xiang, Jun Zhou, Qian Li,

Pancreatic acinar cell carcinoma (PACC) is a rare tumor of the exocrine pancreas. It accounts for only 1% of all pancreatic malignancies. A 39-year-ol...


Management Strategy for a Patient with Coexistence of Meningioma and Paraophthalmic Aneurysm

By Burak Kınalı, Mehmet Senoglu, Evren Sandal, Gauravjot Sandhu, Ali Karadag,

The coexistence of intracerebral aneurysm and meningioma is a rare occurrence. There is no consensus about the treatment options. We aim to present a ...


Atypical Polypoid Adenomyoma (APAM): A rare case

By Lubna Javed, Nadia Ashraf, Amtullah Zareen, Mashaal Sabqat,

Atypical Polypoid Adenomyoma (APAM) is a rare polypoidal benign tumor of uterus which usually presents with irregular vaginal bleeding in women of rep...


A rare case of posterior interosseous nerve palsy post-venepuncture

By Raymond Dieu Kiat Yeak, Yee Yee Yap, Nizlan M Nasir,

Wrist drop post-venepuncture is uncommon. There has been reported cases of direct injury to the radial nerve during venepuncture but to our knowledge,...


Acrometastasis of Laryngeal Carcinoma to the Finger: A Case Report

By Cengiz Karacin, Sema Turker, Dogan Yazilitas, Tulay Eren, Tugba Taskin Turkmenoglu,

Distant metastasis of laryngeal carcinoma occurs at a rate of  4%-12%, with the most common sites being the lungs, liver and bone. Acrometastasis oc...


Vaginal Leiomyoma Presenting As Pelvic Organ Prolapse In Pregnancy

By Saida Abrar, Dr Raheela Mohsin,

Vaginal leiomyomas are extremely rare in pregnancy. These can present in a variety of ways. They can cause mechanical obstruction leading to maternal ...


Pituitary Stalk Interruption Syndrome in a 54-year adult male: a case report and review of literature

By Lu Wenwen, Fan Xiaofen, Yu Guoyou, Wu Guolin,

Pituitary stalk interruption syndrome (PSIS) is a rare disease with isolated growth hormone deficiency or multiple anterior pituitary hormone deficien...


Use of Eculizumab in Thrombotic Microangiopathy Associated with Hematopoietic Stem Cell Transplantation

By Sinan Demircioğlu, Ali Dogan, Cengiz Demir,

Thrombotic microangiopathy (TMA) associated with hematopoietic stem cell transplantation remains a difficult complication due to its high mortality ra...


Craniofacial Langerhans Cell Histiocytosis– A Rare Case Report

By Suriyakala M, Dr Sreela L.s, Dr Twinkle S Prasad, Dr Philips Mathew, Dr Admaja K Nair,

           Langerhans Cell Histiocytosis (LCH) is a rare haematological disorder characterized by accumulation and abnormal proliferation of...


Hypersensitivity pneumonitis in a pediatric patient: a case report

By Madiha Naz, Shazia Parveen, Afsheen Asghar Khan, Fauzia Waqar,

Hypersensitivity pneumonitis (HP) is a rarely diagnosed interstitial lung disease with variable manifestations. It results from repeated inhalation of...


A difficult road for percutaneous coronary intervention in a single coronary artery anomaly

By Kerim Esenboga, Emir Baskovski, Nil Ozyuncu, Eralp Tutar,

Coronary artery anomalies are frequently asymptomatic clinical entities associated with variable prognosis. Single coronary artery anomaly is a rare t...


A Young Man with a Rare Case of Adrenal Incidentaloma

By Usama Bin Khalid, Qurat Ul Ain, Muhammad Aamir, Shahrukh Shah, Shakeel Ahmad, Zujaja Hina Haroon,

Adrenal incidentalomas (AIs) are adrenal masses discovered as incidental finding, often on imaging studies, unrelated to adrenal disorders. Sometimes,...


Comparison of brachiobasilic transposition arteriovenous fistula outcomes among diabetic and non-diabetic patients: A case controlled study

By Zia Ur Rehman, Waryam Muhammad Saleh, Anum Sadruddin Pidani,

Diabetes is considered a risk factor for arteriovenous fistula failure and increased perioperative complications but this view is not proven for patie...


A Case of Diffuse Large B Cell Lymphoma With Cardiac Involvement Incidently Diagnosed on Cardiac Imaging

By Asif Husain Osmani,

Cardiac lymphomas, either primary or secondary, are mostly of B cell lineage; among which, diffuse large B cell lymphoma (DLBCL) is the most common. S...


Colonic Metastasis From Primary Tonsillar Squamous Cell Carcinoma: A Rare Cause of Large Bowel Obstruction

By Tayfun Kaya, Semra Demirli Atıcı, Dudu Solakolu Kahraman, Huseyin Salih Semiz, Duygu Kahraman,

Tonsillar squamous cell carcinoma is a subtype of head and neck cancers which rarely metastasizes to the colorectal system. Colonic metastasis seconda...


Chryseobacterium indologenes bacteraemia: a potential cause of early-onset neonatal sepsis in a full-term baby

By Siba Prosad Paul, Paul Anthony Heaton,

Chryseobacterium indologenes is considered as an emerging pathogen known to cause pneumonia, bacteremia, and meningitis in children.  It has been rep...


Pleomorphic Adenoma Of Minor Salivary Glands: A Case Report

By Sahar Usman, Sufyan Ahmed, Sana Iqbal, Ayesha Aslam,

Pleomorphic adenoma is a benign tumor of salivary glands. Pleomorphic adenoma arising from minor salivary glands is very rare and presents with a mino...


Rare Presentations oF Rapidly Growing Liposarcomas

By Arifa Javed, Jafar Haghshenas, Scott Sholem, Farooq Shahzad, Jamshed Zuberi,

Liposarcomas (LSs) are a rare form of malignant tumors. They are the most common primary neoplasms of the retroperitoneum. While these tumors rarely m...


Scabies Surrepticius (Bullous Scabies) Presenting As Bullous Impetigo In A Child: A Case Report

By Rao MUHAMMAD ABID Khan, Asma Muzammil, Sualleha Siddiqi, Shazia MUHAMMAD Qasim, Ali Nadeem,

Bullous scabies (BS) is a rare and atypical presentation of scabies usually affecting elderly males during seventh decade of life. BS is characterized...


A Case of Lung Abscess Mimicking Lung Cancer

By Nevhiz Gundogdu,

The radiological appearance of lung abscess is nonspecific and can masquerade as a mass lesion during the early phase. The treatment is primarily medi...


Severe Hyponatremia of 103 Mmol/L With No Symptoms in A 65 Year Old Man – A Case Report

By LAWSON EKPE, Emin Emin, Lawrence Onuche, Kingsley Osuji,

Hyponatremia is regarded as the most common electrolyte imbalance among hospitalized patients. Most hyponatremic conditions present with various degre...


Radiologic and histopathologic features of a neck-localized follicular dendritic cell sarcoma: A case report and literature review

By Jing Zeng, Xi Xu, Changzheng Shi, Liangping Luo,

Follicular dendritic cell sarcoma (FDCS) is an uncommon tumour. The pathological features of FDCS have been extensively described in literature, but t...


Radiologic and histopathologic features of a neck-localized follicular dendritic cell sarcoma: A case report and literature review

By Jing Zeng, Xi Xu, Changzheng Shi, Liangping Luo,

Follicular dendritic cell sarcoma (FDCS) is an uncommon tumour. The pathological features of FDCS have been extensively described in literature, but t...


Radiologic and histopathologic features of a neck-localized follicular dendritic cell sarcoma: A case report and literature review

By Jing Zeng, Xi Xu, Changzheng Shi, Liangping Luo,

Follicular dendritic cell sarcoma (FDCS) is an uncommon tumour. The pathological features of FDCS have been extensively described in literature, but t...


Efficacy and Safety of Phosphate Enema as a therapeutic agent in Hypophosphatemia in Critically Ill Children

By Humaira Jurair, Raza Ullah, Dr Abdul Rahim Ahmed, Dr Anwar Ul Haque, Dr Faiza Rahman, Dr Sadiq Mirza,

The aim of the study was to evaluate the safety and efficacy of oral administration of phosphorous enema in hypophosphatemia in critically ill childre...


Pancreatic Abscess Misdiagnosed and Treated As Pancreatic Cancer: A Case Report

By Zhang Deng Yong, Lu Zheng,

A preoperative diagnosis of pancreatic cancer is not 100% accurate. Because of the uncertainty in the diagnosis of pancreatic tumours, some benign pan...


Median Arcuate Ligament Compression on Celiac Trunk During Liver Transplantation Procedure

By Kaleem Ullah, Shams Uddin, Abdul Wahab Dogar,

Low insertion of median arcuate ligament (MAL) can cause compression over celiac trunk with subsequent complications. During liver transplantation pro...


Gossypiboma: The Forgotten Foreign Bodies and Surgeon’s Nightmare

By Faiza Ahmed, Usman Akbar, Adil Khan, Mustafa Rahim,

Gossypiboma, first described by Wilson in 1881, is a term that originated from the Latin word Gossypium (meaning “cotton”) and suffix -oma (mea...


A Large Hydatid Cyst in the Brain of a 10-year Child: A Case Report

By Muhammad Ashraf, Shakeel Ahmed, Shahryar Ahmad, Ashar Ahmad,

Hydatid cyst is the larval form of the parasite, Echinococcus Granulosus. We operated upon a case of giant hydatid cyst in the left cerebral hemispher...


Right Ventricular Blood Cyst in An Adult Autosomal Dominant Polycystic Kidney Disease Patient: An Unusual Association

By Ersin Çagrı Şimşek, Dilek Oncel, Erdem Ozel,

Blood cysts of the heart are unusual primary cardiac tumor-like masses, which are usually located on the cardiac valves. These are very rare in adults...


Henoch-Schönlein Purpura Presentıng wıth Acute Abdomen

By Oguz Catal, Bahri Ozer, Mustafa Sit,

Henoch-Schönlein purpura (HSP) is an autoimmune, systemic, non-granulomatous vasculitis characterised by self- limiting clinical course, and leukocyt...


T-cell acute lymphoblastic leukemia in an infant: a case report and review of literature

By Neelum Mansoor, Naeem Jabbar,

A high index of suspicion of acute leukemia in infants presenting with atypical clinical and laboratory features is of paramount importance to avoid t...


Simple Congenital Hamartoma Of Retinal Pigment Epithelium: A Case Report

By Tayyaba Gul Malik,

A 45-year female presented in outpatient department of a tertiary care hospital of Lahore with dimness of vision in right eye. History revealed that t...


A Rare Presentation of Extramedullary Hematopoiesis: Perirenal Masses

By Selahattin Durmaz, Cennet Sahin, Muzaffer Basak, Sukru Mehmet Erturk,

Extramedullary hematopoiesis (EMH) is a physiological compensatory mechanism that develops in response to ineffective or insufficient hematopoiesis. A...


A Rare Co-Existence of Multiple Cerebral Cavernous Malformations and Pleomorphic Adenoma of The Parotid Gland in Myotonic Dystrophy

By Sadaf Iftikhar, Muhammad Zeeshan Sarwar,

Myotonic dystrophy is an autosomal dominant inherited disorder primarily affecting the muscle function. Myotonia, progressive muscle weakness and wast...


Contralateral Recurrence of A Lumbar Juxtafacet Cyst Following Spontaneous Resolution: A Case Report

By Can Sarica, Furkan Kucuk,

We present a patient who had spontaneous resolution of a right L3/4 lumbar juxtafacet cyst (LJFC) and in whom, 2.5 years after regression of the previ...


Solitary Langerhans cell histiocytosis of skull: Case report with one year follow-up

By Muhammad Junaid, Ali Afzal, Syed Sarmad Bukhari,

Langerhans cell histiocytosis (LCH) is a rare disorder characterized by increased production of Langerhans-type histiocytes. It is more common in the ...


Adult Retroperitoneal Mature Cystic Teratoma Masquerading as Non-Endocrine Primary Adrenal Tumor

By Fatima Tuz Zahra Shakir, Rizwan Sultan, Riaz Siddiqui, M Zubair Shah, Ayesha Javed,

Teratomas belong to non-seminomatous germ cell tumors and they originate from totipotent germ cells. They are mostly made up of tissues derived from a...


Histiocytic Sarcoma with Invasive Urothelial Carcinoma of Urinary Bladder: A Case Report and Literature Review

By Ayşegül İsal Arslan, Sevil Karabag, Murat Akgul,

We report a rare case of histiocytic sarcoma in association with invasive urothelial carcinoma involving the urinary bladder. A 67-year male patient w...


Carpometacarpal Joint Dislocations as a Rare Cause of Hand Pain: A Case Report

By Ali Çelik,

Carpometacarpal joint dislocations represent not more than 1% of all hand injuries due to stable joint structures and high energy trauma mechanism. Un...


Control of Oesophageal Tumour-Related Bleeding With A Temporary, Fully Covered Self-Expandable Metallic Stent (Sems) Insertion: A Case Report

By Muhammad Zeeshan Siddique, Muhammad Saqib, Jhanzeb Iftikhar, Muhammad Aasim Yusuf,

The role of metallic stents in the management of refractory variceal bleeding is now well established; however, they have been rarely used in treatmen...


It does exist! Traumatic hemorrhage in septum pellucidum

By Murat Seyit, Arif Osun, Atakan Yilmaz, Mert Ozen, Duygu Aras Seyit,

Although bleeding into the septum pellucidum often occurs in the presence of a tumour, trauma-induced septal pellucidum hemorrhage has not been report...


Anabolic Steroid-Induced Reversible Cardiomyopathy in A Young Non-Athletic Female

By Uzma Gul, Muhammad Shahid,

Anabolic androgenic steroid (AAS) abuse is widespread nowadays, not only in athletes but in non-athletic populations and rapidly becoming a public hea...


Rasmussen's Encephalitis: A rare cause of intractable seizures

By Muhammad Bilal Mazhar, Attiya Fatima, Muhammad Haroon Hamid,

Rasmussen’s encephalitis (RE) is a rare chronic progressive inflammatory disease of the brain that results in difficult-to-control seizures (mostly ...


Renal Cell Carcinoma Of Pelvic Kidney With Atypical Nodal Metastasis: A Diagnostic Challenge

By Roshane Shahid Rana, Muhammad Hammad Ather,

Ectopic pelvic kidney is a known congenital anomaly; however, presence of renal cell carcinoma (RCC) in an ectopic kidney is rare with evidence availa...


CROSS or FLOT in Distal Esophageal and Gastroesophageal Cancer

By Ibrahim Karadağ, Serdar Karakaya, öztürk Ateş, ömür Berna çakmak öksüzoğlu,

Objective: To compare the chemoradiotherapy for esophageal cancer followed by surgery study (CROSS) and continuous infusion 5-FU, leucovorin, oxalipla...


Atypical Presentation of A Primary Thymic Adenocarcinoma: A Case Report

By Hasan Ersöz, Ebru Cakir, Utku Oflazoglu, Berna Dernek,

Primary thymic adenocarcinomas are extremely rare and aggressive tumors. In this report, clinical and histopathological findings of this rare entity a...


A Case of Foveoschisis Associated With Ornithine Aminotransferase Deficiency and Gyrate Atrophy

By Sehnaz Ozcaliskan, Sevcan Balci, Ozgur Artunay,

      Gyrate atrophy is a metabolic disorder characterized by typical progressive circular chorioretinal atrophy, myopia and early developmental ...


Epithelioid inflammatory myofibroblastic sarcoma with leukemoid reaction

By Yuan Yuan Wan, Cheng Li Miao, Shi Bo Liu, Tong Zhang, Cheng Hua Luo,

Epithelioid inflammatory myofibroblastic sarcoma (EIMS) is a rare and aggressive inflammatory myofibroblastic tumor (IMT) variant. Our report identifi...


Mucormycosis of Maxilla: An Enigma To The Clinician

By Suman Sen,

Mucormycosis is an acute opportunistic infection caused by a saprophytic fungus found in soil, and decaying fruits and vegetables. It is a rapidly pro...


A Rare Case of Horseshoe Kidney in a Patient with Leriche Syndrome

By Anıl Özen, Isa Civelek, Görkem Yiğit, Hakki Zafer Iscan,

Horseshoe kidney (HSK) is one of the most common congenital renal fusion anomalies. Difficulties are encountered during surgery of aortic diseases ass...


Non-Surgical Management of Lingual Hemangioma by Combined Sclerotherapy and Cryotherapy: A Case Report

By SHAUL HAMEED KOLARKODI, Muhammad Qasim Javed, Mohammed Rafeeq P K, Dhafer Alasmari, Mohammed Faiz C P,

Hemangioma is frequently seen benign tumor of vascular origin, typed into capillary and cavernous hemangiomas based on the nature of vessels in the le...


Fish Bone-Induced Pericardial Hemorrhage Resulting in A Misdiagnosis of Acute Myocardial Infarction: A Case Report

By Qin Zuoan, Liagnqing Ge,

Fish bone intake is a common clinical event, but serious complications resulting from the ingestion of fish bones, such as perforations in the stomach...


Scapular Winging Secondary to Iatrogenic Spinal Accessory Nerve Lesions: A Case Report

By Selin Ozen, Sacide Nur Cosar Saracgil, Sevgi Ikbali Avsar, Sehri Ayas,

Motor innervation of trapezius and sternocleidomastoid (SCM) muscles is provided solely by the spinal accessory nerve (SAN).  SAN palsy most often oc...


Saved by the clot in superior vena cava injury: a case report

By Pratikshya Thapaliya, Tanveer Ahmad, Nazish Sikander, Misauq Mazcuri, Ambreen Abid,

Penetrating neck injuries (PNIs) can cause injuries to great vessels. Superior vena cava (SVC) injury from stab to neck is rare and when it occurs,  ...


Guillain-Barre Syndrome: a rare complication of organophosphate poisoning

By Dr Shaheen, Shameem Kauser, Irfan Ahsan,

Organophosphate poisoning is common following accidental or suicidal ingestion. Cases have been reported with different neurological consequences incl...


Granulomatous Inflammation of Greater Omentum Caused by a Migrating Fish Bone

By Qi Chao Wang, Yan Wan Wu, Nan Ya Wei, Tao Xu Li, Tao Fan, Jie Ying Song,

Fish bone is the most common ingested gastrointestinal foreign matter and less than 1% perforate. However, a fish bone penetrating the gastrointestina...


An Extraordinary Case of Isolated Duodenal Injury After Blunt Abdominal Trauma

By Mehmet Zeki Buldanlı, Nuray Colapkulu, Oktay Yener, Ibrahim Ali Ozemir,

Duodenal injuries are rare due to their preserved retroperitoneal location. They are mostly observed after deep penetrating or high impact blunt traum...


Diagnosis of Facial Seborrheic Keratosis, Verruca Plana, and Nevus Pigmentosus By Dermatoscopy and Reflective Confocal Microscope: An Observational Study

By Quansheng Lu, Xi Chen, Shan Wang, Tong Wu, Guan Jiang,

Objective: To describe the features of facial seborrheic keratosis, verruca plana, and nevus pigmentosus by dermatoscopy and reflective confocal micro...


Follicular variant of papillary thyroid carcinoma presenting with thoracic vertebral metastasis: A rare phenomenon

By Özkan Özger, Necati Kaplan,

Follicular variant of papillary thyroid carcinoma (FV-PTC) often follows nodal spread and hematogenous spread is rare. A 77-year male presented to ...


A Rare Case of Female Bladder Outlet Obstruction: Severe Introital Stenosis

By Muhammed Fatih Simsekoglu, Oktay Ozman, Mehmet Hamza Gultekin, Bulent Cetinel,

Herein, we report a rare case of severe introital stenosis in a 22-year female who presented with obstructive voiding symptoms and inability to have s...


Unusual Appearance of Nasal Collagenous Fibroma ( Desmoplastic Fibroblastoma ) on Imaging

By Xiaolong Liu, Xiang Guo, Linsheng Wang, Yueqin Chen, Hao Yu, Zhanguo Sun,

Collagenous fibroma (CF) is a benign soft tissue tumour with good prognosis. Preoperative imaging diagnosis is essential to avoid unnecessary extended...


Pneumomediastinum in an accidental chlorine gas exposed victim

By Muhammad Akbar Baig, Maaz Salahuddin,

Chlorine is an irritant gas which is implicated in inhalational exposures which can affect the respiratory system leading to complications. We report ...


Cutaneous T Cell Lymphoma Predisposing to Recurrent Infective Endocarditis by Methicillin-Resistant Staphylococcus In A Patient with Intracardiac Defibrillator

By Muhammad Azam Shah, Muhammad Adil Soofi, Faisal Alsmadi, Muhammad Amin Ur Rehman, Faisal Abdullah Alghamdi,

Cutaneous T cell lymphoma (CTCL) is a rare group of extra-nodal non-Hodgkin's lymphomas resulting in infiltration of the skin by malignant cells. ...


Sociodemographic, clinical characteristics and outcomes of influenza pneumonia patients admitted in a tertiary care hospital Karachi Pakistan: Findings from a cross-sectional study

By Fazal Ur Rehman, Muhammad Arsalan Ahmed, Kashif Aziz, Mahmooda Jabeen Ashraf, Tazein Amber, Sumera Aziz Ali,

Objective: The overarching objective of this study was to determine the sociodemographic, clinical characteristics and outcomes of influenza pneumonia...


Cholecystectomy with Thoracic Epidural Anesthesia in Geriatric Patients

By SEDAT SAYLAN, Ali Akdogan, Davut Dohman, Erdem NAIL Duman,

Objective: To present our experiences of thoracic epidural anaesthesia in open cholecystectomy procedures of comorbid advanced elderly patients. St...


Disseminated nocardiosis with ocular involvement in a patient with ANCA-associated vasculitis

By Ayşe Bahar Keleşoğlu Dinçer, Serdar Sezer, Mucteba Enes Yayla, Gulay Kinikli,

A 62-year male patient, diagnosed with antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV), developed proptosis and decrease in vis...


Spontaneous cervical epidural abscess caused by serratia marcescens: A case report

By Idris Sertbaş, Derya Bayirli Turan, Mete Karatay,

Serratia marcescens infections are very rare and are usually occur in the form of nosocomial and opportunistic infections. The subjects usually have s...


BRUCELLA PROSTHETIC INFECTION IN A PATIENT WITH TOTAL KNEE PROSTHESIS: A CASE REPORT

By Sabit Numan Kuyubasi, Sermet Inal, Alaadin Oktar Uzumcugil, Sevil Alkan Ceviker, Bunyamin Ari,

Brucella infection is often an occupational disease of veterinarians, agricultural workers and slaughterhouse workers. The infection is generally spre...


Role of Recombinant activated factor VIIa (rFVIIa) in bleeding mycotic aneurysm of abdominal aorta

By Irfan Ahsan, Karimullah Makki, Sidra Rauf, Shaheen Sultan,

Mycotic aortic aneurysm is an infective disease of aorta with high mortality rate despite surgical repair. Recombinant activated factor VIIa (rFVIIa)...


Double Balloon Enteroscopy in A Pregnant Woman Wıth Peutz-Jeghers Syndrome

By Mesut Akarsu, Soner Önem, Zarni Htway, Ozan Cengiz, Suleyman Dolu, Leyla Iyilikci,

Peutz-Jeghers syndrome is an autosomal dominant disorder characterized by multiple hamartomatous polyps and muco-cutaneous pigmentation. Most polyps a...


Spontaneous Forniceal Rupture Identified By Point of Care Ultrasound: Case Report

By Ali Çelik, Mehmet Altuntaş,

Spontaneous forniceal rupture is one of the rarest diagnosis of abrupt onset abdominal pain. Moreover, urolithiasis is the most prevalent cause and co...


SRD5A3-CDG: a patient with a novel variant and brain neoplasm

By Cigdem Seher Kasapkara, Asburce Olgac, Betul Emine Derinkuyu, Ulkuhan Oztoprak, Jaak Jaeken,

Congenital disorders of glycosylation (CDGs) are a large group of genetic diseases with impaired glycosylation of glycoproteins and glycolipids, and g...


Unusual Sites of Leiomyosarcoma: A Medley of 3 Interesting Cases

By Bushra Siddiqui, Shahbaz Habib Faridi, Asfa Shams, Jowairiah Hassan,

Leiomyosarcomas are malignant tumours arising from smooth muscle cells. They are rapidly growing tumors with aggressive behaviour and poor prognosis. ...


First Fenestrated Endovascular Aortic Aneurysm Repair In Pakistan: A Case Report

By Usama Khalid Choudry, Omer Ehsan, Zahid Amin Khan, Amina Amin,

Fenestrated grafts form an alternative to open surgery, and are already increasingly being offered as part of the standard spectrum of treatment in de...


Initial Experience in Ablation Of Non-Coronary Cusp Pvcs By Using High Density Mapping System (Rhythmia): A Case Report

By Muhammad Asad, Qurban Hussain Khan, Azmat Hayat, Rehana Khadim,

Idiopathic premature ventricular contractions (PVCs) most often occur under or above the semilunar valves from right ventricular outflow tract and les...


Incidence of Silent Ischemic Infarct after Diagnostic Conventional Cerebral Angiogram

By Fawaz Al Hussain, Bandar Aljafen, Adel Alhazzani, Yousef Mohammad,

This study was carried out to determine the risk of new ischemic events, demonstrated by diffusion weighted magnetic resonance imaging (DW-MRI) in pat...


Minimally invasive parathyroidectomy: Are auxiliary methods necessary?

By Hakan Bolukbasi, Serhan Yılmaz, Erkan Somuncu, Yasin Kara, Mehmet Abdussamet Bozkurt,

Objective: The present study aimed to determine the success rate of minimally invasive parathyroidectomies (MIP) with preoperative scintigraphy and ul...


Cecal Dıvertıculıtıs: A Dıagnosıs To Keep In Mınd When Evaluatıng Acute Appendıcıtıs

By Hakan Bolukbasi,

Caecal diverticulitis is a rare cause of right lower quadrant abdominal pain. As its symptoms mimic those of acute appendicitis, the final diagnosis i...


Insidious onset of Localised Small Intestinal Perforation by ingested Plastic Fork

By Serhan Yilmaz, Hüsnü Aydın, Hakan Bolukbasi,

Ingestion of a foreign body is generally observed in psychiatric patients and children. Adult healthy individuals may also swallow a foreign body unin...


Nasopharyngeal Tuberculosis

By Shanila Ahmed, Syed Muhammad Mustahsan, Bushra Jamil, Faiza Ilyas,

Tuberculosis is a well known communicable infectious disease and can involve almost any organ of the body, but mostly lungs. Upper respiratory tract i...


Psychological burden amongst caregivers of patients on maintenance haemodialysis

By Abdul Rehman Arshad, Taleah Tahir, Abdul Wahab Mir, Salahuddin ,

Long-term caregiving is a difficult job, risking mental health of involved individuals. This study was planned to document magnitude of the problem at...


Neurological Recovery with Interferon-Gamma Treatment in Friedreich's Ataxia

By Hande Gazeteci Tekin, Erturk Levent,

Friedreich's ataxia (FA) is a rare, progressive, and degenerative hereditary disorder caused by a deficiency of frataxin protein. This disease is ...


Comparing Oral Health Related Quality of Life (OHIP-14) and Masticatory Efficiency with Complete Denture Treatment

By Kiran Fatima Mehboob Ali Bana, Sumaira Shadab, Saman Hakeem, Farnaz Ilyaz,

Objective: This study was aimed to measure impact of oral health in complete denture wearers and its effects on masticatory efficiency with new comple...


Two Cases of Interrupted Inferior Vena Cava with Azygos/Hemiazygos Continuation

By Saerah Iffat Zafar, Aliya Halim, Waqas Khalid, Mobeen Shafique, Hina Nasir,

Interrupted inferior vena cava (IVC) is a rare disease, occurring either in isolation or in association with asplenia or polysplenia syndromes. Infrah...


Neurobrucellosis Manifesting as an Altitudinal Visual Field Defect: A Rare Case

By Gursan Gunes Uygun, Sevcan Yildiz Balci, Hulya Tireli,

Brucellosis is a zoonotic disease with a wide range of ophthalmic manifestations, including optic neuritis. It is most commonly caused by the consumpt...


Malignant Peripheral Nerve Sheath Tumor of the Cervix: A Case Report

By Tiantian Zhang, Zishu Wang, Rui Wang, Xiao Wu, Menglin Zhao, Fang Su,

The occurrence of primary malignant peripheral neurilemmoma in the female cervix without neurofibromatosis type 1 is extremely rare. We herein report ...


SUPERIOR MESENTERIC ARTERY SYNDROME

By ASIF ALI AMIR ALI, Kanwal Hameed, Ali Nawaz, Imran Khan, Sughra Perveen,

We report a rare case of upper gastrointestinal obstruction diagnosed in a 15 years old boy presenting with a 6 months long history of recurrent abdom...


Management of Gastric Tumor Perforation with Conservative Treatment during Neoadjuvant Chemotherapy

By Emre Bozkurt, Sinan Omeroglu, Emir Capkinoglu, Onur Guven, Mehmet Mihmanli,

Perioperative chemotherapy provides advantage for gastric cancer patients in terms of survival. A 56-year male with a diagnosis of locally advanced ga...


Digital Necrosis Due to Septic Embolism: An Unseen Complication of Gangrenous Cholecystitis

By Nazmi ÖZER, Abdullah Sahin,

  Gangrenous cholecystitis is one of the most severe complications of cholelithiasis. It causes serious morbidity and mortality. The main pathology i...


Association Between Serum Carcino-Embryonic Antigen Levels And Micropapillary Bladder Cancer Metastasis in an Elderly Male

By Caner Ediz, Neslihan Kaya Terzi, Serkan Akan, Omer Yilmaz,

We herein present a case of a micropapillary variant of bladder cancer metastasizing to lymph nodes in an 87-year male with elevated serum carcinoembr...


Successful surgical removal of a huge hepatocellular carcinoma: a case report

By Wang Gu, Guoqing Long, Qili Hu, Zhong Tong,

Hepatocellular carcinoma (HCC) is the most common primary liver cancer. Hepatectomy and transcatheter arterial chemoembolization (TACE) are generally ...


Methotrexate-induced leukoencephalopathy, a rare but life-threatening toxicity

By Jahanzeb Ur Rehman, Fayaz Hussain, Qamar Un Nissa, Sayed Kamran Mahmood, Tariq Ghafoor,

Methotrexate (MTX), an anti-metabolite, is part of various chemotherapy regimens to treat Acute Lymphoblastic Leukemia (ALL) and certain Non-Hodgkin...


Fibrolipoma of Tongue: A rare entity

By Salima Mansoor Ali, Nausheen Yaqoob, Anila Haneef, Sunder Sham, Asif Ali Arain,

Lipomas are benign mesenchymal tumors that comprise almost one-half of all soft tissue tumors. Lipomas can occur at any site where fat cells are prese...


Acute Acalculous Cholecystitis due to EBV infection presenting as acute abdomen

By Gulhadiye Avcu,

Epstein-Barr Virus (EBV) is a herpes virus with a high seropositivity rate among adult population through out the world.  Primary EBV infection is us...


Anti-Leucine-Rich Glioma-Inactivated 1 Limbic Encephalitis: An Underrecognized Disease

By Danish Nabi, Mian Ayaz Ul Haq, Mehtab Alam, Saqib Ali, Shoaib Ismail, Amjad Iqbal,

Autoimmune limbic encephalitis is a rare autoimmune disease characterized by inflammation of the limbic system of the brain. The disease runs a sub-ac...


Spermatocytic Tumor of Testis in A Young Male

By Madiha Bilal Qureshi, Nasir Uddin, Zubair Ahmad, Saira Fatima,

Spermatocytic tumor is a rare germ cell tumor not related to germ cell neoplasia in situ, and derived from postpubertal-type germ cells. It was previo...


Paratesticular Solitary Fibrous Tumor Mimicking Cellular Angiofibroma: an unusual morphology and rare site

By Madiha Bilal Qureshi, Muhammad Usman, Qurratulain Chundriger, Nasir Uddin,

Solitary fibrous tumor (SFT) is a ubiquitous benign mesenchymal tumor of fibroblastic origin, which occurs most often in middle-aged adults. It usuall...


First documented case of pulmonary alveolar proteinosis with atopy presenting secondary to CSFR2B mutation

By Ayse Senay Sasihuseyinoglu, Dilek Dogruel, Arbil Avci, Gursu Kiyan,

Pulmonary alveolar proteinosis (PAP) is a rare lung disorder in which surfactant-derived lipoproteins accumulate excessively within pulmonary alveoli,...


A Novel Transabdominal Preperitoneal Hernioplasty Technique in the Repair of Large Inguinal Hernias: The Use of Polypropylene Mesh in the form of Plug-Patch

By Hasan Calis, Serkan Sengul, Yilmaz Guler, Zulfikar Karabulut,

Objective: Transabdominal laparoscopic preperitoneal (TAPP) repair is one of the most preferred hernia repair techniques. Modifications of this techni...


Lafora body epilepsy: A challenging diagnosis

By Ali ZOHAIR Nomani, Haris Majid Rajput, Hanna Nomani,

Lafora body disease (LBD) is a progressive myoclonic genetic epilepsy syndrome characterized by the presence of Lafora inclusion bodies within neurons...


Multiple Small Bowel Atresia – resection or conservation?

By Krishna Kumar Govindarajan, Mohanaprakash Annamalai,

Multiple small bowel atresia is a relatively uncommon cause of intestinal obstruction in neonates.  About one third of the neonatal intestinal obstru...


Takayasu arteritis with isolated headache and neck pain: A Case Report

By Doctor Nazia Arain, Dr Shamsuddin Shaikh, Jawad Ali,

Takayasu Arteritis (TA),  a  chronic inflammatory condition of the aorta and its major branches,  causes narrowing and ultimate occlusion of major ...


Primary Hepatic Sarcomatoid Carcinoma presenting with Dysphagia: a rare presentation

By Khadim Hussain Samajo, Zain Majid, Rajesh Mandhwani, Mohammad Mubarak, Nasir Hassan Luck,

A 50-year male presented with vomiting and dysphagia for 2 weeks. Laboratory workup showed a positive serology for hepatitis C and normal serum α-fet...


Comparison of Guy’s, S.T.O.N.E. and CROES scoring systems for predicting percutaneous nephrolithotomy outcomes in eldery patients

By Salih Polat, Serkan Yarimoglu, Omer Koras, Murat Sahan, Ertugrul Sefik, Ibrahim Halil Bozkurt, Tansu Degirmenci,

Objective: In this study, we aimed to evaluate the efficacy and reliability of Guy’s (GSS), S.T.O.N.E. and CROES scoring systems developed to predic...