JCPSP Special Supplement of Case Reports :

March 2017, Vol :27, No.03

CASE REPORT :

Severe Anaphylactic Reaction To Preoperative Aspiration Prophylaxis
Muhammad Sohaib, Faraz Shafiq, Muhammad Irfan -ul- Haq,
It is a case of severe anaphylactic reaction in a young female who had received aspiration prophylaxis preoperatively. Patient required intensive care and developed severe lactic acidosis. She responded very well to fluid and phenylephrine boluses and lat ...
Anaesthetic Concerns Of Surgical Emphysema Following Thyroidectomy
Sanum Kashif, Amna Gulrez,
Surgical emphysema secondary to tracheal tear is a rare but serious complication after thyroidectomy. It is usually resolved by conservative management; but in case of compromised airway, early airway control and surgical intervention is required. This is ...
Anaesthetic Management In A Child With Goldenhar Syndrome
Waqas Ahmed Khan, Bushra Salim, Ausaf Ahmed Khan, Shakaib Chughtai,
Goldenhar syndrome is a congenital disorder involving deformities of the face. It usually affects one side of the face only and poses significant challenges in the airway management. We herein, report an 8-year boy, known case of Goldenhar syndrome, who p ...
Dot-in-circle Sign – A Diagnostic Mri Sign For “madura Foot”
Faiza Javed, Rashid Nazir, Manoj Sharma, Sanam Yasir, Sadia Babar,
Mycetoma is a slowly progressive localised, granulomatous, subcutaneous tissue infection common among adult males aged 20 - 50 years. The causing agents include both bacteria (actinomycetoma) and fungi (eumycetoma). This chronic infection was described in ...
Distal Duodenal Varices: First Presentation Of Upper Gastrointestinal Bleeding
Inam -ul- Haq, Amir Ali Shah, S. Chandramohan,
Varices are abnormal dilated veins which result from increased pressure in the portal circulation. Although the oesophagus and stomach are the most common sites for varices to develop, they may also occur as ectopic varices in the duodenum, rectum, and re ...
Mushroom Bezoar Causing Small Bowel Obstruction
Azhar Amir Hamzah, Chin Kim Keow, Azreen Syazri, Tauqeer Hussain Mallhi, Amer Hayat Khan, Yusra Habib Khan, Adnan ,
A bezoar is a concretion of foreign or indigestible matter in the alimentary canal and is usual cause of gastric obstruction. Bezoars can become fragmented and migrate downward leading to intestinal obstruction. Diagnosis of phytobezoar has become challen ...
Giant Ganglioneuroma In A 5-year Child
Fazal Wahab Khan, Saulat Hasnain Fatimi, Hamza Abdur Rahim Khan,
We report a 5-year boy presenting with pain in the lower chest and upper abdomen. On evaluation with computed tomography scan of the chest, he was found to have a large 16 x 14 cm posterior mediastinal mass compressing the inferior vena cava and liver, a ...
An Unusual Case Of Caecal Volvulus Due To Appendicitis, Successfully Managed By Caecopexy
Samiullah Bhatti, Mahmood Ayyaz Khan, Waris Farooka, Usman Ismat Butt, Usman Ali Rehman, Awais Amjad Malik,
Caecal volvulus is a rare cause of intestinal obstruction. Caecal volvulus precipitated by acute appendicitis is even rarer. We report an unusual case of caecal volvulus with acute appendicitis as a cause. A 55-year female presented in surgical emergency ...
Tuberculous Dactylitis With Concomitant Thyroid Involvement: A Rare Presentation Of Childhood Tuberculosis
Sobia Qamar, Farrah Naz, Samia Naz, Iftikhar Ejaz,
Extrapulmonary tuberculosis rarely presents as thyroid involvement along with other manifestations, and poses a diagnostic challenge on account of paucibacillary nature of disease. In general, the diagnosis of tuberculosis is based on epidemiological risk ...
Glandular Odontogenic Cyst
Betina Chandolia, Manas Bajpai, Manika Arora,
The glandular odontogenic cyst (GOC), though rare, has now become a well known entity. The frequency of GOC ranges from 0.012% to 1.3% of all jaw cysts and its worldwide prevalence is 0.17%. The GOC's microscopic features have been well documented, a ...
Osteogenic Sarcoma Of Mandible
Manas Bajpai, Nilesh Pardhe, Betina Chandolia, Manika Arora,
Osteosarcoma (OS) is a malignant neoplasm characterised by the formation of osteoid matrix by neoplastic cells. It is the most common primary malignant bone tumor accounting for 20% of all sarcomas, although its occurrence in the jaw is rare. It shows typ ...
Extra-osseous Odontogenic Myxoma Of Maxillary Gingiva
Manas Bajpai, Nilesh Pardhe,
Odontogenic myxomas are rare odontogenic tumors of jaw characterised by accumulation of mucoid ground substance with little collagen. Peripheral odontogenic myxoma (POM) is extra-osseous variant of odontogenic myxomas, occurring solely in the soft tissue ...
Gitelman Syndrome
Qurat ul Ain Mustafa, Zujaja Hina Haroon, Aamir Ijaz, Muhammad Tanveer Sajid, Muhammad Ayyub,
Gitelman syndrome (GS) is the most frequently inherited renal salt-wasting tubulointerstitial disease. It follows variable but usually asymptomatic benign course. We present a rare case of GS that remained clinical enigma. A 22-year male presented with se ...
Hyperoxaluria After Renal Transplantation
Waqar Ahmed, Abad Ur Rehman, Sumit Acharya,
Primary hyperoxaluria is a rare autosomal recessive disorder, characterised by precipitation of insoluble oxalate crystals in the joints, kidneys, heart, eyes, skin, nerves, and bone marrow. The patients of primary oxaluria usually present with renal sto ...
A Rare Fetal Firearm Injury
Imran Hashim, Nabila Talat,
Firearm injury (FAI) in pregnant women is reported in the literature; however, no reference to date was found to address the neonatal abdominal surgery performed after maternal FAI. FAI during fetal life is extremely rare and very few cases have been repo ...
Neonatal Appendicitis As A Rare Cause Of Intestinal Perforation In A Preterm Neonate
Seda Yilmaz Semerci, Dilek Kurnaz, Aslan Babayigit, Burcu Cebeci, Gokhan Buyukkale, Merih Cetinkaya, Unal Guvenc, Ozge Kucur,
Intestinal perforation or inflammation due to appendicitis is rarely encountered in the neonatal period. The diagnosis may be delayed due to the lack of specific clinical symptoms and its rarity in this patient population. Early surgical treatment is the ...
Vanishing White Matter (vwm) Disease Presenting As Neuro-ovarian Failure
Abidullah Khan, Mohammad Humayun, Maimoona Ayub, Iqbal Haider, Fahad Ajmal, Syed Saad Shah,
A 19-year girl was admitted with a one-month history of worsening spastic paraparesis, cerbellar ataxia, visual decline and worsening headaches on a background of walking difficulty, progressive quadriparesis and migraine since the age of 10 years. She ha ...
Coexistent Mitral Stenosis And Multiple Sclerosis: An Unprecedented Case
Ali Zohair Nomani, Irfan Ullah Khatak, Mansoor Iqbal, Haris Majid Rajput, Sumaira Nabi,
Mitral stenosis is a valvular heart disease characterised by narrowing of mitral orifice. It can lead to a dilated left atrium with atrial fibrillation culminating into thrombus formation. Patients with mitral stenosis, presenting with stroke-like episode ...
Disseminated Intravascular Coagulation Developing After Cranioplasty
Wenming Wang, Hua Liu, Jian Yang, Yafang Shen,
Disseminated intravascular coagulation (DIC) developing after cranioplasty, a skull reconstructive surgical procedure, is very rare. The presently reported patient underwent cranioplasty for cranial trauma under general anaesthesia using titanium prosthes ...
Amniotic Fluid Embolism
Tayyab Mohyuddin, Shahbaz Sarwar, Dawar Ayyaz,
We report a case of 34-year patient who had uncomplicated elective caesarean-section. Postoperatively, she developed sudden hypotension, bradycardia, dyspnea and disseminated intravascular coagulation (DIC), all signs associated with amniotic fluid emboli ...
Cardiac Amorphous Tumour (cat) Presenting With Thrombocytopenia
Afra Samad, Arbaz Samad, Khurram Shafique,
Cardiac calcified amorphous tumour (CAT) is a rare non-neoplastic lesion with only a few cases reported in literature. We present an interesting case of CAT that was associated with unexpectedly low platelet count. A 40-year man presented with shortness o ...
Symptomatic Fetal-type Cardiac Rhabdomyoma
Seyma Kayali, Vehbi Dogan, Nilüfer Arda, Ilker Ertugrul, Senem Özgür, Utku Arman Örün, Murat Koç, Selmin Karademir,
Rhabdomyomas are the most common primary cardiac tumors, especially seen during early periods of childhood. Fetaltype rhabdomyoma is a benign tumor described almost always in extracardiac locations. Although the natural history of the cardiac rhabdomyoma ...
Ocular Features In A Case Of Nevus Of Ota
Murtaza Sameen Junejo, Muhammad Saim Khan, Ahsan Mukhtar,
Oculodermal melanocytosis, also known as Nevus of Ota, is a hamartomatous melanocytic nevus of dermal melanocytes. It presents as a bluish grey patch on the face, which may be congenital or acquired involving the area of distribution of the ophthalmic and ...
Opacification Of A Hydrophilic Acrylic Intraocular Lens
Yezhen Yang, Manqiang Peng, Yiqin Duan, Xuetao Huang, Kuanshu Li, Ding Lin,
Opacification of a hydrophilic acrylic intraocular (IOL) lens is a rare phenomenon. We herein report a case of a 57-year man complaining of decreased vision at left eye for the last 4 months. He had undergone phacoemulsification with IOL implantation 2 ye ...
Congenital Orbital Teratoma With Unilateral Proptosis
Rubina Gulzar, Ruqaiya Shahid, Talat Mirza,
Teratoma is a rare tumor, containing structures originating from all three germinal layers. The most frequent location of teratoma is the gonads. Orbital teratoma is extremely rare. In 1969, Jensen reported that only 40 cases of orbital teratoma existed i ...
Levetiracetam Induced Increase In Creatine Phosphokinase Levels
Naila Shahbaz, Syed Muneeb Younus, Sohaib Ahmed Khan, Qurrat -ul- Ain, Mudassir Ahmed Khan, Mohammad Hassan Memon,
Levetiracetam is an antiepileptic drug used for the treatment of generalised or partial seizures, either alone or in a combination therapy. Adverse effects have been reported with its clinical use, including headache, dizziness, liver failure etc. A rare ...
Bilateral Ureteral Duplication Of Complete Left And Incomplete Right Side With Lower Pole Kidney Stone
Selahattin Caliskan,
Bilateral ureteral duplication is a very rare anomaly, a result of two separate ureteric buds arising from a mesonephric duct. Most of the patients are asymptomatic and diagnosed incidentally. Recurrent urinary tract infections, incontinence, haematuria, ...