JCPSP Special Supplement of Case Reports :

November 2016, Vol :26, No.11

CASE REPORT :

Mahaim Tachycardia Induced Cardiomyopathy
Ibrahim Gul, Qamaruddin Roziman, Aamir Hameed Khan,
We present the case report of a 22-year man, with incessant palpitations, chest pain, shortness of breath, and pulsations in his neck for the past 7 months. He was referred to the cardiology unit for workup of wide complex tachycardia (WCT). His echocardi ...
Two Congenital Left-to-right Shunt Anomalies In A Septuagenarian: Arare Occurrence
Hunaina Shahab, Sonia Yaqub, Aamir Hameed Khan,
Atrial septal defect (ASD) and patent ductus arteriosus (PDA) are common congenital anomalies presenting in childhood. Life expectancy of an uncorrected PDAis shortened to half; and ASD of a significant size has increased morbidity and mortality. Their co ...
Atresia Of The Descending Aorta In A Young Woman Requiring Bypass Graft
adcasdc sadfasdf dsc, Ammarah Mashhood, Taimur Asif Ali, Saulat Hasnain Fatimi,
Congenital aortic atresia is a malformation accounting for 4 - 6% of all congenital heart diseases in children. Left ventricular outflow obstruction due to atresia is common at the aortic valve but rarely has atresia been identified in the descending aort ...
An Unusual Cause Of Asystole: Insertion Of A Central Venous Catheter
Harun Gunes, Elif Nisa Unlu, Ozlem Suzer, Abdullah Ibrahim, Ahmet Afacan, Ayhan Saritas, Hayati Kandis,
Central venous catheters are a commonly used medical device which may sometimes cause complications. We present first case who had an asystolic cardiac arrest during insertion of a central venous catheter, needed cardiopulmonary resuscitation (CPR), and w ...
New-onset Type 2 Diabetes And Virilization In A Benign Sex Cord Tumor
Firouzeh Feiz, Afsaneh Tehranian, Somaye Sadat Heidary, Akram Seifollahi,
The stromal leydig cell tumor (SLCT) is a very rare benign tumor of ovary which occurs more often in young women in reproductive age. In this report, we describe a SLCTin a postmenopausal woman with high level of testosterone and triggering of type 2 diab ...
A Novel Technique For Detection And Suturing Of Biliary Fistula In A Giant Hydatid Cyst: Video-assisted Biliary Fistula Suturing In Hydatid Cyst
Ali Ezer, Alper Parlakgumus,
Hydatid disease remains an important health problem in endemic areas; and by the way of travel and immigration, it can also be encountered in non-endemic areas. The most common cases with complications following hydatid liver surgeries are biliary fistula ...
Sporadic Case Of Peutz-jeghers Polyp In A 14-year Boy
Naheed Sultan, Rabbiya Ali,
Peutz-Jeghers syndrome (PJS) is an autosomal dominant hamartomatous polyposis of the gastrointestinal tract, with pigmentation around lips, the buccal mucosa, and anal area. Patients have a strong family history. Patients of PJS present with abdominal pai ...
Quadro-cornuate Uterus
Yasmeen Nauman, Samia Husain,
Congenital malformations of the female genital tract are a group of miscellaneous deviations from normal anatomy with diverse spectrum. Mullerian anomalies are thought to be present in 0.5% of female population. Three quarter of women remain asymptomatic, ...
Philadelphia Chromosome Positive De Novo Acute Myeloid Leukemia
Arif Moin Quraishi, Muhammad Akram, Sarah Saeed, Muhammad Tahir,
Philadelphia chromosome positive de novoacute myeloid leukemia (AML)is a rare disease with reported incidence of less than 1% of newly diagnosed cases of AML. Outcome of the disease is poor, owing to its resistance to conventional chemotherapy and variabl ...
Atypical Chronic Myeloid Leukemia, Bcr-abl1 Negative, In A 5-month Baby – Arare Presentation
Nazish Saqlain, Nisar Ahmed,
Atypical chronic myeloid leukemia (aCML) is a neoplasm with poor prognosis, characterized by myeloid hyperplasia, dysmyelopoiesis and absence of BCR-ABL1 gene. Clinically, the disease course may be similar to chronic myeloid leukemia (CML), BCR-ABL1 posit ...
Paroxysmal Nocturnal Haemoglobinuria Type Iii Presenting As Portal And Mesenteric Vein Thrombosis In A Young Girl
Shahzad Sarwar, Monazza Chaudhry, Natasha Ali,
Paroxysmal nocturnal haemoglobinuria (PNH) is a rare, acquired, life-threatening haematological disorder. It is characterised by complement induced haemolytic anaemia, thrombosis and impaired bone marrow function. Thrombosis most commonly occurs in the he ...
Stafne Bone Cavity Complicated By Periapical Infection
Fethi Atil, Mehmet Zahit Adisen, Melda Misirlioglu, Berkay Tolga Suer,
Stafne bone cavity (SBC) is an uncommon lesion of the mandible; and generally found incidentally on routine radiographic examinations. The radiographic differential diagnosis of SBC includes a variety of lesions including odontogenic cysts, benign tumors, ...
Concurrence Of Torus Palatinus, Torus Mandibularis And Buccal Exostosis
Sarfaraz Khan, Syed Asif Haider Shah, Farman Ali, Dil Rasheed,
Torus palatinus (TP), torus mandibularis (TM), and buccal exostosis are localised, benign, osseous projections, occurring in maxilla and mandible. Etiology is multifactorial and not well established. Tori and exostoses have been associated with parafuncti ...
Permanent Neonatal Diabetes (dend Syndrome)
Sabeen Abid Khan, Arit Parkash, Mohsina Ibrahim,
DEND syndrome is a very rare syndrome of permanent neonatal diabetes mellitus, with an incidence of < 1/1000,000. It is defined as a triad of developmental delay, epilepsy, and neonatal diabetes. We report the case of a 9-month infant girl who presente ...
Spontaneous Rupture And Dissection Of Aspergillus Infected Arteriovenous Fistula
Syed Nayer Mahmud, Behzad Kaleem Baloch,, Muhammed Safdar, Muhammed Saeed,
Patients with end stage renal disease need a vascular access like arteriovenous (AV) fistula, AV graft or central venous catheter for hemodialysis. However, AV fistula can be complicated due to infection, stenosis, ulceration etc. Among these, spontaneous ...
Bilateral Intractable Trigeminal Neuralgia Due To A Prepontine Epidermoid Tumour: An Unlikely Duo
Muhammad Junaid, Mamoon Ur Rashid, Afeera Afsheen, Ayesha Tahir, Syed Sarmad Bukhari, Anisa Kalsoom,
Prepontine epidermoid is a rare congenital tumour which arises during 3rd - 5th week of embryogenesis due to incomplete separation of neuroectoderm from surface ectoderm. This is slow growing benign tumour with late presentation in adult life. The clinica ...
Spontaneous Uterine Rupture Due To Placenta Percreta In A 17-week Twin Pregnancy
Fariha Farooq, Rashid Siraj, Sibtain Raza, Nadia Saif,
Spontaneous rupture of previous uterine scar due to placenta percreta in early second trimester is a very rare and serious complication. A27-year fourth gravida, second para with previous two lower segment caesarean sections, presented at 17-week of twin ...
Pregnancy In A Treated Case Of Ectopia Vesicae
Fazeela Shahzad, Shazia Khalid Khan, Madiha Siraj,
The patient was born with bladder exstrophy and underwent multiple surgeries for its correction. Finally, she had ureterosigmoidostomy at the age of 9 years, which ultimately led her to live till reproductive age. The children born with this defect are ca ...
Cystic Pleural Synovial Sarcoma
Atif Sharif, Tasleem Akhtar, Mumtaz Akhtar, Naeem Zia,
Fewer than 40 cases of primary pleural synovial sarcoma have been reported so far with only 3 cases of cystic synovial sarcoma including cases originating from sites other than the pleura. Here, we present an exceedingly rare case of cystic synovial sarco ...
Diagnosis And Therapy Of Ectopic Hepatocellular Carcinoma Growing In The Intrahepatic Bile Duct
Min He, Haolu Wang, Fu Ji, Kewei Li, Tao Chen, Jian Wang,
A 63-year male was admitted with abdominal pain, fever and jaundice. The contrast-enhanced computed tomography, magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiography showed a mass in the hepatic hilar region with dilation o ...
An Unusual Metastasis Of Prostate Cancer To Duodenum
Sami Fidan, Gulgun Kocak, Evren Fidan,
Prostate cancer is the second most common cancer in men in the world. The presentation of this cancer may range from microscopic to metastatic forms. Patients with prostate cancer may experience metastasis to the gastrointestinal system. Here, we present ...
Disseminated Kaposi's Sarcoma In An Immunosuppressed Patient After Long-term Inhaled And Systemic Steroid Therapy
Shiyam Kumar, Ikram A. Burney, P.A.M. Saparamadu, Chandu de Silva,
Kaposi's sarcoma is associated with immunosuppressant treatment administered to patients with organ transplant and other immune related disorders. Several case reports have reported association of Kaposi's sarcoma and steroids. Almost all patien ...
Ophthalmological Features Of Machado-joseph Disease
Abdul Qayyum Rana, Danial Tahir Qureshi, Mujtaba Morshed, Zakerabibi M. Kachhvi, Mohammad A. Rana, Abdul Rehman M. Qureshi,
Machado-Joseph disease (MJD) or spinocerebellar ataxia type-3 (SCA3) is a rare and progressive neurodegenerative disorder, as well as the most frequently inherited spinocerebellar ataxia. It has extensive polymorphic features, described through a spectrum ...
Homocystinuria (hc) And Neurofibromatosis Type-1 (nf-1): An Unusual Presentation In A Child
Muhammad Amer Yaqub, Muhammad Saim Khan, Asad Habib,
Homocystinuria (HC) and neurofibromatosis type-1 (NF-1) are two genetically determined conditions with variable clinical manifestations. HC is a neurocutaneous autosomal recessive condition while NF-1 is an autosomal dominant phacomatosis. Both HC and NF- ...
Unilateral-external Ophthalmoplegia: Arare Presentation Of Myasthenia Gravis
Muhammad Saim Khan, Asad Habib, Imran Basit,
Myasthenia gravis (MG) is a disease of autoimmunity with variable and diverse clinical presentations. The target tissue is neuromuscular junction of skeletal muscles, where efficient nerve impulse transmission is hampered leading to less effective muscle ...
Obturator Internus Abscess With Ipsilateral Septic Hip Arthritis
Sang Hyun Park, Joo Yong Kim, Gyu Min Kong, Sang Myung Roh,
Obturator internus muscle (OIM) abscess is an uncommon condition often mistaken for bacterial infection of the hip joint. If the OIM abscess is accompanied by a septic hip, it becomes more difficult to make a diagnosis. Surgical drainage of OIM abscess is ...
Context-specific Activity Repetition Training For Functional Outcome In Stroke Rehabilitation
Misbah Ghous, Arshad Nawaz Malik,
Task-oriented, activity repetition training brings a marked improvement in stroke individuals. Maximum repetitions of taskoriented training in stroke patients can be achieved easily in a therapy session. The subject of this report exhibited limitations of ...
A Rare Neuropsychiatric Presentation Of Adult-onset Wilson's Disease
Ather Muneer,
Wilson's disease is characterised by deposition of copper in various tissues of the body, most markedly in the liver and the brain. Cerebral involvement, evident as neuropsychiatric symptoms, may be the presenting form of the illness in up to 50% of ...