Aims & Scope

Journal of College of Physicians and Surgeons Pakistan Case Reports is a peer-reviewed online-only journal by the College of Physicians and Surgeons Pakistan (CPSP). The journal publishes original case reports in all fields of Medical Sciences. The purpose of JCPSP Case Reports is to provide clinicians and researchers, in particular postgraduate trainees and fellows of CPSP, a forum to publish their unique experiences to a wide readership for the advancement of clinical acumen.

Latest Articles
Volume 1 | Year 2023
Launch of a New JCPSP Companion Journal Dedicated to Case Reports

By Khalid Masud Gondal

Anaesthetic Management of a Child with Propionic Acidemia

By Sheema Siraj, Fauzia Khan

ABSTRACT Propionic acidemia (PA) is an inherited autosomal recessive disorder of metabolism caused by a deficiency of propionyl CoA carboxylase, an enzyme that catalyses the conversion of propionyl CoA (PCA) to methylmalonyl CoA, inside the mitochondria, leading to inadequate metabolism of propionyl...

Endometrial Stromal Sarcoma with Cardiac Metastasis

By Sema Turker, Deniz Suha Kucukaksu, Vedat Bakuy, Saime Ramadan, Ozlem Yenidunya

ABSTRACT Cardiac metastases are the most common cardiac tumours.  Any malignant tumour can metastasise to heart, but the most common causes of cardiac metastases are melanoma, lung, breast, oesophageal, and haematological malignancies. Endometrial stromal sarcoma (ESS) is a very rare endometria...

Heterotopic Pregnancy: A Case Report of Intrauterine Mole with Tubal Pregnancy

By Wang Ruoxi, Zhang Yiwei, Liang Jun, Li Yi, Wang Jian

ABSTRACT We report a rare case of intrauterine molar pregnancy along with ectopic tubal pregnancy. A 33-year woman who had never been pregnant had an ultrasound (US) after 70 days of amenorrhea suggesting partial hydatidiform mole, with a history of ovulation promotion and pathologically confirmed c...

Subacute Cutaneous Lupus Erythematosus in a Patient with Mixed Connective Tissue Disease

By Nauman Ismat Butt

ABSTRACT Mixed Connective Tissue Disease (MCTD) is an overlap syndrome of mild severity and good outcome. This disease consists of clinical features overlapping between Systemic Lupus erythematosus (SLE), scleroderma, rheumatoid arthritis, and polymyositis, in the presence of specific anti-RNP antib...

Bombay Blood Group: An Incidental Discovery in a Family

By Sarah Fatimah, Asad Mahmood, Nargis Sabir, Rehan Ahmad Khan Lodhi, Tahir Ghafoor

ABSTRACT Bombay phenotype is an uncommon blood type. It is found in approximately 1 in 10,000 people in the Indian subcontinent and approximately 1 in 1,000,000 in Europe. The lack of the H antigen (foundation stone of the ABO blood system) on red blood cells (RBCs) and in secretions is the hallmark...

Malignant Phyllodes Tumour with Osteoclast-type Giant Cells in Young Females: A Rare Histology and Differential Diagnoses

By Saman Muhammad Amin, Alka Rani, Madiha Bilal Qureshi, Naila Kayani, Aisha Memon, Nasir Uddin

ABSTRACT Phyllodes tumour (PT) is a biphasic fibroepithelial tumour of the breast that accounts for 0.3-1% of all primary breast neoplasms. It is subdivided into benign, borderline, and malignant categories based on histologic features including stromal overgrowth, stromal hypercellularity, mitotic...

Pathological Fracture of Humerus as Initial Presentation of Infiltrative Follicular Subtype of Papillary Thyroid Microcarcinoma

By Nazneen Liaqat, Samra Shabir, Israr Uddin, Ihtisham ul Haq, Shakir Ullah

ABSTRACT Papillary thyroid microcarcinomas (PTMCs) are subcentimetre papillary carcinomas with benign behaviour. Infiltrative follicular subtype of PTMC (IFPTMC) is considered an indolent lesion with propensity to nodal metastasis. Here, we report a case of unifocal IFPTMC with no lymphadenopathy, p...

A Rare Case of Aortoenteric Fistula: Secondary Aortoesophageal Fistula

By Hasan Huseyin Zorlu, Burcu Ozkan, Kadir Kubat

ABSTRACT Although aortoenteric fistula has been recognised for more than 50 years and has been rapidly diagnosed and treated, mortality is still very high due to some serious complications such as sepsis or massive haemorrhage. It has been traditionally classified into two groups; primary (PAEF) and...

Type B Aortic Dissection Converted into Type A Aortic Dissection

By Wardah Saleem, Furqan Ahmed Raheel, Fayaz Iqbal

ABSTRACT A young patient presented to the emergency room (ER) with Type B aortic dissection and ascending aorta aneurysm. He was planned for medical optimization, close surveillance, echocardiography, and ascending aorta replacement on an urgent basis. His surveillance echocardiogram 2 days later re...

Challenging Pain Management in a Patient with Trigeminal Neuralgia Secondary to Multiple Sclerosis

By Muhammad Yasir, Azhar Rehman

ABSTRACT Patients suffering from multiple sclerosis (MS) often develop neuropathic pain. Trigeminal neuralgia (TN) is the most common type in these patients. The pain is characterised by recurrent, unilateral, brief, electric shock-like episodes, abrupt in onset and termination, and limited to the d...

Chronic Congenital Diarrhoea Linked to DGAT 1 Mutation

By Awais Abbas, Qalab Abbas, Ume-Farwah Zahidi, Danish Abdul Aziz

ABSTRACT Chronic diarrhoea causes morbidity and mortality in low-income countries in the paediatric population. There are many causes of chronic diarrhoea, including diacylglycerol o-acyltransferase 1 (DGAT1) deficiency, an enzyme deficiency, caused by the DGAT1 gene mutation, that leads to accumula...

Striae Distensae Mimicking Physical Child Abuse

By Serbulent Kilic, Recep Fedakar, Melih Yuksel

ABSTRACT Differentiating between benign cutaneous manifestations and lesions from inflicted injuries is not always simple. A 14-year boy was admitted to our Forensic Medicine Clinic for the preparation of a medico-legal report requested by the prosecution office. On inspection, there were 10 violace...

The Risky Side Effects of Eating Hairs: A Case of Gastric Perforation from Trichobezoar

By Imtiaz Ahmed Qureshi, Mumtaz Ahmed Qureshi, Ali Hasham Zaki, Iqra Aslam, Mansha Hassan

ABSTRACT Trichobezoar is a rare and potentially dangerous surgical condition in which patients swallow their own hair, often as a result of trichotillomania or trichophagia. This case report focuses on a 12-year female who experienced abdominal pain, anaemia, and gastric perforation due to her menta...

Malignant Transformation of Vestibular Schwannoma at First Occurrence without Prior Irradiation

By Madiha Syed, Usman Hassan

ABSTRACT Intracranial malignant peripheral nerve sheath tumours (MPNST) arising from the vestibulocochlear nerve are quite rare. Due to the increasing use of stereotactic radiosurgery worldwide for benign intracranial lesions, the literature available has primarily focused on the post-radiotherapy m...

Transfusion-associated Graft versus Host Disease: A Certain but Avoidable Cause of Death

By Sarah Fatimah, Asad Mehmood, Nargis Sabir, Rehan Ahmed Khan Lodhi, Tahir Ghafoor

ABSTRACT Transfusion-associated graft versus host disease (TA-GvHD) is a rare complication of blood transfusion. It is a delayed transfusion reaction that usually presents from day 7 to day 14 following a transfusion. It can affect both immunocompromised as well as immunocompetent patients. In immun...

An Uncommon Gastrointestinal Manifestation of Systemic Lupus Erythematosus: Lupus Enteritis

By Aimun Raees, Zahabia Sohail, Om Parkash

ABSTRACT Systemic Lupus Erythematosus (SLE) is a chronic inflammatory disorder with heterogeneous presentation and clinical course. We present a case of a young female with an atypical presentation of SLE. A young woman with no known prior comorbidities presented with a history of chronic diarrhoea,...

A Rare Complication of Brucellosis: A Case of Acute Cholecystitis

By Yasemin Cakir

ABSTRACT Brucellosis is a common zoonotic disease in the world and in Turkiye. The disease is transmitted to humans through ingestion of unpasteurized animal milk products or direct contact with infected tissues or fluids. Brucellosis typically presents with nonspecific symptoms such as intermitten...

Urinary Tract Infection in a Renal Transplant Patient by Myroides Species: A Case Report from Pakistan

By Riffat Bushra, Anam Imtiaz, Irfan Ali Mirza, Sakeenah Hussain Naqvi, Rabia Sajjad

ABSTRACT Myroides species are mostly considered to have low pathogenic potential causing infections in immuno-compromised patients; though, few cases of urinary tract infections (UTIs), bacteremia, pneumonia, endocarditis, ventriculitis, skin, and soft tissue infections have been reported. The two m...

Clinicopathological Features of Patients with Anti-NMDA Receptor Encephalitis: Experience from a Tertiary Care Centre in Pakistan

By Muhammad Zain Arshad, Dawood Ahmad, Muhammad Hussain, Muhammad Omair Riaz, Ayesha Tanveer

ABSTRACT Anti-N-Methyl-D-Aspartate Receptor (NMDAR) antibody encephalitis is a potentially lethal form of autoimmune encephalitis in which auto-antibody production occurs against the NMDAR, NR1 subunit, causing massive dysregulation of neuro-transmission. This syndrome is often paraneoplastic (ovari...

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