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 2 | Year 2024
From the Chief Editor’s Desk

By Khalid Masud Gondal

Paediatric Maxillary Radicular Cyst: Surgical Strategies and Space Management

By Zainab Sohail Raja, Farah Mehmood, Syeda Ayesha Absar Hussain, Mohsin Fazal

ABSTRACT The most prevalent types of odontogenic cysts are radicular cysts, usually present adjacent to the apex of non-vital teeth, developing from epithelial rest cells of Malassez (ERM). They are the most common inflammatory cyst in the jaw but are uncommonly seen in paediatric maxilla with a pr...

Rectal Perforation Following High-Pressure Distal Colostogram: A Case Report

By Ameena Shahwar, Jawad Jahangir, Mudassar Fiaz, Laraib Rasul

ABSTRACT Pressure colostogram is an important investigation in patients of anorectal malformations with colostomy. It provides information about the type of anorectal malformation and the location of fistula, if any, thus helping in planning for a surgery. High-pressure distal colostogram-related pe...

Effective Use of High Flow Nasal Cannula in A High-Risk Endoscopic Procedure: A Case Report

By Muhammad Ali Asghar, Syed Muhammad Hussain Rizvi, Bushra Salim

ABSTRACT Tracheoesophageal fistula (TEF) is an uncommon and potentially fatal condition caused by an abnormal linking between the oesophagus and the trachea or bronchus. TEF is a relatively rare complication of esophagectomy with a reported incidence of 0.3%. Patients with TEF are at risk of malnutr...

Significance of Accurate Diagnosis and Optimal Management Approach for Bilateral Anterior Lenticonus

By Zia Ul Mazhry, Laiba Asif, Muhammad Abdullah Mazhry, Muhammad Saeed

ABSTRACT A 16-year boy sought a second opinion for bilateral, gradual, and painless visual impairment, initially diagnosed as keratoconus. Despite a previous clinical diagnosis, a careful examination and corneal topography excluded keratoconus. Distant direct ophthalmoscopy revealed a central symmet...

Blaschkoid Lichen Planus in an Eight-Year Female Child

By Aamir Habib, Abdul Qadir

ABSTRACT Linear lichen planus (LP), or more precisely Blaschkoid LP, is a rare manifestation of LP that occurs more often in children and adolescents. The term linear LP encompasses true linear LP which appears as linear plaques, zosteriform LP which appears in dermatomal pattern, and Blaschkoid LP ...

Ectopic Tracheal Bronchus Diagnosed on High-Resolution Computed Tomography: A Rare Entity

By Awais Abbas, Qalab Abbas, Naveed ur Rehman Siddiqui, Aniqa Abdul Rasool

ABSTRACT Ectopic tracheal bronchus, also known as a bronchial variant or accessory bronchus, is a rare congenital malformation. It refers to an abnormal bronchus originating as an additional tracheal outgrowth early in embryonic life, commonly from the lateral wall of trachea above the carina. It is...

A Paediatric Medical Mystery: Early Puberty and Sacrococcygeal Anomaly

By Versha Rani Rai, Sanagar Ali, Moshina Noor Ibrahim, Zubair Khoso Ahmed

ABSTRACT This case report presents the diagnostic journey and management of a 1-year male child who presented with precocious puberty (PP) and a swelling in the left hip region. PP is described as the development of pubertal changes at a younger age specifically before the age of 8 years in girls an...

Crossed Fused Renal Ectopia with Transitional Cell Carcinoma of Kidney: A Rare Association

By Aniqa Saeed, Muhammad Hammad Ather

ABSTRACT Crossed fused renal ectopia is a rare congenital fusion anomaly of the kidneys where one kidney is fused with the contralateral kidney. Most of the cases are asymptomatic and present as an incidental finding secondary to obstruction, stones, and tumours. Crossed fused kidneys do not need s...

Primary Hyperparathyroidism's Uncommon Presentation: Brown Tumours Mimicking Metastases

By Versha Rani Rai, Moshina Noor Ibrahim, Roomesa Farooq, Maira Riaz, Heeranand Rathore

ABSTRACT Primary hyperparathyroidism (PHPT) is a disorder marked by the hyperfunction of the parathyroid glands, causing excessive secretion of parathyroid hormone (PTH). PTH is vital for calcium and phosphorus balance, but in PHPT, overproduction disrupts this equilibrium, elevating serum calcium a...

An Unusual Presentation of Primary Ciliary Dyskinesia: A Case Report on Kartagener Syndrome

By Nauman Ijaz Bhatti, Ahmed Uzair, Sama Kamran, Zoha Toor, Osama Ahmed

ABSTRACT Primary ciliary dyskinesia (PCD) is an autosomal recessive condition characterised by abnormal ciliary motion, leading to impaired mucus clearance resulting in recurrent sinopulmonary infections, otitis media, and infertility. Kartagener syndrome (KS), a subset of PCD, presents with situs i...

An Unconventional Approach to Treating Atypical Acute Gangrenous Cholecystitis

By Bin He, Shan Gao

ABSTRACT Acute calculus gangrenous cholecystitis is always treated with Laparoscopic Cholecystectomy (LC) following magnetic resonance cholangiopancreatography (MRCP) or limited LC after percutaneous cholecystostomy tube. In rare cases, MRCP cannot be performed preoperatively due to metal hemostatic...

Epidermodysplasia Verruciformis in a Girl Born to a Xeroderma Pigmentosum Mother: An Unusual Presentation

By Zainab Qadir, Najia Ahmed, Ammara Hameed, Tariq Mahmood Malik

ABSTRACT Epidermodysplasia verruciformis (EV) and xeroderma pigmentosum (XP) both are examples of genodermatoses. Although no association is identified between XP and EV in the literature, both are genetic disorders with cutaneous manifestations and related to mutations in DNA repair genes. We descr...

Lumpy Glomus Tumour: An Atypical Location and Presentation

By Atif Rafique, Ambreen Arshad, Sharafuddin Aisha Abdulwahab, Syed Yasin Kadri

ABSTRACT We present a case of a 15-year girl, right-hand dominant, who presented with soft tissue swelling with intense pain localised to the ulnar aspect of the right thumb. The swelling was highly sensitive to touch and the pain was unbearable at night. The patient’s past medical and surgica...

A Rare Presentation of Omental Cyst as Inguinal Hernia in A 10-Month Boy: A Case Report

By Maliha Nadeem, Sajid Iqbal Nayyar, Hamza Malik, Imran Hashim, Nabila Talat

ABSTRACT An omental cyst is a benign proliferation of lymphatic tissue. Its wall lacks smooth muscle and lymphatic spaces. It usually arises from the greater or lesser omentum. The classical presentation is partial intestinal obstruction combined with a palpable, freely movable abdominal mass. The o...

Hypereosinophilia Associated with Disseminated Cryptococcus Infection in an Immunocompetent Child: A Case Report

By Anjly Ahuja, Eraj Aftab, Rija Rizvi, Naila Raza, Suman Raj

ABSTRACT Cryptococcal infection is a common opportunistic fungal infection, mostly affecting immunocompromised people, and is usually associated with HIV infection. In immunocompromised individuals, it is the world’s second leading cause of death after tuberculosis. The infection rate in immun...

Gastrointestinal Stromal Tumour Associated with Neurofibromatosis Presenting as Multiple Intra-Abdominal Masses: A Case Report

By Nuzhat Faqir Hussain, Tayyab Naeem, Arham Amir, Amir Jamil

ABSTRACT Gastrointestinal stromal tumours (GISTs) exhibit uncontrolled growth in the digestive system's stromal tissue, posing diagnostic challenges due to diverse symptoms. Often stemming from KIT or PDGFRA gene mutations, the spindle cell type is predominant among GISTs. A 51-year female prese...

Curschmann’s Spirals in Pleural Effusion in a 66-Year-Old Male with a History of Gastric Signet Ring Cell Adenocarcinoma with No Evidence of Metastasis

By Xinping Liang, Jinlian Song, Wenjie Li, Zhenni Wang

ABSTRACT We performed a cytologic examination of pleural fluid smear with Wright's stain and observed the features of the sample under a microscope to investigate the significance of finding Curschmann’s spirals (CSs) in pleural effusions. We found a large number of neutrophils alongside ...

A Curious Radiological Presentation of a Rare Case: Herlyn-Werner-Wunderlich Syndrome

By Muhammad Tahir Khan, Rewati Raman, Mahwish Shoaib, Gohar Jahangeer

ABSTRACT An uncommon and intriguing radiological representation of Herlyn-Werner-Wunderlich syndrome (HWW), a rare Mullerian duct anomaly, is presented in this case report. Uterine didelphys, obstructed hemivagina, and ipsilateral renal agenesis are the three characteristics that define HWW. This ca...

An Unusual Presentation of Hepatocellular Carcinoma: A Case Report

By Wasif Farman, Muhammad Kamran Khan

ABSTRACT Hepatocellular carcinoma (HCC) is increasing in incidence in Pakistan due to the high prevalence of hepatitis B and C virus infections. Majority of cases present at the advanced stage and are out of the curative treatment options. Local invasion into the biliary ducts and involvement of adj...

Primary Small Cell Carcinoma of the Breast Combined with Invasive Ductal Carcinoma: A Case Report

By Yuqi Huang, Joyce Wai-Ting Chiu, Si Shen, Nana Pei, Wei Zhang

ABSTRACT Primary small cell carcinoma (SmCC) of the breast is a rare type of breast cancer (BC) and a histological subtype of neuroendocrine BC. There is no standard treatment method, and the prognosis is unknown. It needs to be differentiated from lung metastases. Here, we report a case of a 52-yea...

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