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

A Suspected Case of COVID-19 with High Altitude-associated Massive Pulmonary Embolism and Right Ventricular Clots

By Ammad Akram, Mehwish Gilani, Khurshid Muhammad

ABSTRACT Pulmonary Embolism (PE) is an elusive entity that has long baffled physicians. At times, it can present as a diagnostic and therapeutic challenge. The aim of this report is to emphasise that high altitude is one of the risk factors for PE. Physicians must keep a high index of suspicion for ...

Omphalomesenteric Duct Fistula: A Rare Manifestation of Omphalomesenteric Duct Anomalies

By Ayesha Tanveer, Muhammad Imran Ibrahim, Tayyaba Nisar, Muhammad Zain Arshad, Humaira Amir

ABSTRACT Omphalomesenteric duct (OMD) anomalies occur as a result of resorption failure during gestation. Various forms of OMD anomalies are documented depending upon the degree of resorption (complete or partial) including Meckel’s diverticulum, fistulas, fibrous bands, and cysts to umbilical...

A Rare Chemical, Biological, Radiological, and Nuclear Hazards Event: Asphalt Burns

By Orhan Delice, Halil Ibrahim Doru

ABSTRACT Chemical injury in chemical, biological, radiological, and nuclear hazards (CBRN) occurs as a result of exposure to chemical warfare agents or chemical substances after a work accident. Asphalt is a chemical substance and asphalt burns occurring after a work accident are an example of these...

Total Intravenous Anaesthesia vs. Inhalational Agents in a Patient with Autoimmune Liver Disease

By Javeria Bakhtawar, Sheema Siraj, Hussaini Sulaiman

A Unique Case of Dark Brown Plasma: Why Colour Variation should be Reported

By Nayab Afzal

ABSTRACT The normal physiological colour of plasma and urine ranges from yellow to straw-coloured. In this case report, we describe the occurrence of unusual, dark brown-coloured plasma and cola-coloured urine in a 42-year-man admitted to the Emergency Department. The patient presented with high-gr...

Hashimoto's Encephalopathy Presenting with Status Epilepticus and Mental Disorder as the Main Manifestations

By Lei Peng

ABSTRACT Hashimoto’s encephalopathy (HE) is an uncommon disease. It is easily misdiagnosed as many clinicians have an insufficient understanding of it. The clinical presentation, auxiliary examination, diagnosis, and treatment of a patient with HE were retrospectively analysed, and the releva...

A Rare Cause of Gastrointestinal Bleeding: Successful Repair of a Primary Aorto-enteric Fistula

By Faizan Nihal, Talha Kareem, Omer Ehsan, Muhammad Iqbal Khan, Talha Tariq

ABSTRACT Aorto-enteric fistula is a surgical emergency with potentially deadly results. Urgent surgical exploration and repair can lower mortality by 50%. Retroperitoneal fibrosis, mycotic aortic aneurysm, and infectious aortitis can mimic this condition on imaging and lead to unfavourable outcomes...

Abdominal Wall Abscess Secondary to Spilled Gallstones 20 Years after Laparoscopic Cholecystectomy

By Rubiya Ali, Asia Mohammad Azam, Uzair Yaqoob, Lubna Habib

ABSTRACT This case report describes an intra-abdominal and abdominal wall abscess formation in a 53-year male. The abscess developed 20 years after an uncomplicated laparoscopic cholecystectomy. He presented to multiple clinics with complaints of abdominal swelling and pain and had been prescribed m...

Thrombocytopenia Caused by Iron Infusion in a Patient with End-Stage Kidney Disease

By Shaheen Bibi, Kunwer Naveed, Abdul Haq

Ingestion of Multiple Keys in a 12-Month-Old Infant: Management of Oropharyngeal Foreign Body

By Muhammad Mohsin Sajjad, Hamid Shahzad

Asynchronous Bilateral Ovarian Torsion: A Case Report and Review of Literature

By Shaista Afzal, Imrana Masroor, Kulsoom Fatima, Aliya Begum Aziz

ABSTRACT Ovarian/adnexal torsion is a rare gynaecological emergency presenting with nonspecific signs and symptoms mimicking other causes of acute abdomen. Asynchronous bilateral ovarian torsion is even rarer but has serious implications as it may potentially lead to castration. Traditionally, ovari...

Multiple Brain Abscesses and Mycotic Aneurysm in a Patient with Lupus Nephritis: A Challenging Diagnosis and Treatment Course

By Saba Zaidi, Fariha Mazhar, Ermish Mahfooz

ABSTRACT Central nervous system (CNS) septic embolisation is an uncommon but life-threatening condition. Clinicians should be aware of the increased risk of this complication in immunocompromised patients such as those suffering from lupus nephritis (LN). In cases of unexplained fever or neurologic ...

Unusual Allergic Reaction to Intralesional Bleomycin in Periocular Haemangioma

By Saba Alkhairy, Nimra Akram

ABSTRACT Capillary haemangiomas are the most common periocular tumours among children. Most of them resolve spontaneously. The most common indication for intervention is visual impairment. Intralesional bleomycin injections have been used successfully to treat periocular haemangiomas resistant to co...

Diagnostic Overlap of Brain Abscess Symptoms with Methamphetamine Withdrawal Symptoms

By Serbulent Kilic, Hasan Burak Kaya, Ridvan Sarikaya, Fatma Mutlu Kukul Guven

ABSTRACT From the perspective of forensic medicine, substance abuse is an important topic due to its nature and consequences. The usage of methamphetamine is a significant public health problem with deleterious side effects, one of the most serious of which is mimicking central nervous system infect...

Unusual Presentation of Colonic Carcinoma as a Psoas Abscess

By Ubaid Ullah, Syed Majid Ali Shah

ABSTRACT A psoas abscess, also known as an iliopsoas abscess (IPA), is a collection of pus in the iliopsoas muscle compartment of the pelvis. It can present with vague clinical symptoms, which results in a delay in its diagnosis. The aetiology depends on demographic areas, but the most common cause ...

Static and Dynamic Pupillometry in 2q37 Microdeletion Syndrome in a Turkish Child

By Turkoglu Ceren

ABSTRACT The current study aimed to evaluate a child with dysmorphism and attention-deficit/hyperactivity disorder with cyto- and molecular genetic testing and automated pupillometry. The genetic analysis detected a 4337 kb deletion in 2q37 and a 34 mb duplication in the 4q32 region. The karyotype w...

Endodontic Management of Type 2 Dens Invaginatus Using Endosequence Bioceramic Root Repair Material

By Sarang Suresh, Muhammad Muzamil Alvi, Feroze Ali Kalhoro, Priya Rani Harjani, Mahwish Memon

ABSTRACT This study reports a case of a 16-year male patient with a palatal swelling and a non-vital maxillary left lateral incisor. The patient was diagnosed with pulp necrosis and radicular cyst of UL2 with a lesion size of more than 15 mm, an open apex, and a type 2 dens invaginatus using Cone Be...

Uncommon Presentation of Coffin-Siris Syndrome with Epilepsy Carrying SMARCC2 Nonsense Mutation

By Xiufeng Wang, Lin Fu, Yanling Zhang, Ruixue Sun, Yi-ling Liu, Weixiao Liu

ABSTRACT Coffin-Siris syndrome (CSS) is a rare genetic disease. At present, there are no relevant guidelines or consensus reports on the diagnostic criteria for CSS. Due to its rarity, there is a high probability of underdiagnosis or misdiagnosis. Genetic testing based on next-generation sequencing ...

An Atypical Case of Retropharyngeal Abscess in a Young Adult Male: A Rare Entity

By Syed Qasim Hashmi, Umer Shoaib, Faizan Muhammad, Afifa Jamil, Sadaf Zia

ABSTRACT Retropharyngeal abscess (RPA) is primarily considered to be a disease of children. It is a rare entity in adults. According to several studies, more than 95% of the cases occur in children under the age of 6 years, mostly resulting from extension of preceding nasopharyngeal infections to th...

Primary Hepatic Neuroendocrine Tumour: A Rare Entity

By Nida Rasool, Zain Majid, Kiran Bajaj, Abbas Ali Tasneem, Nasir Luck

ABSTRACT Hepatic neuroendocrine tumours (NETs) are of infrequent occurrence and account for less than 0.3% of all NETs. The authors hereby describe the case of a young female, who presented with abdominal pain, fever, and weight loss. CT scan abdomen showed a large tumour in the liver, with areas of...

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