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Page #: 1-1
By Nauman Wazir, Ibrar Ahmed, Sibtain Qaiser
Page #: 60-62
ABSTRACT Primary hyperparathyroidism (PHPT) is the most frequent cause of hypercalcaemia. Surgical intervention with parathyroidectomy is the only curative option. Ectopic parathyroid adenomas (EPA) are challenging to localise before surgery and may result in persistent PHPT if not localised properl...
By Momina Mustafa, Nazneen Liaqat, Israr Ud Din, Parsa Mustafa, Junaid Aziz Qadri
Page #: 63-65
ABSTRACT Foreign body aspiration leading to tracheobronchial airway obstruction is a potentially life-threatening condition that needs immediate intervention through bronchoscopy. Flexible bronchoscopy is primarily a diagnostic procedure as it helps reach the distal airways with better visualisation...
By Nauman Wazir, Alamin Alkundi
Page #: 66-68
ABSTRACT Familial Hypocalciuric Hypercalcaemia (FHH), causing decreased activity of Calcium-Sensing Receptor (CaSR), is a rare genetic autosomal dominant condition. The abnormality causes mild hypercalcaemia with mildly elevated or normal parathyroid hormone (PTH) levels. FHH should be differentiate...
By Wasif Farman, Muhammad Kamran Khan, Aman Nawaz Khan
Page #: 69-71
ABSTRACT Complications are known to occur in hospitals where interventions are performed. Intravascular foreign body (IFB) embolisation is encountered in tertiary care settings. These include fragments and parts of catheters, wires, dislodged stents, coils, and intravascular glue. IFBs must be remov...
By Mohammad Hadif, Kashaf Fatima, Erum Shahzadi Malik, Muhammad Tariq Farman
Page #: 72-74
ABSTRACT Chronic thromboembolic pulmonary hypertension (CTEPH) is a type 4 pulmonary hypertension (PH) that results from chronic or repeated episodes of pulmonary emboli, leading to the formation of fibrous lesions from residual emboli. There is a potential risk of developing CTEPH after ventriculoa...
By Qudsiya Asif Afridi, Sajid Ali, Zofishan Anwar, Shahan Waheed
Page #: 75-77
ABSTRACT Linezolid, an antibiotic commonly used for multi-drug-resistant (MDR) bacterial infections, inhibits bacterial protein synthesis and growth and is widely used for treating methicillin-resistant Staphylococcus Aureus (MRSA). Common side effects include nausea, diarrhoea, neuropathies, and bo...
By Honglan Zou, Yang Mei, Ran Yunhong
Page #: 78-80
ABSTRACT Uterine rupture, although rare, is a serious complication of pregnancy with potentially devastating consequences for both mother and foetus. It most commonly occurs during the antepartum or peripartum periods, typically affecting the lower anterior segment of the uterus. Key risk factors i...
By Sarah Akram, Salman Raza, Irfan Elahi, Muhammad Anees, Rabia Arshad
Page #: 81-84
ABSTRACT Nocardia farcinica is an aerobic opportunistic gram-positive bacterium. It is known to infect mainly immunocompromised hosts, primarily affecting lungs and skin, leading to invasive lung disease and disseminated infection. It has a high relapse and mortality rate. However, it can also affec...
By Baixin Li, Ziyang Qiang, Tao Tao, Guojun Chen, Chengde Ren
Page #: 85-87
ABSTRACT Brucellosis is one of the most common zoonotic diseases in the world. The study reports a middle-aged man who presented with fever and testicular pain for unknown reasons, and the blood culture for Brucella was positive. Ceftriaxone treatment was started, and amikacin was added two days aft...
By Nazish Mughal, Hamza Bashir, Naveed Ahmed Mahar, Saboor Soomro
Page #: 88-91
ABSTRACT Primary squamous cell carcinoma (SCC) of the renal pelvis is a rare but recognised disease, representing 0.5–0.8% of all malignant renal tumours. Concomitant tuberculosis (TB) and SCC of the kidney have never been reported. We present a case of a 55-year male patient presenting w...
By Ubaid Ullah Khan, Mishal Imran, Hizb Ullah, Ruqia Tahir, Arshad Mehmood
Page #: 92-94
ABSTRACT Allograft rupture is a rare complication of renal transplant. The causes are acute rejection, acute tubular necrosis, or renal vein thrombosis. Salvage of the graft can be attempted but in most cases, graft nephrectomy is performed. Herein, we present a case of spontaneous renal allograft r...
By Mariam Shah, Maira Aslam, Aroosa Kanwal, Arsalla Naveed
Page #: 95-98
ABSTRACT A splenic abscess is a rare condition, and radiology is crucial for its diagnosis. We present a case of a 50-year man with a gunshot wound, causing injuries to the spleen, right kidney, left lung, and a fractured L1 vertebral body. The splenic injury was managed conservatively, however...
By Nosheen Sarwar, Sheharyar Akhtar Khokhar
Page #: 99-101
ABSTRACT Dental fluorosis is a condition caused by a high fluoride intake during the tooth developmental stage. It causes chalky white or brownish-yellow surface stains, significantly affecting the patient's aesthetics. Management of dental fluorosis includes dental bleaching, microabrasion, mac...
By Ubaid Ullah Khan, Mishal Imran, Ansar Ullah, Seerat Fatima, Arshad Mehmood
Page #: 102-103
ABSTRACT Subacute intestinal obstruction secondary to para-transplant hernia is a very uncommon postoperative complication. Its occurrence after living-related renal transplantation (LRRT) is very rare but a potentially serious complication. This case report describes the presentation, diagnosis, an...
By Noshaba Noor, Versha Rani Rai, Mohsina Noor Ibrahim, Maira Riaz, Roshia Parveen
Page #: 104-106
ABSTRACT Homozygous familial hypercholesterolaemia (HOFH) is characterised by decreased LDL receptor (LDLR) activity reducing the LDL cholesterol's ability to be cleared by the plasma. HOFH is associated with a substantially high risk of death due to cardiovascular problems if left untreated. Th...
By Syed Faizan Ali, Afifa Jamil, Sadaf Zia, Danish Ur Rahim, Irfan Ahmed Sheikh
Page #: 107-110
ABSTRACT Anaplastic large cell lymphoma (ALCL), ALK-positive, is an uncommon disease. It is an aggressive CD30-positive T-cell lymphoma with a chromosomal rearrangement and expresses the ALK gene and ALK protein. Malignancies in the head and neck region rarely occur in the ear. Hence, the initial pr...
By Abdul Rehman Israr, Annum Zamir, Muhammad Israr
Page #: 114-116
ABSTRACT Benign fibrous lesions are very common in the head and neck region and exhibit a variety of clinical and histologic features. Proliferative myositis is one such rare lesion. It is a benign fibroproliferative disease that develops rapidly within 1-3 weeks from onset, eventually resolving spo...
By Nazia Qamar, Zeeshan Shoukat, Madeeha Shahid, Muhammad Salman Zafar, Saira Tahir
Page #: 117-119
ABSTRACT Post-burn pyogenic granuloma is a rare entity. It is a variant of haemangioma that manifests after two to four weeks in burn wounds. The burn causes the skin and mucosa to vascularise intensely and rapidly, developing tissue that resembles haemangioma. We present a case of a young male with...
By Uzeyir Yilmaz, Gaye Boztepe Yilmaz
Page #: 120-122
ABSTRACT Paediatric vascular injuries, though rare, can cause severe morbidity and mortality. A two-year boy presented in hypovolaemic shock after an accidental gunshot wound. Doppler ultrasonography revealed superficial femoral artery transection and haematoma. Emergency surgery confirmed a complet...
By Muhammad Omer Farooq, Tariq Mukhtar Farani, Sohaib Ashraf, Kaukab Majeed, Paras Ibn Ali
Page #: 123-125
ABSTRACT Accumulation of chyle in the peritoneal cavity is known as chylous ascites. It mostly represents one of the early and serious complications after cardiothoracic operations and is rarely seen after blunt abdominal trauma. It is a rare condition having high mortality and morbidity rates. Due ...
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