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VOLUME 2, YEAR 2024

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


Posterior Mediastinal Mullerian Cyst (Hattori Cyst) in a Perimenopausal Woman: A Case Report and Review of the Literature

By Suha K. Kaaki, Sundus W. Hajjar, Fares S. Aldokhayel, Waseem M. Hajjar

ABSTRACT Several types of congenital cysts can be found in the mediastinum accounting for 12-30% of all mediastinal masses. Hattori was the first to describe a Mullerian cyst in the mediastinum in 2005. Mullerian cyst is a rare type of congenital cyst that can rarely arise in this location. Till now...


Breaking the Pain Cycle Successfully in a Woman with Chronic Pelvic Pain due to Anterior Cutaneous Nerve Entrapment

By Ali Sarfraz Siddiqui, Bal Chand Kukreja, Urooj Kashif

ABSTRACT Chronic pelvic pain in women has multiple aetiologies. An interdisciplinary approach is needed for accurate diagnosis and effective treatment. We present a case of the successful pain management of a 30-year female with anterior cutaneous nerve entrapment syndrome (ACNES) bilaterally below ...


Sedation Considerations in Leigh Syndrome

By Ali Alabbas, Sami Elsamani, Mohammad Al Sumaili, Mohammad Saeed

ABSTRACT  Leigh syndrome (LS) is a rare progressive neurodegenerative, mitochondrial disorder of childhood. The clinical presentation of LS is highly variable. However, in most cases, it presents as progressive neurological deterioration with motor, intellectual, and developmental regression an...


Chronic Kidney Disease in Parathyroid Adenoma and Post-Parathyroidectomy Hungry Bone Syndrome: A Case Report

By Muhammad Sharjeel, Raza Gulzar Ghouri, Hamza Naeem, Ali Raza Naqvi, Hasham Ahmad

ABSTRACT Hungry bone syndrome (HBS) is a clinical entity following parathyroidectomy among cases of primary parathyroid adenoma or secondary hyperparathyroidism. HBS is marked by persistent symptomatic hypocalcaemia in the postoperative period. The present report illustrates a case of a 35-year fema...


Two-Year Radiographic Evolution of an Archetypal Variant of Peripheral Osteoma on the Mandibular Angle

By Naithakkod Sajna, Leela Srikantan Nair Sreela, Siva Prasad Twinkle, Philips Mathew, Admaja K. Nair

ABSTRACT Osteomas are benign bone tumours characterised by the abnormal proliferation of compact or cancellous bone at the endosteum or periosteum and rarely in extraskeletal soft tissues. They are infrequently found in the jaw bones. The most prevalent variant in jaw bones is peripheral osteoma, wh...


Horseshoe Abscess of the Hand Due to Instrumentation Infection: A Case Report with Superb Microvascular Imaging and MRI Findings

By Elif Cigdem karatayli, Esin Kurtulus Ozturk, Saffet Ozturk

ABSTRACT Horseshoe abscess, aggressive pyogenic flexor tenosynovitis (PFT), is characterised by the spread of suppurative infection from the flexor tendon sheaths to the radial-ulnar bursa and can potentially cause limb-threatening complications.  A horseshoe abscess is a rare and serious varia...


Ovarian Hydatid Cyst: A Rare Presentation with Recurrent Miscarriage

By Ruqia Fida, Shakeela Wahab, Asiya Naz, Mustaqeem Shah

ABSTRACT Recurrent miscarriage is a frequent presentation among females of reproductive age. Ovarian hydatid cyst is a rare entity. We present a case of an ovarian hydatid cyst presenting with a history of recurrent miscarriage. Transvaginal ultrasound showed a well-defined, oval, complex solitary c...


Locally Advanced Embryonal Rhabdomyosarcoma of Prostate: A Case Report

By Hiba Siddiqui, Tuba Laiq

ABSTRACT Embryonal rhabdomyosarcoma (ERMS) of the prostate is an infrequent and aggressive malignant tumour originating from primitive muscle cells, specifically rhabdomyoblasts, within the prostate gland. This is the case report of a 25-year male, who was diagnosed with ERMS of the prostate. He pre...


Autoimmune Hepatitis in a Patient Having Hepatitis B and D Coinfection

By Zain Majid, Nida Rasool, Qaisar Panezai, Abbas Ali Tasneem, Nasir Luck

ABSTRACT A middle-aged male, with a diagnosed case of hepatitis B and D coinfection, previously treated with pegylated interferon (PEG-IFN), presented with abdominal pain, generalised weakness along with lethargy. The laboratory tests were within normal limits apart from transaminases, which were 3-...


Bombay Blood Group in a Female with Postpartum Acute Kidney Injury and Sepsis: A Case Report

By Ahsan Khurshid, Umar Farooq, Muhammad Farooq Afaq, Mohammad Shah

ABSTRACT Bombay blood group is a unique blood type found mainly in the Indian subcontinent. Its prevalence is about 1 per 10,000 persons in the Indian subcontinent and 1 per 1,000,000 in Europe. It was discovered in Bombay (India) in 1952. Being asymptomatic, it often remains unidentified. Here, we ...


Pulmonary Arterial Hypertension (PAH) Secondary to Post-Tuberculosis Lung Fibrosis as a Rare Cause of Ortner’s Syndrome

By Dua Fatima, Ravi Kumar, Jawahar Lal

ABSTRACT Hoarseness in tuberculosis (TB) patients can arise from vocal cord inflammation or recurrent laryngeal nerve palsy. Post-TB sequelae can be categorised into parenchymal, airway, pleural / chest wall, vascular, and mediastinal lesions based on radiological findings. However, pulmonary arter...


Intracranial Hypertension after mTCF Protocol in a Patient with Metastatic Gastric Cancer: A Case Report

By Nadide Demirel, Bulent Yildiz, Suzan Saylisoy

ABSTRACT Idiopathic intracranial hypertension (IIH) is an entity characterised by the symptoms of increased intracranial pressure without intracranial lesions, which may lead to visual loss. In a patient with Stage IV signet ring cell gastric carcinoma treated with modified docetaxel-cisplatin fluor...


Pseudo-Precocious Puberty Due to Non-Classic Form of Congenital Adrenal Hyperplasia Caused by 11 Β-Hydroxylase Deficiency (CYP11B1 Mutation): A Case Report

By Versha Rani Rai, Moshina Noor Ibrahim, Heeranand Rathore, Manisha Kumari, Maira Riaz

ABSTRACT About 5% to 8% of the congenital adrenal hyperplasia (CAH) cases are caused by 11β-hydroxylase deficiency. It is caused by an alteration in the CYP11B1 gene found on chromosome 8q21. Normally 11-hydroxylate facilitates the conversion of 11-deoxycorticosterone to corticosterone and 11-d...


Acute, Bilateral, Simultaneous Angle-Closure Glaucoma in a Patient with Retinitis Pigmentosa

By Skyler Gentry Jones, Ramsha Farrukh, David Debs Bogorad

ABSTRACT Retinitis pigmentosa (RP) primarily impacts the posterior segment of the eye, with relatively rarer anterior segment manifestations. Angle-closure glaucoma (ACG) is one such manifestation and has been estimated to occur in 1-2% of all patients with RP. According to the authors’ knowle...


Myeloid Sarcoma Masquerading as a Breast Lump: A Unique Presentation of Chronic Myeloid Leukaemia in Chronic Phase

By Qurat ul Ainn Hashmi, Arif Moin, Rubaida Mehmood

ABSTRACT Chronic myeloid leukaemia (CML) presenting in a chronic phase with extramedullary involvement, such as breast mass, is extremely uncommon. A 60-year female patient presented with a left breast lump. The initial biopsy was reported as invasive ductal carcinoma, but a complete blood count pi...


A Young Girl with Bleomycin-Induced Flagellate Erythema

By Sumaira Khalil, Syeda Itrat Fatima, Huma Saleem Khan, Kiran Mushtaq Toor, Awais Tahir

ABSTRACT Bleomycin, an antineoplastic medicine, is used to treat malignancies such as Hodgkin’s lymphoma, germ cell tumours (GCT) and squamous cell carcinomas. As bleomycin degradation by enzyme hydrolase is less in the skin and lungs, a considerable risk of cutaneous and pulmonary toxici...


Gomez-Lopez-Hernandez Syndrome: First Reported Case from Pakistan or Afghanistan

By Mustansir Ali Khan, Zohra Shaheen Salman, Sadia Riaz, Maqbool Hussain, Nuzhat Yasmeen

ABSTRACT Gomez-Lopez-Hernandez syndrome (GLHS) considered a neurocutaneous syndrome and a rare disease, which may also be due to the lack of recognition of clinical features or underdiagnoses. It presents as partial alopecia of the scalp along with trigeminal anaesthesia and rhomboencephalosynapsis....


Prolonged Apnoea after Succinylcholine and Atracurium Administration

By Usama Asad, Nida Shahid

ABSTRACT Succinylcholine and atracurium are two commonly used medicines for induction and intubation in medical procedures. Succinylcholine is a short-acting depolarising neuromuscular blocking agent that causes temporary paralysis by disrupting acetylcholine neurotransmission. Atracurium, on the ot...


Wernicke’s Encephalopathy in a Non-Alcoholic Patient with Pancreatic Pseudocyst: A Case Report

By Rida Jawed, Arfa Fatima, Muhammad Abu Kamran Pasha

ABSTRACT A young male, with no known comorbids, with a history of vomiting and significant weight loss for five months due to subacute pancreatitis and pancreatic pseudocyst, presented with altered mentation and inability to walk. He was initially managed on differentials of septic vs. metabolic enc...


Bilateral Congenital Lobar Emphysema: Exploring an Extremely Rare Radiology Finding

By Kanwal Laique

ABSTRACT Congenital lobar overinflation (CLO) was formerly known as congenital lobar emphysema. It is an uncommon congenital pulmonary anomaly characterised by over-distension of one or more pulmonary lobes, exerting a mass effect on other remaining lobes and mediastinum. It is manifested clinically...


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