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By Sarang Suresh, Priya Rani, Muhammad Muzamil Alvi, Feroze Ali Kalhoro
Page #: 189-192
ABSTRACT This case report presents the successful management of a complex endodontic failure involving three maxillary anterior teeth in a 25-year female. The patient, who experienced persistent symptoms following substandard root canal treatment, was treated with a combination of non-surgical and s...
By Maria Munawar, Laraib Amjad, Muhammad Bilal Mirza
Page #: 193-195
ABSTRACT Caecal duplication is a rare entity and usually presents with intestinal obstruction. Even more unusual is its presentation as a lead point for intussusception. A nine-month boy presented with signs of intestinal obstruction. On examination, a mucosal mass was found in the rectum. At s...
By Saima Ilyas, Auzib Siddique, Aneela Asghar
Page #: 196-199
ABSTRACT Mixed connective tissue disease (MCTD) is a systemic autoimmune disease having overlapping clinical features of at least two connective tissue diseases (CTDs), including systemic lupus erythematosus (SLE), systemic sclerosis (SSc), polymyositis (PM), dermatomyositis (DM), and rheumatoid art...
By Muhammad Hamza Haroon, Eman Izhar, Muhammad Tayyab Ul Hassan Siddiqui, Asad Shakil
Page #: 200-202
ABSTRACT Volvulus refers to the twisting of the bowel around its own mesentery that supplies it, causing bowel obstruction. The volvulus usually involves sigmoid colon and caecum. Only 1.3-2.4% of cases involve the descending colon. We hereby report a case of a 71-year-old male presenting with compl...
By Lijing Xu, Xingming Zhang, Yandong Xie, Hao Zeng
Page #: 203-206
ABSTRACT Pelvic leiomyomas are rare in males, with most cases reported as isolated instances. This study presents a case of a 57-year male with a deep vascular leiomyoma located in the Denonvilliers fascia, who experienced urinary frequency and nocturia. Imaging revealed a well-defined pelvic tumour...
Page #: 207-209
ABSTRACT Subacute thyroiditis is a self-limiting clinical condition manifesting as an acute phase of hyperthyroidism followed by hypothyroidism that eventually resolves on its own but sometimes leads to permanent hypothyroidism. This is usually preceded by a viral infection, and in this case, it was...
By Serkan Akan, Umut Arslan, Ayhan Verit
Page #: 210-211
ABSTRACT A perineal location of a lipoma is uncommon and associated with some poorly described clinical features. Congenital perineal lipomas are known to be associated with an accessory scrotum in >80% of cases. Non-congenital, adult-onset perineal lipoma cases are very rare. Herein, we report t...
By Fuyong Qiang, Qian He, Jinhua Liu, Jun Sheng
Page #: 212-214
ABSTRACT A patient diagnosed with Sjogren's syndrome (SS) developed weakness and numbness in both lower limbs, accompanied by abdominal distension and sensory impairment in the left index and little fingers. Cervical magnetic resonance imaging (MRI) indicated the presence of longitudinal inflamm...
Page #: 215-217
ABSTRACT This case report describes a rare case of an 18-year male from rural Balochistan, Pakistan. The presentation was unusual with weight loss and slow-growing, mildly tender, mobile swelling, in the left inguinal region suggesting neoplastic aetiology, misdiagnosed as an enlarged inguinal lymph...
By Nazir Najeeb Kapadia, Asad Payam, Rana Osama Zahid
Page #: 218-220
ABSTRACT Avascular necrosis (AVN) of the humeral head is a rare but concerning condition that can lead to significant joint pain and eventually results in arthritis, greatly impacting a patient’s quality of life. In the early stages, symptoms related to AVN of the humeral head are often unreco...
By Abdul Rauf Shaikh, Yumna Afzal, Muhammad Muneeb, Mubashir Ikram, Soubia Akhtar
Page #: 221-223
ABSTRACT Paraganglioma is a benign tumour which is highly vascularised and mostly occurs in the middle ear. Although rare, patients typically in middle-aged group and present with pulsatile tinnitus and conductive hearing loss, but they may also experience symptoms such as vertigo, bleeding, and ear...
By Shahzad Yousaf, Ayesha Inam, Ashok Bohra
Page #: 224-226
ABSTRACT Gastrointestinal perforation caused by a fish bone is rarely documented. The commonest site is the oesophagus, followed by the ileum. Few cases have been reported involving the appendix or Meckel’s diverticulum. Herein, the authors reported an interesting case of a female patient with...
By Nargis Maqbool, Muhammad Hammad Ather
Page #: 227-230
ABSTRACT Renal cell carcinoma (RCC) is known for its unpredictable metastatic patterns, often presenting challenges in management. Understanding the unique recurrence patterns is crucial for improving patient outcomes. The authors report a case of a 56-year male with a history of carcinoid tumour tr...
By Lingna Shen, Zhipeng Yan, Yonghong Huang, Lai Wang, Jun Liu
Page #: 231-233
ABSTRACT Chronic enteropathy associated with the SLCO2A1 gene (CEAS) is a condition characterised by multiple non-specific ulcers in the small intestine, which cause chronic blood loss and persistent hypoproteinaemia. CEAS is both rare and difficult to diagnose. This case report concerns a middle-ag...
By Rakhshinda Jabeen, Misbah Maktoob, Tuba Babar Khan, Haris Alvi
Page #: 234-235
ABSTRACT Banti’s disease is a rare disease of unknown aetiology acquiring various names in different parts of the world. The hallmark of the disease is a chronic enlargement of the spleen, signs of hypersplenism, and portal hypertension without any known liver pathology and biopsy-proven healt...
By Sana Brohi, Imran Ahmed Siddiqui, Saliha Sarfraz, Asad Hayat Ahmad
Page #: 236-238
ABSTRACT A 4-year boy presented with a history of fever, bruises, frequent transfusions, and left eye proptosis for 1 month. His baseline bone marrow biopsy and immunophenotyping by flow cytometry were consistent with acute promyelocytic leukaemia (APL), but bone marrow cytogenetics were consistent ...
By Yabo Wang, Li Wang, Chao Zhen
Page #: 239-241
ABSTRACT This case report describes a 33-year man who sequentially developed renal vein thrombosis (RVT) and cerebral venous sinus thrombosis (CVST) over two years. Initially presenting with RVT, the patient was treated with thrombus aspiration and anticoagulation. Two years later, he presented with...
By Abdul Salam, Muhammad Ishaq Shah, Khalid Shahab, Hammad Ahmed Saif
Page #: 242-244
ABSTRACT A 34-year man with long-standing recurrent seizures presented with complaints of lower limb swelling, weight loss, and stiffness in his shoulders and back. The patient had a history of recurrent idiopathic pericardial effusion, severe hypocalcaemia, and hypoalbuminaemia. Eventually, he was ...
By Muhammad Haseeb Malik, Kamran Naseem, Abdul Shakoor
Page #: 245-247
ABSTRACT A relatively uncommon but significant consequence that can follow renal trauma, renal biopsy, percutaneous nephrostomy, percutaneous nephrolithotomy (PCNL), and surgeries such as partial nephrectomy is renal artery pseudoaneurysm (RAP) formation. We report a 44-year male patient, a chronic ...
By Faryal Ufaq, Hafiz Zia Farooq Bhatti, Ahmed Siddique Ammar, Humaira Alam, Muhammad Saud Iqbal
Page #: 248-251
ABSTRACT A 49-year woman presented with jaundice 10 weeks following an open cholecystectomy, during which she experienced obstructive jaundice attributed to clip ligation at the confluence of the common hepatic duct. To address this complicated bile duct injury, surgical dissection and exploration o...
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