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By Hamza Bashir, Harris Hassan Qureshi, Muhammed Mubarak, Muhammad Nauman, Syed Muhammad Faiq
Page #: 252-255
ABSTRACT Renal cell carcinoma (RCC) is a common neoplasm of the kidney. A rare, highly aggressive form of RCC that can arise in any subtype of this disease is the sarcomatoid type. RCC with sarcomatoid differentiation (sRCC) has a high likelihood of metastasising and, thus, shows a poor prognosis. S...
By Anam Haider, Hameedullah Tareen
Page #: 256-258
ABSTRACT The authors present a case of a patient whose blood bicarbonate (HCO3) levels were extremely low, ranging from 5.4 to 7.9 mEq/L. In clinical chemistry, paraproteins’ interference in tests is not unheard of, but is still quite uncommon. Here, we report a case of multiple myeloma in whi...
By Uzair Luqman, Zainab Sohail Raja, Maryam Nazir Kiani, Amber Kiyani, Hania Noor
Page #: 262-265
ABSTRACT Papillary thyroid carcinoma (PTC) is one of the most common forms of thyroid cancer, originating from the follicular cells of the thyroid gland. It accounts for approximately 80–85% of all thyroid malignancies and is prevalent in women, with a higher incidence in middle-aged adults. T...
By Fahad Tariq, Syed Tashfain Bin Zafar, Hameed Ullah
Page #: 266-269
ABSTRACT This case series reports the first-ever successful implantation of vagal nerve stimulators (VNS) for refractory epilepsy in this region. It details the anaesthetic management of two patients who underwent VNS implantation, both of whom achieved positive outcomes with stable postoperative re...
Page #: 272-274
ABSTRACT Primary anterior mediastinal yolk SAC tumours are rare but fatal, and primary mediastinal endodermal sinus tumours with immature teratomas are even rarer. This article reports a 31-year man with a yolk SAC tumour with an immature teratoma who was admitted to the hospital for repeated chest ...
By Tariq Abdullah, Tayyaba Shahzad, Frogh Elahi, Rida Noor
Page #: 275-278
ABSTRACT Blunt abdominal trauma is far more common than penetrating injuries, but gastric perforation is more frequently associated with penetrating abdominal trauma. Rib fractures due to blunt trauma usually cause solid organ injury. Blunt gastric perforations are rare, accounting for <2% of all...
By Rehan Mohsin, Haris Jameel, Haris Qureshi, Gohar Sultan, Hamza Ather
Page #: 279-282
ABSTRACT Genitourinary tuberculosis (GUTB) can lead to a severely contracted bladder, often necessitating augmentation ileocystoplasty (AIC) for reconstruction. Robot-assisted laparoscopic techniques offer several potential advantages over open surgery, including enhanced visualisation and improved ...
Page #: 283-285
ABSTRACT Pneumocephalus, the presence of air in the cranial cavity, is a rare but serious complication of both head trauma and post-neurosurgery procedures. Tension pneumocephalus, marked by significant air accumulation causing mass effect and neurological symptoms, is even more uncommon and demands...
Page #: 286-288
ABSTRACT Biperiden, a muscarinic receptor antagonist, is utilised in antipsychotic therapies and has been associated with a restricted incidence of cardiac side effects. This case study details a 30-year male patient who had acute pulmonary oedema and cardiac depression after a biperiden overdose. T...
By DengJun Huang, Ruizhi Wu, Jun Nie
Page #: 289-291
ABSTRACT Primary pulmonary paraganglioma, a rare type of tumour, is infrequently observed in clinical practice. The clinical data of a case of primary pulmonary paraganglioma admitted to the Department of Thoracic and Cardiac Surgery of the Hospital were analysed, and the diagnosis and treatment of ...
By Zishu Yang, Xingzi Li, Boyuan Xing
Page #: 292-294
ABSTRACT Merkel cell carcinoma (MCC) is a rare and aggressive neuroendocrine skin cancer, often presenting with nonspecific clinical features. Early diagnosis is crucial for optimal management. This case report details the ultrasound (US) findings in an 80-year old female with a right upper arm MCC....
By Dan Ye, Xiaowei Qi, Yankui Liu, Yan Qin, Zhenwei Wang
Page #: 295-298
ABSTRACT Endometrioid adenocarcinoma with pilomatrix carcinoma-like morphology represents a recently reported high-grade endometrial carcinoma subtype, frequently harbouring the CTNNB1 gene mutations and demonstrating highly aggressive biological behaviour. However, the present case differs from pri...
By Hina Qazi, Haroon Tayyab, Pir Salim Mahar
Page #: 299-302
ABSTRACT This report presents an infrequent but well‑recognised case of delayed Ahmed glaucoma valve tube obstruction caused by a vitreous plug in the anterior chamber of a 51-year Pakistani male with aphakic secondary open‑angle glaucoma. The obstruction was successfully managed through an ante...
Page #: 303-305
ABSTRACT Idiopathic elevated episcleral venous pressure (IEEVP) is a rare cause of secondary open-angle glaucoma. The authors report a case of a 36-year male who presented with dilated episcleral vessels in the right eye. Gonioscopy revealed bilateral open angles with blood in Schlemm’s canal ...
By Mahnoor Asim, Asad Ullah Khan, Syed Irfan Kabir, Muhammad Waqas
Page #: 306-307
ABSTRACT Renal cell carcinoma (RCC) is one of the most common primary renal cancers. Its metastasis to the duodenum is a rare occurrence. Commonly reported symptoms are bleeding, anaemia, and flank pain. This report discusses a case of a 74-year old male with no known comorbidities, who was diagnose...
By Hunain Muhammad Asif, Tasneem Shabbir Siamwala, Akram Rajput, Farhat Jaleel
Page #: 308-310
ABSTRACT Blunt trauma to the abdomen can lead to various injuries, including diaphragmatic ruptures. Late presentation of traumatic diaphragmatic hernia is unlikely and can cause abdominal visceral perforation or gangrene. A young female presented to the emergency department with a history of blunt ...
By Wen-Ting Xu, Tao Fan, Shi-Fang Zheng, Ya-Zhou Xiao
Page #: 311-313
ABSTRACT Immune dysregulation, polyendocrinopathy, enteropathy, X-linked (IPEX) syndrome is a rare, life-threatening X-linked recessive disorder caused by FOXP3 gene mutations, with an incidence of less than one in a million. It typically presents in infancy, with half of the cases manifesting withi...
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