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By Rozina Mustafa, Saema Tehseen, Sagheera Anjum
Page #: 380-382
ABSTRACT The rising caesarean section (CS) rate in many low- and middle-income countries is due to lack of access to epidural analgesia. Other reasons include increasing maternal requests for CSs, and earlier detection of maternal and foetal indications through improved monitoring modalities. This t...
By Nazir Najeeb Kapadia, Asad Payam, Rana Osama Zahid, Sohaib Haider Hashmi
Page #: 383-385
ABSTRACT Axillary vein thrombosis (AVT) is a rare condition that can be challenging to diagnose, especially in low-risk patients. This case report discusses a patient who presented with unilateral arm swelling and discomfort with no known medical conditions or significant thromboembolic risk factors...
By Mati Ullah Khan, Maria Qadri, Kamran Manan, Fatima Haroon
Page #: 386-388
ABSTRACT In this case study, a 38-year woman was diagnosed with distal renal tubular acidosis (RTA) secondary to Sjogren's Syndrome (SS) after presenting with recurrent episodes of sudden-onset quadriparesis, hypokalaemia (serum potassium: 1.07 mmol/L), and metabolic acidosis (HCO3⁻: 15.9 mmol...
By Jinjun Liang, Xiaofeng Chen, Dongling Cai, Baiyun Gao
Page #: 389-391
ABSTRACT The prevalence of pyramidal lesions in Ankylosing Spondylitis (AS) is not high. In previous studies, the prevalence of traumatic Andersson lesion (AL) in AS varies dramatically from 1% to over 28%. Cervical AL with high cervical spinal cord injury is particularly rare and can cause severe s...
By Yufeng He, Honglin Jia, Yixin Zhao, Xianqiong Huang
Page #: 392-394
ABSTRACT Necrobiotic Xanthogranuloma (NXG) is a rare histiocytic disease characterised by destructive cutaneous lesions and subcutaneous nodules. NXG may involve multiple cutaneous regions and is frequently associated with multisystem involvement, including ocular, cardiac, or splenic manifestations...
By Eylem Yasar, Beyza Koc
Page #: 395-397
ABSTRACT Anaesthetic management in extremely preterm neonates requires more than standard protocols and instead demands a highly individualised approach. The authors report the case of an extremely low birth weight (ELBW) male infant, born at 26 weeks and 4 days of gestation with a birth w...
By Shaikh Habiba Ahmed, Shakeel Ahmed, Shafiq Ur Rehman Farooq, Saleem Akhtar
Page #: 398-401
ABSTRACT Kawasaki disease (KD) is a multisystem vasculitis affecting medium-sized arteries. While coronary involvement is a well-documented complication, extensive disease is often associated with systemic arterial involvement. Multiple studies have reported the occurrence of systemic and pulmonary ...
By Nazir Najeeb Kapadia, Aiman Fasih, Sohaib haider Hashmi, Abdul Aziz Jokhio, Tehmena Salim Akbar
Page #: 402-404
ABSTRACT Generalised tonic-clonic (GTC) seizures can lead to various complications, including pneumothorax. This is a rare event, although noted in the limited literature. The authors report a young, healthy woman experiencing her first seizure. She showed signs of status epilepticus. Inadequate pre...
By Xinming Qi, Chao Lin, Qiang Ren, Tao Liu
Page #: 405-407
ABSTRACT Hamartomas are disorganised clusters of tissue that, although typically benign, can form and grow within the body's original structures. They can develop in various regions of the body; however, reports of hamartomas occurring in joints are relatively rare. This case report describes a ...
By Anum Rashid, Sameen Afzal, Samina Zaman, Fizza Jahangir
Page #: 408-410
ABSTRACT Composite adrenal neoplasms comprise a mixture of different cell types. Such tumours are very rare. Composite pheochromocytoma- ganglioneuroma is an uncommon tumour with a small number of cases reported in the literature. Pheochromocytoma arises from chromaffin cells, and ganglioneuroma is ...
By Shidong Wang, Xianbin Liu, Shilei Li, Shuai Liu
Page #: 411-413
ABSTRACT Hepatic portal venous gas (HPVG) is an exceptionally rare radiological finding characterised by the abnormal accumulation of gas within the portal vein (PV) and its intrahepatic branches, resulting from a variety of underlying causes. The presence of HPVG often signifies severe illness, poo...
By Nadia Iftikhar, Moizza Tahir, Iqra Ghaus
Page #: 414-417
ABSTRACT As the incidence of solid organ and haematological malignancies are on the rise, more patients are encountered with the wide array of systemic and cutaneous adverse effects appearing secondary to the administration of various chemotherapeutic agents. Taxanes are chemotherapeutic agents empl...
By Aliya Majeeda Noor, Khawaja Khalid Shoaib, Zahid Kamal, Noor Fatima
Page #: 418-420
ABSTRACT Dacryocystorhinostomy (DCR) with silicone tube stenting is a widely performed procedure for congenital nasolacrimal duct obstruction (NLDO). Silicone tubing is generally effective, yet extended use may lead to complications, such as cheese wiring and biofilm formation. We report a case of a...
Page #: 421-423
ABSTRACT Ovarian cystadenomas are common, but the occurrence of a large ovarian cyst is a rare clinical finding. There is no well-established methodology for treating huge ovarian masses. Dealing with a huge ovarian cyst poses unique challenges in deciding the mode of surgery. Laparoscopy, being the...
By Ahmed Hassaan Malik, Zulfiqar Ahmed, Hina Rehman, Muhammad Tayyab Malik
Page #: 424-426
ABSTRACT Adrenal gland haematoma, although associated with significant morbidity and mortality, is a rare diagnosis in trauma patients and poses a diagnostic challenge due to non-specific presentation and absence of biochemical markers. A high index of suspicion is required for saving precious lives...
By Saba Zaidi, Muhammad Mubashir, Mah Zareen
Page #: 427-430
ABSTRACT Fungal endocarditis is a rare but severe condition that can lead to significant morbidity and mortality. The authors present a case of a 36-year female with no significant past medical history who developed fungal endocarditis, resulting in septic embolisation and subarachnoid haemorrhage. ...
By Zoha Maryam, Fatima Tuz Zahra
Page #: 431-433
ABSTRACT Gastropleural fistula (GPF) is a rare clinical occurrence which involves pathological communication between the stomach and pleural cavity. Formation of GPF can be ascribed to malignancy, infection, or surgery. One of the rare causes of the formation of GPF is blunt abdominal trauma. A 38-y...
By Ahmed Siddique Ammar, Faryal Ufaq, Ammara Akbar, Humaira Alam, Muhammad Shoaib
Page #: 434-436
ABSTRACT One common side effect following cholecystectomy is bile leakage. Less frequently, the bile may come from the aberrant ducts of Luschka, although it can also come from the cystic duct stump. When anatomical variations in the biliary tract go unnoticed, such complications may arise. Isolated...
By Muhammad Aliyan Ahmed, Ali Aamir, Uzair Yaqoob, Muhammad Adil Khatri
Page #: 437-440
ABSTRACT Hydatid disease, caused by the larval stage of Echinococcus granulosus, usually affects the liver and lungs. Primary neck involvement is rare (<2%) and often mimics other cystic neck lesions, causing diagnostic delays. The authors report a case of a 30-year woman from a rural area with a...
By Ayeza Nadeem Butt, Noor Ul Ain, Tariq Shakoor, Laiba Asif
Page #: 441-444
ABSTRACT The authors report a case of transient myopic shift following acetazolamide administration for papilledema. A 37-year healthy male with no known comorbidities presented with bilateral transient blurring of vision. He was diagnosed with papilledema and treated with acetazolamide. Shortly aft...
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