Latest Articles

Volume-5, 2024
Issue 6 (June)



A case of acquired coagulation factor XIII deficiency induced by inhibitor

Factor XIII (FXIII) is a plasma proenzym, which stabilizers fibrin clots and plays key role in hemostasis. Here we report a case of acquired FXIII deficiency caused by FXIII inhibitor, which is rare and pathogenisis is still unknown. Experience of treatment is limited to data from case reports. Immunosuppressive drugs may be used to reduce the inhibitors and may have been of benefit in this patient.

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Esophageal ulcer following cryoablation for atrial fibrillation

Atrial fibrillation is a common arrythmia. Treatment is multi-modal including medical management and more aggressive treatment including surgery and radiofrequency ablation. We report here a case of a 55 year old man who developed an esophageal ulcer related to treatment of atrial fibrillation by cryoablation.

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Myxedema coma with pancytopenia and cardiac dysfunction in young male

Myxoedema coma is a critical and potentially fatal condition occurring in untreated or undetected hypothyroidism. It is characterized by systemic organ failure and deteriorating cognitive function. This report outlines a case involving a young male presenting with disturbed consciousness, lowered body temperature, and slow heart rate.

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Lactic acidosis in a patient treated with metformin

Metformin is widely recognized as the first-line therapy for type 2 diabetes due to its low cost, safety profile, and potential cardiovascular benefits. However, complications of its use may occur in daily clinical practice, including lactic acidosis, which, although rare, is characterized by relatively high mortality.

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Pigmentary complications of chemotherapy for metastatic melanoma

Induction of multiple eruptive cutaneous nevi has been frequently reported in children with hematologic malignancies and chemotherapy-induced immunosuppression. This is the first report of an adult female patient developing multiple eruptive melanocytic skin lesions while undergoing chemotherapy for metastatic melanoma.

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Treating peritoneal dialysis catheter exit-site granulomas with plasma radiofrequency

Silver nitrate cauterization is the conventional treatment for peritoneal dialysis catheter exit-site granulomas. Plasma-Ion Pen is a new technique that takes advantage of Plasma radiofrequency ablation and consists of generating plasma energy through the production of ionized energy. These devices are currently very popular on the market at a very low price.

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Fertility preservation of infected postpartum uterine dehiscence following cesarean section at Abdulla Mzee Hospital, Tanzania

Cesarean section is a crucial part of birth care that may save lives, but it can also perform unintended consequences, they include sepsis, hematoma, uterine dehiscence, and post-cesarean wound infection. These consequences can be diagnosis by radiological examinations such as Computed Tomography (CT), magnetic resonance imaging and ultrasonography.

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Unilateral vertebral artery hypoplasia: Radiological image

The vertebral arteries are the main source of blood supply to the structures within the posterior fossa. Vertebral Artery Hypoplasia (VAH) is defined as a condition where there is a difference of more than 2 mm in the diameter of the vertebral arteries at the V4 segment [1]. The concept of regional hypoperfusion is associated with unilateral VAH and posterior circulation stroke [2].

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Anatomical variations in hepatic artery system in a North Indian population: A cross-sectional study using multi-detector computed tomography

The hepatic artery system exhibits significant anatomical variability, which is crucial for surgical planning and interventions. Understanding these variations within specific populations can enhance the precision of radiological assessments and surgical procedures. To study the anatomical variations in the hepatic artery system using Multi-Detector Computed Tomography (MDCT) in a North Indian population.

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Management of Crohn’s disease and its complexities: A case report

Crohn’s Disease (CD) and its complexities are explored through a case report and literature review, shedding light on the multifaceted nature of this chronic inflammatory gastrointestinal disorder. Characterized by unpredictable flare-ups and remissions, CD affects various segments of the gastrointestinal tract, leading to symptoms such as abdominal pain, diarrhea, and weight loss, significantly impacting patients’ quality of life.

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A new case report of autoimmune liver disease in a patient with Noonan syndrome: Risk factors, presentation and management

Noonan syndrome (NS, MIM 163950) is an autosomal dominant multisystem disorder which is included among the RASopathies, and is characterized by short stature, typical facial features and multiorgan involvement. Autoimmune hepatitis is a chronic necroinflammatory disease of the liver, commonly characterized by hypergammaglobulinemia (Ig), circulating autoantibodies, and compatible histological findings (interface hepatitis).

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Glaucoma screening in patients with megalopapilla

This report discusses the diagnostic challenges and management considerations in a 69 year old female presenting with Megalopapilla (MP) and potential glaucoma. MP is rare and benign condition marked by an enlarged optic nerve head with an anomalous disc shape. The differential diagnosis includes glaucoma and glaucoma like patholoies along with optic nerve coloboma, staphyloma and morning glory syndrome.

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Saliva as a tool for SARS-CoV-2 genomic and immunological surveillance in the Republic of Congo

The design of this study was intended to evaluate the use of saliva as a reliable non-invasive tool for the genomic and immunological surveillance of SARS-CoV-2 infection in the Republic of Congo. During this cross-sectional study, the active infection was determined by detecting SARS-CoV-2 RNA using RT-PCR in 220 paired saliva and oropharyngeal samples (OPS), and by sequencing SARS- CoV-2 genome using the Oxford nanopore technology.

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Laparoscopic-assisted vaginoplasty in complex congenital urogenital anomaly: A case report

We present a case report of a 15-year-old girl diagnosed with congenital vaginal atresia with ureteral bud and urethral anomaly. This case describes surgical selection and its long-term management. We used a laparoscopic-assisted vaginoplasty technique, which involved water infusion to separate the rectovesical plane and using the pedicle flap from the hematocolpos to cover the neovagina walls in high distal vaginal atresia.

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Heat’s mark: Unraveling erythema

We report a case of a 76-year-old woman presenting with a long- standing asymptomatic erythematous-brownish reticular rash on the back and glutes. After thorough medical history and examination, the patient recognized she lived in a rural area and admitted to sitting with her back to the chimney for long periods of time.

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Coronary endarterectomy and long stent removal of left anterior descending artery in a patient with in-stent restenosis

Coronary endarterectomy constitutes a valid surgical option when complete revascularization is threatened due to in stent restenosis involving diffuse target vessel disease. Despite its promising potential for complete revascularization in diffuse coronary artery disease, its safety and effectiveness are still doubted due to increased mortality and perioperative myocardial infarction rates.

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