Latest Articles

Volume-6, 2025
Issue 7 (July)



Double pylorus presented with upper gastrointestinal bleeding

Double pylorus is a rare endoscopic finding, often secondary to chronic peptic ulcer disease and mucosal fistulization. It may become evident incidentally or during an investigation of upper gastrointestinal (GI) bleeding. Our case was a hemodynamically unstable woman who presented with hematemesis.

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Concomitant herpes genitalis (HSV-2) and herpes meningitis (HSV-2)

Concomitant herpes simplex virus 2 (HSV-2) genitalis and meningitis is an uncommon presentation. In this case, a female patient in her twenties, with a recent history of herpes genitalis (HSV-2) lesions, presented with fever, headache, neck pain, and photosensitivity. Complete Blood Count (CBC).

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Slipping Rib syndrome: A rare presentation of abdominal pain

Slipping Rib Syndrome (SRS) is a rare medical condition often misdiagnosed due to limited awareness in the medical field. This particular case study showcases an unusual presentation of SRS with gastrointestinal symptoms. SRS occurs when the false ribs have unstable connections.

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Mauriac syndrome in adolescents: A persisting clinical entity

Mauriac Syndrome (MS) is a rare complication of poorly controlled type 1 diabetes, primarily affecting children and adolescents, with fewer cases reported in adults. It is characterized by delayed growth, delayed puberty, hepatomegaly, and liver dysfunction, resulting from glycogen accumulation in the liver due to diabetic imbalance.

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Primary pancreatic hydatid cyst: A rare clinical entity

We report the case of a 54-year-old man with a surgical history of sigmoidectomy and colorectal anastomosis performed ten years prior for sigmoid volvulus. The postoperative course was marked by persistent abdominal bloating, requiring repeated colonic exsufflation.

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Uterine rupture with intact previous cesarean scar: 2 case reports

A previous cesarean section case has a potential risk of uterine rupture at the primary cesarean scar site. Uterine rupture at sites like fundus and posterior wall with intact previous cesarean scar are rare events and both are associated with high fetomaternal morbidity and mortality.

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Fever of unknown origin from Serotonin syndrome of supplements

A 54-year old female presented to an outpatient primary care clinic with a one month history of recurrent, high fevers. A complete review of systems was negative. The patient underwent a thorough infectious work-up and well as imaging to evaluate for possible malignancy. All of this testing was normal.

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A case report on porcelain gall bladder

Porcelain Gallbladder (PGB) originally refers to the bluish discoloration and brittle consistency of the gallbladder wall, though the terms is now broadly applied to all the forms of gallbladder calcification. Extensive calcium deposition within the gallbladder wall imparts a fragile.

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The ear did it: Scarlet fever unveiled

Streptococcus pyogenes (Group A Streptococcus, GAS) is most commonly associated with pharyngitis and scarlet fever. However, although rare, GAS may also be implicated in acute otitis media (AOM) [1] and can act as the primary site triggering systemic toxigenic complications such as scarlet fever [2].

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Prenatal diagnosis of vasa previa and cervical shortening

Vasa previa is an uncommon obstetric condition characterized by unprotected fetal vessels traversing the fetal membranes, located within 2 cm of the internal cervical os, anterior to the fetal presenting part. The lack of Wharton’s jelly or placental tissue coverage predisposes these vessels to rupture during labor or membrane rupture, with dire fetal outcomes.

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Aberrant right subclavian artery

85 F with history of diabetes mellitus, hypertension, coronary artery disease status post percutaneous, came in for witnessed syncopal event by her daughter. Vitals were within normal limits. EKG revealed sinus rhythm with frequent PVC. Ct head showed volume loss secondary to microangiopathic disease with this pattern.

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Pancreatic cyst pathology in our department; A combined review of cases and overview of recent medical literature

Pancreatic cysts are quite frequent, and are usually incidentally diagnosed, their management depends on the type, potential malignancy, size, location, clinical and biological consequences of the tumor. In this report, we review a number of cases involving cystic tumors of the pancreas and how they were treated in our Department of Visceral Surgery 1 at the Mohamed V Military Training Hospital in Rabat, Morocco.

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Recurrent stress induced cardiomyopathy

Stress induced cardiomyopathy presents as acute heart failure syndrome often related to preceding emotional or physical stressful events. This condition is reversible and considered benign although in some cases the event can be severe developing complications such shock, arrhythmias and death [1].

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Effective and timely management of accelerated phase Chediak Higashi syndrome by haploidentical stem cell transplantation: A case report and review of literature

Chediak Higashi Syndrome (CHS) is a rare inherited lysosomal storage disorder of childhood and commonly presents in the first decade of life. The hyper-inflammatory accelerated phase of the disease commonly known as Hemophagocytic Lymph histiocytosis (HLH) develops in around 85% of patients and is fatal without immediate bone marrow transplantation.

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A case of deprescription

Polypharmacy represents a significant and escalating public health concern, particularly within the geriatric population. It is commonly identified as the concurrent use of five or more medications daily, although definitions vary, including a range from 2 to 11 medications per day.

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A rare case of post-traumatic occipital artery pseudoaneurysm diagnose by doppler ultrasonography

A pseudoaneurysm is caused by a disruption to the continuity of the arterial wall, which can be triggered by inflammation, trauma or iatrogenic factors, such as surgery, percutaneous biopsy or drainage. Here, we present the case of an eight-year-old patient who presented with progressive enlargement of an occipital swelling following head trauma involving an occipital point of impact.

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Pancreatic mucinous cystadenocarcinoma: Case report of a rare malignancy

Pancreatic mucinous cystadenocarcinoma (MCAC) is extremely rare predominantly occurs in women between 5th and 6th decades; the majority arises from pre-existing mucinous cystadenoma. Commonly diagnosed incidentally during investigation for often unrelated and nonspecific abdominal complaints using state-of-the art abdominal imaging.

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Multilocular radiolucent jaw lesion: A diagnostic pitfall

Dentinogenic Ghost Cell Tumour (DGCT) is a rare, locally invasive, solid neoplastic variant of the Calcifying Odontogenic Cyst (COC). It accounts for 2% to 14% of all COCs. In this present report, we discuss a case of a 30-year-old female patient.

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Hb C/Beta thalassemia: A case report from Pakistan

Hemoglobin C (HbC) is a variant that is formed as a result of missense mutation in the coding region of HBB gene. Co-inheritance of hemoglobin C and Beta thalassemia mutations results in Hb C/ Beta thalassemia, a rare hemoglobinopathy.

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