Latest Articles

Volume-6, 2025
Issue 4 (April)



Case report on craniotomy for bilateral epidural hematoma

The most frequent type of traumatic brain is an Epidural Hematoma (EDH). Because the brain stem is so close to this condition, it can become fatal very quickly if it is not recognized and treated appropriately. Early magnetic resonance imaging (MRI) of the head allows for a prompt diagnosis, and prompt evacuation is crucial.

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Proteus mirabilis as a cause of intertrigo: The value of UV dermoscopy

A 50-year-old patient with no significant medical history, presented with an intertrigo resistant to antifungal treatment. Dermatological examination revealed a dry intertrigo with fine, powdery scales and a peripheral collarette in the fourth interdigital space, Under Ultraviolet- induced fluorescence (UVF)

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Pulmonary dirofilariasis on trans-thoracic needle biopsy

A 79 year-old male was incidentally found to have a 14 mm spiculated nodule in the left upper lobe on CT imaging of the cervical spine (Figure 1A). He had no respiratory symptoms and is a never smoker. PET-CT demonstrated mild FDG uptake and subsequent CT-guided transthoracic needle biopsy only showed extensive necrosis.

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Carcinoma en cuirasse in breast cancer: A rare entity with poor prognosis

Carcinoma en cuirasse is a rare cutaneous manifestation of metastatic breast cancer, occurring in 3–6% of cases. We present the case of a 52-year-old patient with metastatic breast cancer who developed extensive erythematous, indurated, and sclerotic skin lesions invading the chest, wich were confirmed as carcinoma en cuirasse.

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Menstrual irregularities (amenorrhea) caused by isotretinoin

Isotretinoin, a systemic retinoid, is mainly indicated in very severe acne vulgaris unresponsive to other therapies, for example, topical therapy or antibiotics. Being a synthetic derivative of vitamin A, isotretinoin inhibits the activity of sebaceous glands, normalizes the keratinization process in the follicles.

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Lower limb plegia following subarachnoid hemorrhage

Lower limb plegia following Subarachnoid Hemorrhage (SAH) is an extremely rare entity with an unknown pathophysiology. A literature review revealed only one previously reported case similar to ours, where the clinical presentation.

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Photon emission by pair annihilation from human body

In the course of studying about the treatment by pair annihilation, a new source of energy in the patient’s urine. Graphene exfoliator, NaCl + KCl solution can use to make a pair annihilation of boson particles. Fermion needs lesser Fermi energy to make a pair production or a pair annihilation by dopped colloid gold.

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A case of neonatal encephalopathy with non-epileptic myoclonus mimicking a congenital CMV-infection. How could two different pathologies result in a similar MRI phenotype?

KCNQ2-related disorders are rare autosomal dominant channelopathies caused by mutations in KCNQ2, a gene that encodes a subunit of the voltage-gated potassium channel Kv7, resulting in variable phenotypes. Neonatal encephalopathy with non-epileptic myoclonus is one of the less common and more complex phenotypes of KCNQ2 channelopathies

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Giant cell tumor of the talus: An uncommon location for a common tumor, a rare case report

Giant Cell Tumours are benign, aggressive tumours typically found in the metaphysis of long bones, most commonly at the distal femur and proximal tibia. These most commonly affect long bones. We describe a rare occurrence of GCT in the talus bone of a young female, highlighting the clinical presentation, diagnostic process, treatment modalities, and outcomes, in this case report.

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Cerebral radionecrosis in brain tumors: Dexamethasone vs. Bevacizumab: A case report

Radionecrosis, a common complication of radiotherapy, can be mistaken for disease progression. Advanced imaging techniques, such as magnetic resonance imaging with spectroscopy and perfusion, assist in differentiating progression from pseudo-progression. Treatment typically involves corticosteroids, despite the side effects associated with prolonged use, and surgical intervention in severe cases.

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Unusual presentation of acute appendicitis

As a surgeon, we all believe that nowadays acute appendicitis is the most common and frequent surgical diagnosis during a surgical shift in the ER. Some patients present with sudden pain appearance, others with a nausea, vomiting and wandering pain.

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Non-ulcerated gastrointestinal stromal tumor presenting with hematemesis

A 39 year-old man with no significant medical history presented to the emergency department following three episodes of hematemesis. He reported several weeks of intermittent epigastric pain and fatigue but denied any weight loss. There was no history of Non Steroidal Anti-Inflammatory Drug (NSAID) use, anticoagulation, or alcohol consumption.

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An atypical presentation of non-specific interstitial pneumonitis

Epigastric pain can occur from various underlying conditions. Typical diagnoses to consider include peptic ulcer disease, functional dyspepsia, H. pylori gastritis, cholecystitis, and pancreatitis. However, in some cases, the origin of symptoms may be unrelated, e.g. cardiopulmonary issues.

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Hemodialysis induced severe thrombocytipenia: A case report

Thrombocytopenia is commonly seen in patients undergoing hemodialysis, and effectively addressing and investigating this condition poses challenges. Research indicates that platelet counts may decrease by as much as 15% during hemodialysis sessions, although they typically recover post-treatment.

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Congenital mature orbital teratoma in a neonate

A 1-day-old boy, born at 39 weeks gestational age without relevant prenatal history, presented with a large vascularized pyroptotic mass occupying the left midface. No family history of congenital deformities, no parents’ consanguinity and no teratogenic drugs used during pregnancy. Shortly after birth, Ultrasound and computed tomography showed a heterogeneous mass mixed with peripheral calcific changes, occupying the retro-globar space of the eye, particularly the intra-Conal orbital compartment.

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Peripartum cardiomyopathy

Peripartum Cardiomyopathy (PPCM), also known as postpartum cardiomyopathy is a form of heart failure (HF) defined as new onset of left ventricular ejection fraction (LVEF) reduction (<45%) occurring in between last month of pregnancy till the period of puerperium

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Massive skin and visceral involvement in diffuse large B cell lymphoma: Report of a rare illustrative case with a literature review

A massive skin and multi visceral involvement of large B-cell lymphoma is a rare type of non-Hodgkin lymphomas. A 71-year-old man had multiple painless, reddish and firm cutaneous-subcutaneous nodules and masses on his chest and his back, gradually increasing in size. Skin biopsy result was consistent with diffuse large B-cell lymphoma. 18F-fluorodeoxyglycose (FDG).

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