Articles

Schwannomas are rare in seminal vesicles, with most masses being contiguous invasion from nearby malignancies. We report a case of a 23-year-old male with a 7 x 4.6 x 3.5 cm left seminal vesicle mass, confirmed by MRI and biopsy as a low-grade spindle cell neoplasm with neural differentiation.

Gallbladder agenesis represents the 0.01-0.04% of congenital anomalies (0.016 in autopsies). A 53 years old man was admitted for recurrent pain in right hypochondrium and epigastrium, ultrasound (US) findings of gallstones in scleroatrophic gallbladder without blood count values of cholestasis.

A 30 year old male presented to the emergency department with a 6 month history of hemoptysis and epistaxis. He was otherwise healthy with no known medical conditions, no prior surgery, and was taking no medications.

Multiple transfusions pose a risk of alloimmunization resulting in delayed hemolysis in recipients. This makes it difficult for blood transfusion services to find cross match compatible red cell units especially when antibodies against “Kidd” antigens are present in recipients

Thyroid storm is an emergent medical condition which diagnosis is challenging. It is associated to many precipitating factors being emotional stress rare which makes it difficult to distinguish between thyroid storm and panic attack.

Brain abscesses are a rare and potentially fatal infection that can present with indolent manifestations. We present the case of brain abscesses in a 55-year-old immunocompetent man with a history of bronchiectasis, who developed significant sequalae event after appropriate antibiotic therapy and surgical drainage, highlighting the importance of early diagnosis and prompt treatment.

12-year-old Caucasian male presented to the emergency department with a two-day history of vomiting and a new rapidly growing right groin mass. The patient denied pain or urinary symptoms.

Ageing results in changes in the collagen and elastin content within the dermis, leading to the progressive loss of integrity and elasticity. Patients with thin skin are more susceptible to significant tissue loss following minor trauma, making it more challenging to suture and prone to tearing.

Neuroendocrine tumors, arising from neuroendocrine cells, a group of malignant tumors capable of secreting peptides and biogenic amines, are differentiated as either diffuse endocrine system (DES) or gastroentero-pancreatic neuroendocrine tumors (GEP-NET).

Hydatid disease is a parasitic infection caused by echinococcus, mainly echinococcus granulossus. The liver and lungs are the most common sites affected. Primary hydatid gall bladder disease (PHGB) is a rare condition; till now, only 11 cases of PHGB have been reported.

Female aged 26 years detected as single live pregnancy of 8 weeks in right tube. She was diagosed as right tubal ectopic and resent for confirmation of diagnosis to other Sonography centre as pregnancy grew upto 8 weeks with normal Foetal heart sound and if it was tubal would have ruptured earlier.

The extent of circulation of Coronavirus-2 Severe Acute Respiratory Syndrome in many African countries remains uncertain, underscoring the need for sero-antibody surveys to assess the cumulative attack rate as well as the risk of disease resurgence.

CJRP is one of the many causes of chronic parotitis in childhood [1]; it is physiopathology remains uncertain. There is no consensus in the management of JRP, and because it is a rare disease, few cases have been reported in the literature to shed light on this entity.

A 12-year-old girl presented with left knee pain following an accidental fall. Physical examination revealed local pain and restricted joint movement. The patient had no significant prior medical conditions or traumas.

We report a 30-year old male patient with a severe Calcineurin Inhibitor Pain Syndrome (CIPS) after deceased donor transplantation. The patient was transplanted on a Cyclosporine A-based immunosuppressive regimen.

Dermatofibrosarcoma Protuberans (DFSP) is a rare cutaneous sarcoma with an overall incidence of 4.1 cases per million/year according to the largest population-based study of DFSP. This cutaneous sarcoma has an overall ten-year survival of 99.1% [1].

Although cardiac myxomas are the most prevalent type of primary cardiac tumors, barely they originated from the right atrium and generally are asymptomatic in such cases. Here we described a case of a 24-year-old male with right atrial myxoma. The mass was huge and obstructed the tricuspid valve which eventually led to right-sided heart failure.

Rheumatoid arthritis is a frequent inflammatory rheumatic disease. It is characterized by synovitis and tenosynovitis. Involvement of wrist is very common especially dorsal face in relation to extensor tendon tenosynovitis. Rupture of these tendon can be occurred as a complication in severe and active rheumatoid arthritis.

A 67-year-old man was referred to ICU for hypotension, dysphagia and fever. He had received, months before, an orthotopic liver transplantation for alcoholic liver cirrhosis complicated by septic shock related to cellulitis due to Staphylococcus aureus bacteraemia.

Paroxetine is an antidepressant belonging to the class of SSRI. It is used in multiple psychiatric disorders including depression, anxiety and obsessive-compulsive disorder. Apart from being very efficacious, it causes some adverse effects too and hyponatremia is one of them.

Collodion baby is a rare congenital disorder characterized by parchment like tight membrane covering the whole body. This extra layer of skin with its compressive effects can lead to cicatricial lid changes, ectropion and secondary corneal exposure.

Testicular or scrotal trauma is rare, but most often occurs after an assault with a firearm. Most patients have only isolated scrotal or testicular trauma. However, their incidence is increasing with the rise in road accidents involving motorcycles and bicycles [1].

Nevus of Ota is usually characterized by unilateral, mottled, slate blue or dark brown hyperpigmentation on the forehead, face and around eye area. Ota’s nevus is usually congenital but may appear in early childhood or in puberty. We report a late onset Nevus of Ota in a 60-year-old Asian woman and discuss clinical diagnosis, risks, and treatment modalities.

Bleomycin is a cytostatic antibiotic used in chemotherapy for treating hodgkins lymphoma, testicular and ovarian germ cell tumour cancer. This case is a 18 year old female presenting with bleomycin induced flagellate dermatitis. Characteristics, clinical evaluation and management of bleomycin induced flagellate dermatitis were discussed.

We report a 36 Y/O male that present with seizure and a solitary mass-like lesion in brain MRI which was proven to be a non-caseating granulomatous inflammation by biopsy in the context of Neurosarcoidosis.

A 3-year-old girl was hospitalized after experiencing fever and cough for 1 week. The patient’s body temperature was 38.8°C, and her oxygen saturation was 96% while breathing ambient air. Physical examination revealed coarse crackles.

Nocardiosis is a disease affecting different organs of the body and pulmonary forms of nocardiosis are induced via aerosolized inoculation of the bacterium into the airways. The infection causes pneumonia-like symptoms. Pulmonary nocardiosis clinically appears similar to many other viral, bacterial, or fungal infections as well as several types of malignancy and tuberculosis.

Stone formation due to the migration of hem-o-lok clip into the common bile duct after laparoscopic surgeries remains rare. Here, we reported a case of acute cholangiolithiasis caused by hem-o-lok clip migration into the common bile duct 3 years later after laparoscopic surgeries.

We present a case of a 47-year-old female patient with hyperlipidemia and hypothyroidism who was finally diagnosed with nephrotic syndrome. Specifically, the patient was referred and admitted to the Nephrology Department from her primary care physician who was investigating her for refractory hyperlipidemia

Distant metastases of pulmonary adenocarcinoma are regularly observed in the bones, brain, and liver, rarely in the cervix or endometrium. We report a case of 53-year-old Chinese female with primary pulmonary adenocarcinoma which metastasized to the uterine cervix and endometrium with EGFR 19 deletion and FGFR2-FILIP1 rearrangement and had been taking osimertinib since then.

We report the first case of human urogenital myiasis caused by Clogmia albipunctata in a 32-year-old housewife in Bangladesh. Identification at the species level has been performed by morphological examination of exerted pupa and adult flies generated from pupa by rearing in the entomology laboratory, and they belonged to Clogmia albipunctata.

Lumbar hernias are rare, with only around 300 cases reported in the literature. The posterolateral abdominal wall has two weak areas, the superior (Grynfeltt-Lesshaft’s triangle) and the inferior (Petit’s triangle) lumbar triangles, where superior and inferior lumbar hernias can occur.

The S100A7 protein plays an essential role in tumor progression and is found to be overexpressed or deregulated in oral mucosal dysplasia and several cancers. However, its expression in oral lichen planus remains unknown.

An asymptomatic HIV-negative patient was admitted to hospital because she was found multiple pulmonary nodules by chest Computed Tomography (CT) in a routine examination. And the patient was diagnosed as pulmonary cryptococcosis and aspergillosis not cancer by percutaneous lung biopsy and special tissue stain.

A 28-year-old male patient presented to our specialized unit with painful non-healing ulcers on both legs. The ulcers covered the lower 1/3rd part of the left leg and the upper 2/3rd part of the right leg (Figure 1).

We present an uncommon cause for Implantable Cardioverter Defibrillator (ICD) pocket infection. Penetration of the ICD pocket from a gunshot wound resulted in blunt trauma to the ICD, and its malfunction. The ICD was removed and we highlight post-procedural management of this rare clinical scenario.

The prevalence of Bullous Pemphigoid (BP) as a most common autoimmune bullous skin disease has increased in recent years. Drug-induced BP is an uncommon form of BP. A 25-year-old psoriatic woman was admitted to Imam Khomeini hospital complex affiliated to the Tehran University of Medical Science with a chief complaint of generalized blistering lesions.

To evaluate retinal vascular layers in Macular Telangiectasia Type 2 (MacTel2) imaged by Optical Coherence Tomographic Angiography (OCTA). A prospective, observational case series study enrolled patients with MacTel2.

Shingles in children is a rare but often benign situation requiring only symptomatic treatment. The ophthalmic form is rare, which can be responsible for serious ocular complications requiring adequate and early treatment.

Thyroid carcinomas of follicular origin were classified as well differentiated, poorly differentiated and undifferentiated carcinomas based on their differentiation level and each group differed significantly in their prognosis.

COVID-19 caused by the Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) primarily affects the respiratory tract. However, other manifestations including vascular sequelae have been described. These vascular complications of COVID-19 are diverse and can be severe enough to cause serious complications.

We present the case of a 16-year-old adolescent who presented to the Emergency Department following an episode of severe vomiting after ingestion of 40 tablets of paracetamol. On admission, she complained of nausea and reflux-like symptoms. She denied any other abdominal, respiratory, or cardiac symptoms.

We report the case of a 23-year-old patient, with no particular history, followed in our training for Nevus of Ota. Ophthalmological examination revealed visual acuity of 10/10 in the right eye, eye tone of 12 mmhg, palpebral hyperpigmentation, subconjunctival hyperpigmentation with a bluish appearance of the sclera and a hyperpigmented iris.

A 33-year-old male patient was admitted to our hospital due to splenomegaly and splenic space occupation on physical examination. Admission physical examination: general condition was normal, no fever, nausea, vomiting, abdominal distension, diarrhea and other symptoms, healthy in the past, no family history of disease.

PEComa of the lung is a extremely rare benign tumor which originates from the perivascular epithelioid cells, which has been reported in a limited number of cases. We present a case of 58 years old woman who had a right lower lobe tumor suggesting a possible cytological diagnosis of a metastatic malignant melanoma preoperatively.

Iris cysts are rare conditions whose differentiation between primary and secondary involvement depends essentially on clinical presentation. According to the classification, primary cysts are those developed at the expense of the pigment iris epithelium, stroma or free-floating cyst.

A keloid can be described as an excessive development of dense and fibrous tissue that occurs during the healing process of a skin injury. Most often occur on the chest, shoulders, upper back, back of the neck, and earlobes. Despite decades of research, the pathophysiology of keloids remains incompletely understood.

Spermatic cord liposarcoma is very rare and characterized by a painless inguinal or scrotal mass. This is a case report of a 49-year-old man presenting with a mass in his left Inguinal, and the histopathological examination revealed a liposarcoma of the spermatic cord.

A one-year-old boy presented with a 3-months history of pruriginous cutaneous lesions on his trunk and limbs. Dermatological examination revealed multiple erythematous and pigmented plaques and nodules varying in size (Figure 1A). Darier’s sign was negative.

The present case highlights the possibility of multiple SARS-CoV-2 reinfections in highly exposed health care workers. The humoral immune response after natural infection seems to closely determine this phenomenon and to be boosted by vaccination in previously infected persons.

80 years-old female patient came to the emergency department with fever and pain in the right upper quadrant. She had diabetes mellitus and cirrhosis due to nonalcoholic steatohepatitis. In her history, she had undergone Endoscopic Retrograde Cholangiopancreatography (ERCP) 3 months prior due to biliary stones.

We report the case of a 37-year-old male patient, who developed a lichen planus-like eruption following imiquimod treatment for recurrent genital warts.

Although the prognosis of pancreatic cancer is poor [1], it could be expected by removing single lung metastases. We report a case of a lung cancer patient screened with Low-Dose Computed Tomography (LDCT) after 8 years of stage III pancreatic cancer.