Articles

The cluster sign is a radiological finding associated with pyogenic liver abscesses that better appreciated on contrast- enhanced CT and MRI images. It was first described by Jeffrey et al. in 1988 [1].

Pancreas divisum is the most common congenital malformation of the pancreatic ductal system, it has been reported to affect approximately 4-14% of the general population [1].

Dental imaging has witnessed a significant evolution with advanced technologies, enhancing diagnostic accuracy and treatment planning in dentistry.

Our article reports a particular dermoscopic clue in the perioral area of a patient with corticotropin deficiency. The contribution of dermoscopy was crucial in that we could suggest melanoderma with here Addison’s disease.

Malaria is a most significant parasitic disease worldwide. The overall burden of malaria infection in Tanzania has been decreasing over the past 10 years.

A 75-year-old woman presented with complaints of cough, sputum, shortness of breath, and back pain. He was using Methylpredinosolone and Leflunomide due to his known diagnosis of Rheumatoid Arthritis.

To propose minimally invasive percutaneous approach in the management of refractory rectal variceal bleed. Rectal varices are portosystemic collaterals that arise as a complication of portal hypertension.

Carpal coalition is a rare congenital entity, the Luno-Triquetral (LT) coalition having the highest incidence. Additionally, LT coalition is described in literature to be most often bilateral and being more common in females.

Catastrophic Antiphospholipid Syndrome (CAPS) is a rare, life-threatening condition characterized by rapid, widespread thrombosis. Cardiac involvement, most commonly valvulopathy, is documented in up to 53% of cases, but fulminant myocarditis is much rarer.

The corpus luteum results from the transformation of the DE GRAAF follicle during ovulation after the expulsion of the oocyte, its main role is the secretion of progesterone and the maintenance of pregnancy if it has taken place.

Fistulas pathways in the anal and rectal region are tricky to delimit and define their extension using imaging (MRI) because of the multilayer and condense anatomy of this region.

Hypopharyngeal and esophageal liposarcoma are rare malignant tumors. Low grade liposarcoma have similarities to lipoma. Surgical resection with endoscopic or cervical approach is treatment option. We present hypopharyngeal liposarcoma that was treated with endoscopic resection and reconstruction.

An independent 90 year old woman presented to the emergency department in respiratory distress. Background medical history included a known retrosternal goitre under observation, previous right sided thyroid lobectomy and recent lower respiratory tract infection treated with oral antibiotics.

Middle ear adenoma is a rare disease that originates, and may extend beyond, the middle ear. It affects patients of a wide age range, has no gender predominance, and has no specific presenting symptoms.

Diabetes patients frequently experience a serious complication known as impaired wound healing, which increases the likelihood of foot infection and limb amputation. Investigators have been looking for novel methods to treat Diabetic Foot Ulcers (DFU) recently.

Osteoarticular infections form an important part of orthopedic & infectious disease practice. Currently, gram negative infections have become increasingly important.

A 53-year-old woman, with no notable medical history, presented with intraoral hemorrhagic bubbles. Her full blood count showed severe thrombocytopenia (platelets 75×109/L) and leukocytosis (WBC 59,5×109/L), but no anemia (hemoglobin concentration 121g/L).

Chlamydia trachomatis, is a frequent pathogen causing sexually transmitted proctitis. We report a case of a man with chlamydia-related recto-sigmoiditis without a history of having sex with other men or multiple sexual partners who was HIV negative.

Tumor type and histological grade are two major morphological factors that impact the classification of Breast Cancer (BC). Markers like the ER and PR can be used in standard clinical laboratories to predict treatment response or drug resistance when using novel medications.

Actinomycosis is a rare bacterial infection, characterized by chronic and progressive granulomatous inflammation, caused by Gram-positive anaerobic bacilli: Actinomyces. The most frequently incriminated species is Actinomycete israeli.

Pyogenic sacroiliitis is a rare infection and has not been reported in a hemodialysis patient. We report a case of disseminated staphylococcal infection with bilateral sacroiliitis, sternoclavicular arthritis and right sternocleidomastoid abscess in a dialysis patient.

Dirofilariosis is a mosquito-borne zoonosis caused byfilarial nematodes of the genus Dirofilaria, subgenus Nochtiella. The definitive host is mainly the dog and the man constitutes a dead-end host.

Traumatic cataract is a serious and common condition that mainly affects young adults and children. We report the case of a 25-year-old female patient who presented for consultation with blurred vision that had been progressively developing for over a year and in whom the clinical examination revealed a rosette-shaped cataract.

The incidence of lung cancer is high, but the survival rate is low. For operable stage III non-small cell lung cancer, neoadjuvant chemotherapy, chemoradiotherapy or chemotherapy combined with immunotherapy, or postoperative adjuvant therapy can be used.

A 47 year old male with history of Hypertension presented to ER for abdominal pain. He visited his PCP 4 days ago, found to have hypertension and restarted on Lisinopril which patient had stopped taking since last 2 years.

An 18-year-old male presented to our outpatient department with a complaint of hypopigmented skin lesions with well- defined margins and peripheral inflammatory skin at the volar surface of the bilateral wrist and fingers symmetrically without peripheral skin inflammation for one month (Figures 1 and 2).

We performed expression analysis on the expression data of Laryngeal Cancer (LC) samples to determine the expression differences of HSP90AA1 in tumors and normal samples, and evaluated the methylation level, prognostic significance, functional pathways and risk significance of HSP90AA1, and obtained the results in LC.

The central dot sign is a non-pathognomonic radiological sign, but suggestive of caroli disease, where the central dot corresponds to fibrovascular bundles surrounded by cystic dilatations of the intrahepatic bile ducts.

Oxidative stress plays a pivotal role in the pathogenesis of various diseases. In the quest for effective therapeutic agents, natural plants with antioxidant properties have gained significant attention.

A 24-year-old female with a history of smoking presented with substernal chest pain radiating to her left arm. She also reported dysphonia for 2 weeks. She denied any shortness of breath, sore throat, cough, or fever.

Silicone oil (SO) is used as a vitreous tamponade, because of its non-immunogenic and inert properties as well as the transparency it permits for posterior segment evaluation without inducing any aberration [1].

This research article aims to provide a comprehensive review of the current scientific literature on the prognostic significance of neutrophil-to-leukocyte ratio (NLR) in colorectal carcinoma (CRC).

Accurate localization of intraventricular electrode tips in patients with Cardiac Implantable Electronic Devices (CIEDs) remains a challenge, necessitating advanced imaging techniques.

We present a case of a patient in his seventies who experienced recurrent pericardial effusion and exertional dyspnea, initially attributed to an episode of pericarditis. Further investigation revealed marked and diffuse thickening of the right atrial walls, raising suspicion of cardiac mass.

Ovarian cancer with umbilical metastasis is an extremely rare clinical condition. It presents with subtle symptoms and lacks specific clinical manifestations. Early detection and standardized comprehensive treatment can effectively improve patient prognosis.

Renal lacerations are infrequent but significant injuries that necessitate immediate and proper treatment to avoid complications including bleeding and renal failure. We report a case of a male patient, aged 15, who experienced a kidney laceration due to forceful abdominal trauma.

Spontaneous pneumothorax can be a rare presentation of Klebsiella pneumoniae in a healthy nonalcoholic young individual without prior clinical features of pneumonia in developing countries where mycobacterium tuberculosis remains primary suspicion.

Mental status changes in older adults with dementia are a diagnosis challenge since they might be consistent with two common entities: dementia progression or delirium. Electroencephalogram (EEG) may help clinicians to diagnose delirium in coherent patients but its use in older adults with dementia is controversial due to low specificity.

Despite substantial advancements in the management of cardiac arrest, high-quality Cardiopulmonary Resuscitation (CPR) remains the cornerstone of care. We present a rare case of CPR-Induced Consciousness (CPRIC), an uncommon yet increasingly prevalent phenomenon.

Inflammatory Bowel Disease (IBD) can trigger a variety of signs and symptoms that affect tissues adjacent to the intestine, known as Extra Intestinal Manifestations (EIM), which can significantly impact quality of life, work performance and treatment adherence.

Primary malignant germ cell tumors of the mediastinum are extremely rare among females. Primary choriocarcinoma of the mediastinum is a rare form of extragonadal germ cell tumor that has a poorer prognosis in comparison to other extragenital germ cell tumors and occurs almost exclusively in young men.

Eyelid hidrocystomas, typically benign tumors, develop from the sweat glands of the eyelids and present as skin-colored papules or nodules. The presence of pigmentation in eyelid hidrocystomas is rare and can pose a diagnostic challenge.

An 18-year-old patient came to our Ophthalmology Department due to significant bilateral vision loss. The vision impairment in the left eye, lasting for ten days, had progressively worsened. There was a sudden deterioration of visual acuity in the right eye for two days.

This study aimed to analyze the attitudes and practices of healthcare professionals regarding blood product transfusion in oncological surgeries, focusing on factors influencing decision-making and adherence to transfusion protocols.

Limited real-world data exist on the efficacy, user satisfaction, and usage patterns of medical devices used for nasal rinsing in patients with ENT conditions.

Prune Belly Syndrome (PBS) is a rare congenital disorder characterized by a triad of urinary tract dilatation, abdominal wall musculature deficiency and bilateral cryptorchidism.

The most frequent cause of mandibular deviation is surgical mandibular excision for benign or malignant tumors. Mandibular deviation towards the defect side and subsequent loss of occlusion on the unresected side are the consequences of unilateral loss of mandibular continuity occurring from trauma or surgery.

A 37 years-old man, chronic alcoholic and chronic smoker, presented with abdominal pain and fever. Full blood count was suggestive of polycythemia rubra vera with high packed cell volume of 57%.

Euglycemic Diabetic Ketoacidosis (euDKA) is a rare but potentially life-threatening complication associated with sodium-glucose cotransporter-2 (SGLT2) inhibitor therapy and low carbohy- drate diets. We present a case of euDKA in a 57-year-old male shortly after initiating a low carbohydrate diet.

Assess the effects of surface Neuromuscular-Electrical Stimulation (sNMES), Masticatory-Device with Hyperboloid (MDHB), and mandibular-advancement-intraoral-appliance (OAm) on salivary parameters in patients with Down Syndrome and Obstructive Sleep Apnea (DS-OSA).

A 75-year-old woman was admitted to our emergency department due to SJS and TEN to investigate the involvement of the vulva and the vaginal mucosa and make a consultation. The woman’s medical history included hypertension.

Postpartum Haemorrhage (PPH) is the leading cause of maternal mortality world-wide. Many times, the only solution is surgical intervention by performing a caesarean (or emergency obstetric) hysterectomy.

Cysts and fistulas of the dorsum of the nose are rare. These malformations are strictly confined to the midline, extending from the columella to the glabella. Deep extension is possible, with contact with the leptomeningeal spaces.

Vaginal cuff dehiscence and subsequent small intestine evisceration can be a dramatic complication of hysterectomy regardless the mode and type of it and if not treated will evolve to a life-threatening situation.

A 35-year-old female with a history of 8 years of amenorrhea presented with complaints of nasal stuffiness, difficulty in swallowing, and gradual onset dyspnoea for the past 15 days.

Synchronous adrenal myelolipoma and Renal Cell Carcinoma (RCC) have been rarely reported in the literature. Cases occurring on the ipsilateral side are even rarer. We report a case of a 65-year-old male who presented with hematuria, lithuria, and suprapubic pain.

Phlebectasia is a non-tortuous saccular or fusiform dilatation of a vein. Commonly encountered in the paediatric age group, it usually involves upper extremity and neck veins.

Pulmonary lymphoepithelial carcinoma is a rare tumor. It most commonly affects organs derived from the primitive foregut: pharynx, thymus, salivary glands. It is exceptional in the lungs and associated with EBV infection.

A 37-year-old previously healthy male presented to the Emergency Department with a two-week history of intermittent fevers, joint pain, sore throat, and a diffuse salmon-colored rash.

A 24-year-old female at 28 weeks period of gestation referred to our emergency with history of preeclampsia and increased umbilical artery pulsatility index with no history of bleeding per vaginum was detected with partial separation of placenta (asterisk) and bleeding spiral arterioles (arrow) (Figure 1) with a single live fetus of 900 gms on ultrasonography.

PAS is a rare mesenchymal tumour originating from the intimal layer of the pulmonary artery, that is usually misdiagnosed as acute or chronic PE, leading to delayed diagnosis and treatment.

Rapunzel syndrome is a rare disease that is characterized by a gastric trichobezoar with a long tail extending from the stomach to the small bowel. Patients can be asymptomatic for a long period, and symptoms develop later when the bezoar enlarges in size.

Tardive dyskinesia is an involuntary and iatrogenic hyperkinetic movement disorder triggered by the use of dopamine receptor antagonists or partial agonists.

Postpartum Hemorrhage (PPH) is a major cause of maternal mortality. We report a case of a patient with PPH due to vaginal lacerations, where the Inferior Mesenteric Artery (IMA) was the source of bleeding.

Liver angiosarcoma is a rare primary liver malignancy which originates from sinusoidal endothelial cells, accounting for approximately 1.8% of primary hepatic malignancy, affecting mostly men in their sixth or seventh decade of life.

Becker nevus syndrome is a rare disease characterized by a Becker nevus associated with developmental abnormalities. Development, such as ipsilateral breast hypoplasia or other cutaneous, muscular or skeletal abnormalities.

Meningiomas and schwannomas, which are usually benign, present a diagnostic challenge when they cooccur in young patients without known risk factors. Here, we report the case of a 30-year-old male diagnosed with concurrent intracranial tumors requiring craniotomy, targeted radiation therapy.

We report a case of kikuchi disease with aseptic meningitis in a 11-year-old male who suffered from a high fever without significant triggers 36 days ago and accompanied by enlarged right cervical lymph nodes with tenderness 19 days before admission.