Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
-
J Coll Physicians Surg Pak · Dec 2022
Case ReportsDisseminated Nocardiosis with Ocular Involvement in a Patient with Anca-associated Vasculitis.
A 62-year male patient, diagnosed with antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV), developed proptosis and decrease in visual acuity while on rituximab treatment. As the ophthalmological examination and imaging studies could not exclude tumour of the orbit, enucleation of the orbit was performed. The histopathology displayed necrosis and inflammation. ⋯ Despite efficient antimicrobial therapy, the disease progressed rapidly causing death. This case is unique as it describes disseminated nocardiosis with ocular and cerebral involvement in an AVV patient. Key Words: Immunosuppression, Nocardiosis, ANCA-associated vasculitis, Proptosis.
-
J Coll Physicians Surg Pak · Dec 2022
Case ReportsSimultaneous Living Kidney And Liver Transplantation in a Young Male From Two Living Donors.
Simultaneous kidney and liver transplantation (SKLT) is the surgical treatment modality for combined liver and kidney failure. Although it is a challenging procedure, but has got the added advantage of a single procedure and common immunosuppression therapy. Recently, the practice of deceased donors SKLT has increased dramatically in the West. ⋯ Here, we describe a successful SKLT procedure from two separate living donors in a 31-year male, who presented with end-stage renal disease secondary to hypertensive nephropathy and decompensated chronic liver disease secondary to hepatitis C infection. The patient had a smooth recovery and on 1-year follow-up, he is stable. Key Words: Simultaneous, Liver, Kidney, Transplantation.
-
J Coll Physicians Surg Pak · Dec 2022
Case ReportsA Rare Case in Urology: Inflammatory Myofibroblastic Tumour.
Inflammatory myofibroblastic tumour (IMT) is a soft tissue malignancy with a mixture of myofibroblastic spindle cells with hyalinised stroma and inflammatory infiltrates. We report a case of a 35-year male patient with a 100×90 mm mass located at the posterior wall of the urinary bladder just adjacent to the prostate and rectum. The mass caused grade 3 hydronephrosis in the left kidney and grade 1 hydronephrosis in the right kidney. ⋯ Morphology and immunohistochemistry were consistent with IMT. With surgical excision of the tumour, no recurrence or metastases were seen up to 3 years postoperatively. Key Words: Inflammatory myofibroblastic tumour, Bladder, Urinary system, Hydronephrosis.
-
J Coll Physicians Surg Pak · Dec 2022
Observational StudyAssessment of Relationship between Hemodynamic Changes and Anxiety in Patients During Lower Third Molar Surgery.
To investigate the relationship between anxiety and hemodynamic changes in patients who have undergone impacted third molar surgery under local anaesthesia. ⋯ Anxiety, Impacted third molars, Dental surgery, Hemodynamic changes.
-
J Coll Physicians Surg Pak · Dec 2022
Case ReportsHuge Primary Intermediate-grade Myofibroblastic Sarcoma in the Retroperitoneum.
Myofibroblastic sarcoma is exceedingly rare, with low-grade features in most cases, and rarely involves the retroperitoneum. The 2020 World Health Organization (WHO) classification of soft tissue tumours still lists only low-grade myofibroblastic sarcoma and shows no consensus on the definitions of high- and intermediate-grade myofibroblastic sarcomas, in contrast to the 2013 WHO classification. ⋯ We describe a patient with intermediate-grade myofibroblastic sarcoma in the retroperitoneum, who underwent en bloc resection and ureteroplasty without adjuvant therapy and was free of pain and any other discomfort during 19 months of follow-up. Key Words: Myofibroblastic sarcoma, Intermediate grade, Retroperitoneum, Surgery.