Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Dec 2022
Case ReportsVaginal Leiomyoma Presenting as Pelvic Organ Prolapse in Pregnancy.
Vaginal leiomyomas are extremely rare in pregnancy. These can present in a variety of ways. They can cause mechanical obstruction leading to maternal and perinatal morbidity. ⋯ She was admitted and a lower segment caesarian section was done followed by transvaginal resection of the mass, and cystoscopy was done. Vaginal leiomyomas require surgical removal and it is usually curative and recommended as the initial treatment of choice, especially when the tumour is large enough to cause a potential obstacle to normal labour. Key Words: Vaginal leiomyoma, Pelvic organ prolapse, Pregnancy.
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Myasthenia gravis (MG) affects the ocular, bulbar, and proximal limb muscles. The involvement of distal limb muscles is uncommon. MG-related weakness that severely affects the finger flexors and spares finger extensors and intrinsic hand muscles have never been reported. ⋯ The patient had a good recovery with immunotherapy. We conclude that clinicians should be aware that marked weakness of the finger flexors can occur as a result of an MG relapse and may require early aggressive therapy. Key Words: Electromyography, Finger flexors, Muscle, Biopsy, Myasthenia gravis.
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J Coll Physicians Surg Pak · Dec 2022
Case ReportsLymphoepithelioma-like Carcinoma of the Stomach: A Case Successfully Treated with Chemotherapy.
Lymphoepithelioma-like carcinoma of the stomach is a rare gastric tumour. Pathological features include undifferentiated carcinoma mixed with prominent stromal lymphoid infiltration. The incidence is significantly higher in men. ⋯ Because of its rarity, standardised management is currently unavailable. A case of lymphoepithelioma-like carcinoma of the stomach is presented that was successfully treated with chemotherapy consisting of only two cycles of tegafur, gimeracil, and oteracil plus oxaliplatin. Key Words: Lymphoepithelioma-like carcinoma, Stomach, Chemotherapy.
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J Coll Physicians Surg Pak · Dec 2022
Case ReportsTreatment Approach of Acute Coronary Thrombosis without Dissection in a Bleeding Patient with Multiple Trauma.
Trauma is one of the causes of acute myocardial infarction (AMI). In the literature, coronary dissection or vasospasm is thought to play a role in the aetiology of AMI, but the presence of coronary thrombosis without coronary dissection is uncommon. If bleeding pathologies occur in addition to traumatic coronary thrombosis, this may make the situation more complicated. ⋯ Electrocardiography should be performed in patients with chest trauma. Thrombosis-bleeding balance should be carefully evaluated during treatment and treatment should be determined by taking this situation into consideration. Key Words: Coronary thrombosis, Multiple trauma, Bleeding, Angioplasty, Antiplatelet therapy.
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J Coll Physicians Surg Pak · Dec 2022
Case ReportsRight Retrocolic Intrasaccular Duodenum and Intramesenteric Duodenojejunal Junction: Is It a Novel Variant of Isolated Duodenal Non-rotation?
Midgut malrotation with volvulus is one of the true surgical emergencies of childhood. Almost all of the studies on anomalies of the midgut rotation and fixation in the literature and related sections in textbooks were designed according to Dott's classification. ⋯ Herein, we report a case of an unusual variant of isolated pure duodenal non-rotation which presented with signs of midgut volvulus that was successfully treated. Key Words: Newborn, Malrotation, Non-rotation, Isolated duodenal non-rotation, Midgut volvulus.