Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Apr 2022
Case ReportsContralateral Recurrence of a Lumbar Juxtafacet Cyst Following Spontaneous Resolution.
We present a patient who had spontaneous resolution of a right L3/4 lumbar juxtafacet cyst (LJFC); and in whom, 2.5 years after regression of the previous cyst, a new contralateral L3/4 LJFC developed. Furthermore, with an extensive review, we discuss the selection criteria for patients for conservative treatment. A 44-year woman presented with right leg pain for two months. ⋯ In the setting of significant instability, conservative treatment for LJFCs can still be beneficial; however, its role in preventing recurrence of LJFCs may be inadequate. In such patients, early surgical correction of instability may result in better long-term outcomes. Key Words: Degeneration, Juxtafacet cyst, Recurrence, Spinal instability, Spontaneous resolution.
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J Coll Physicians Surg Pak · Apr 2022
Case ReportsHorseshoe Kidney in a Patient with Leriche Syndrome.
Horseshoe kidney (HSK) is one of the most common congenital renal fusion anomalies. Difficulties are encountered during surgery of aortic diseases associated with this anomaly. A 47-year male presented to the Outpatient Clinic with one-year history of intermittent claudication in 20 meters. ⋯ The bifurcated graft was positioned posteriorly to the isthmus; and distal anastomoses were performed onto the common femoral arteries. He was discharged from the hospital on the eighth postoperative day without any complications. Key Words: Abdominal aorta, Surgery, Horseshoe kidney, Leriche syndrome.
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J Coll Physicians Surg Pak · Apr 2022
Case ReportsMethotrexate-induced Leukoencephalopathy: A Rare but Life-threatening Toxicity.
Methotrexate (MTX), an anti-metabolite, is part of various chemotherapy regimens to treat acute lymphoblastic leukemia (ALL) and certain non-Hodgkin's lymphomas (NHLs). It is the major drug used in central nervous system (CNS) prophylaxis. Besides, its common hepatic, pulmonary, and hematologic toxicities, it has been implicated in the development of toxic leukoencephalopathy. ⋯ In most cases, recovery starts within 5-7 days and by the 3rd week, majority have usually recovered. However, cases of irreversible neurologic damage and late-onset chronic toxicities have been reported. Key Words: Methotrexate, Leukoencephalopathy, Chemotherapy, Leukemias.
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J Coll Physicians Surg Pak · Apr 2022
Case ReportsInitial Experience in Ablation of Non-coronary Cusp PVCs by using High-density Mapping System (Rhythmia).
Idiopathic premature ventricular contractions (PVCs) most often occur under or above the semi-lunar valves from the right ventricular outflow tract and less often from the left ventricular outflow tract. Radio-frequency ablation is mostly used for patients who develop left ventricular dysfunction or intolerable symptoms. ⋯ We report a case of a young man with PVCs coming from a rare site of non-coronary cusp, which was ablated successfully by using a high-density mapping system. Key Words: Catheter ablation, Left ventricular outflow tract, Non-coronary aortic cusp, Premature ventricular contractions.
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J Coll Physicians Surg Pak · Apr 2022
Case ReportsRecurrent Urinary Tract Infection in a Renal Transplant Patient by Pan-resistant Myroides Spp.
The myroides bacteria species are multidrug-resistant gram-negative aerobic bacilli. The genus myroides comprises two species, i.e., M. odoratimimus and M. odoratus, and is usually associated with infections in immunocompromised patients; though infections in immunocompetent individuals have also been reported. They are a rare cause of infection worldwide. ⋯ Here, we report a case of recurrent urinary tract infection by myroides species. This is the first documented case in Saudi Arabia to the best of our knowledge. Key Words: Myroides, Recurrent UTI, Renal transplant recipient, Immunosuppression.