Abstract We report a case of cauda equina syndrome (CES) caused by an epidural metastasis of breast cancer, which oddly mimicked a large disc sequestrum leading to misdiagnosis. To our knowledge, it is the first report of the direct metastasis of breast cancer to epidural space.

Ovarian immature teratoma is a rare tumor during pregnancy. In this disease, the role of adjuvant chemotherapy for initial stage 1, grade 2 and 3 is essential in pregnancy. Two cases of ovarian immature teratoma grade 2 in pregnancy with two different managements and outcomes have been illustrated down below.

We present a case of a 75-year-old male who presented with constipation, nausea, and vomiting for 4 days. Two diverticula were discovered 1 and 2 feet away from the duodenojejunal (DJ) junction. Due to excessive ileal edema, ileal resection, and a double barrel ileostomy was performed.

A document by zaid khamis. Click on the document to view its contents.

This report presents a man with a huge coronary fistula, connecting Left Circumflex coronary artery to right ventricle. During the follow-up, the patient developed progressive symptoms of heart failure nonresponsive to medical treatment. Therefore, an endovascular closure with vascular plug was successfully done for him.

”Waldmann’s Disease: Primary Intestinal Lymphangiectasia Diagnosed by 99mTc-labeled Albumin Macroaggregate Scintigraphy - A Case Report in an Adult Patient.”Alex Castellón Méndez A1, Allan Bodán Campbell A1, Mohammed Zahran1, Victor Rosales Obregón2.Department of Internal Medicine, Manolo Morales Peralta Hospital, Managua, Nicaragua.Department of Nuclear Medicine, Nora Astorga National Radiotherapy Center, Managua, Nicaragua.

Myopathy-related symptoms are rare manifestations of hypothyroidism. Clinicians should consider hypothyroid myopathy as one of possible diagnosis for patients with proximal weaknesses. We report a 34-year-old woman, presenting with a new atypical musculoskeletal manifestation of hypothyroidism mimicking polymyositis.

We present two cases of nine and twenty-seven years old girls with recurrence of immature teratoma after an incomplete surgical staging. In both cases, there were huge abdominopelvic masses despite decrease in tumor markers with chemotherapy. Complete surgical resection of these masses was done, and histopathology showed only mature teratoma.

Ossified cephalhematoma (OCH) is a rare condition, especially when it presents as a skull lesion in the older pediatric population, which can managed with craniectomy and en-bloc excision of the organized hematoma.

Cold agglutinin Syndrome as the Initial Presentation of Acute Myeloid Leukemia: A Case Report

Malignant melanoma presenting as an inflammatory skin metastasis has been described but is an exceedingly rare phenomenon. We report a case of inflammatory metastasis of cutaneous melanoma (CM)

A case of double ANCA negative Granulomatosis with polyangitis:

IntroductionSolitary Fibrous tumours (SFTs) were first described in 1931 by Klemperer et al. as pleural tumours. Since then, it has been reported in many extra-pleural sites but is found to be exceedingly rare. Most of them are reported to arise from the pleura, and only 30% are of extra-pleural origins. Less than a hundred cases of Primary Retroperitoneal Solitary Fibrous Tumours have been described till now. These are rare soft-tissue sarcomas, with mesenchymal origins. The symptoms of these tumours depend on the location. The diagnosis is done mainly by imaging such as ultrasonography, Computed tomography or Magnetic resonance imaging. The standard of treatment for these tumours is by surgical excision with clear margins. The role of adjuvant chemotherapy is controversial.

A document by Jennifer Cai. Click on the document to view its contents.

Castleman Disease Presenting as Lymphadenopathy in a Female with Systemic Lupus Erythematosus: A rare case report

Open dislocation of the ankle and Epstein's superior type of hip dislocation are rare orthopedic injuries. We reported a case of 50 years gentleman with a combination of these two rare orthopedic emergencies without any associated fracture with the newly reported mechanism and management to save limb and its function.

IntroductionBilateral vocal cord paralysis (BVCP) is a rare, life-threatening condition that can compromise airway patency 1. COVID-19, Herpes Simplex Virus, Epstein-Barr Virus (EBV) and Cytomegalovirus (CMV) have been widely reported as potential viral causes 1-3. Influenza A has been associated with neurological syndromes such as brainstem encephalitis and Guillain-Barre Syndrome, however, historically there have only been two reports of vocal cord paralysis secondary to influenzal origin 4, 5.We present a case report of a 57-year-old male who developed BVCP following Influenza A infection.

TitleAberrant right subclavian artery: a rare cause of stridor in infants  Affiliations   1. Mohammad Alashqar*Faculty of Medicine and Health Sciences, An-Najah National University, PO Box 7, Nablus, West Bank, Palestine. mohammad_20012011@icloud.com2. Israa salmanPediatrics and Neonatology, Tulkarim Governmental Hospital, Tulkarim, PSE israsalman5@gmail.com3. Seba LubbadehFaculty of Medicine and Health Sciences, An-Najah National University, PO Box 7, Nablus, West Bank, Palestine. Sebalubbadeh123@gmail.com4. Osayd khasatiFaculty of Medicine and Health Sciences, An-Najah National University, PO Box 7, Nablus, West Bank, Palestine. khassati55@gmail.com