Acute aortic dissection combined with cardiac tamponade is fatal. The radical treatment is an aortic replacement; however, the risk is high. The treatment method for elderly patients is difficult to determine. We suggest conservative treatment with pericardial drainage may be one of the treatment options in the elderly with comorbidities.

Acute aortic dissection with coronary malperfusion is a life-threatening disease, resulting in demanding postoperative management. We report a successful insertion of percutaneous heart pump Impella through the intact true lumen in a patient with residual aortic dissection after the graft replacement and its recovery from the post-cardiotomy cardiogenic shock.

Massive circulating metastatic cells: a case of carcinocythemiaCarine Farkh1, Jérome Debus1, Valérie Andrieu1, Juliette Gay11Laboratoire Hématologie, AP-HP, Hôpital Bichat-Claude Bernard, F-75018 Paris, France.

Inguinal hernia may contain the bladder as one of its contents, while bilateral inguinal bladder herniation is rare. Urinary obstruction and obesity are associated with increased abdominal pressure and are risk factors of bladder herniation. Clinicians should be aware of the bladder hernia in elderly with chronic dysuria and obesity.

Primary CNS Lymphoma Presenting with Seizures in a Virologically Suppressed HIV Patient with Near-Normal CD4: A Case Report from UgandaAbdisalam Ahmed Sandeyl1, Abdisamad Guled Hersi1, David Elia Saria1, Farah Dubad Abdi1, Venance Emmanuel Mswelo1, Sura Daniel Elias2, Elias Amare Hailu3, Hailemariam Kassahun Bekele11Internal Medicine Department, Kampala International University, Kampala, Uganda2Neurosurgery Department, Kampala International University, Kampala, Uganda3Oncology Department, Kampala International University, Kampala, UgandaCorrespondence: Abdisalam Ahmed Sandeyl, Internal Medicine Department, Kampala International University, Kampala, Uganda, P.O. Box 7062, Kampala, Uganda. Tel: +256 7744137717; Email: abdisalaam77@gmail.com

A document by Smriti Lama Thing. Click on the document to view its contents.

INTRODUCTION:Human beings are often infected with species of filariasis which are naturally found in animals. Among these the commonly reported is due to dirofilaria species - D repens and D imitis. It is transmitted by mosquito bite. The review of literature revealed around 800 cases reported worldwide. Most of the pediatric cases reported in India are ocular dirofilariasis. Subcutaneous dirofilariasis cases are mostly reported in adult population. Here we present a series of four cases of subcutaneous dirofilariasis in children presenting as subcutaneous nodules.

Pheochromocytoma occurs in 1 in every 50,000 hypertensive pregnant lady. Antenatal diagnosis is critical to reduce maternal and perinatal mortality rates. Here, we describe a patient diagnosed with pheochromocytoma at 35 weeks with an atypical presentation of right flank pain and seizures, her preoperative optimization and intra-partum surgical management.

A document by praveen errabelli. Click on the document to view its contents.

A 75-year-old man was admitted with a diagnosis of diabetic ketoacidosis and hyperkalemia. During the treatment, he developed refractory hyperkalemia. Following our review, diagnosis of pseudohyperkalaemia secondary to thrombocytosis was made. We report this case to remind the importance of clinical suspicion of this phenomenon to prevent its serious consequences.

An 81-year-old man initially underwent right hepatic lobectomy for liver cancer and was pathologically diagnosed with combined hepatocellular and cholangiocarcinoma (CHC). At 13 months after resection, multiple lymph node metastases were observed. We started atezolizumab plus bevacizumab (Atez/Bev), achieving a 7.5-month progression-free survival. Atez/Bev might exhibit efficacy for CHC patients.

A 52-year-old female was admitted to rule out an acute coronary syndrome.Her Troponin, ECG, MPS were negative. Further testing she was found to have extremely high high-density lipoprotein level of 218 mg/dl.Due to the persistent nature of the chest pain, LHC was done with 50% stenosis of RCA.

This is a case of gastric heterotopia, a benign condition most commonly found as multiple small polyps in the duodenal bulb, diagnosticated as a large polypoid lesion of the third duodenal portion in a young patient and treated successfully with endoscopic resection under laparoscopic vision.

Penile's melanoma is a rare situation associated with late diagnosis and high morbi-mortality. We report the case of a 70-year-old. Represented skin lesions of the penile gland. A surgical biopsy established the diagnosis of Penile's melanoma in the metastatic stage. Malignant melanoma of the penis represents an exceptional situation

Introduction: Cavernous hemangioma accounts for 0.6% of bladder tumors. We present a rare case Case Presentation: A 3-year-old girl presented with intravaginal swelling, dysuria, and hematuria. She received 26 cycles of VAC for embryonal rhabdomyosarcoma. Histopathology confirmed CH. Conclusion: CH should be considered in the differentials of childhood genitourinary masses.

A rare case of a young girl with hydrocele in a canal nuck mimicking inguinal hernia: A case report from Muhimbili National Hospital, Tanzania.Rajabu Athumani Bakari1,2*, Alfred Chibwae1, Nanyokye Nasira Kidoko 2, Mwajabu Rashidi Mbaga1,2, Zaitun M. Bokhary2, Victor T. Ngotta2.1 Department of Surgery, School of Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.2 Department of Surgery, Muhimbili National Hospital, Dar es Salaam, Tanzania.*Correspondence : Rajabu Athumani Bakari, Department of Surgery, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania. Tel: +255738297925; E-mail: rogerluhizo@gmail.comKeywords: Type I hydrocele, round ligament, inguinal swelling, pediatric, canal of Nuck, and hydrocele

Intraosseous lipoma is a rare benign lesion of bone. We present a case of an intraosseous lipoma of the calcaneum detected as an incidental finding, as well-delineated osteolytic lesion with central area of calcification, on plain radiography. Diagnosis can be done with a computed tomography scan and/or magnetic resonance imaging.

A case report and clinical implications of medication-related osteonecrosis of the jaw resulting in sepsis in a patient with rheumatoid arthritis