Injury to epicardial coronary arteries following mitral valve replacement surgery, albeit rare, could have fatal complications. In this case, we suggest conservative medical treatment as a safe approach in patients who are not suitable to undergo revascularization.

Bacillus Calmette-Guérin (BCG) is commonly used in treating superficial urothelial carcinoma. Though rare, local and systemic disseminated BCG infections are important to recognize as they require prolonged antimicrobial therapy and surveillance. We present an unusual case of a parapharyngeal space mass as manifestation of disseminated BCG following urothelial carcinoma treatment.

We report a case of a postmenopausal woman presenting with lower abdominal pain and vaginal bleeding. She went through a maximal debulking surgery and the pathological biopsy revealed hepatoid carcinoma of the ovary (HCO). Immunohistochemical assay demonstrates SALL4 as an indicator to differentiate HCO from Hepatocellular carcinoma (HCC).

A 74-year-old female with cervical cancer post radical hysterectomy developed bilateral ureter stricture with pyonephrosis. Retrograde ureteric stent was performed and it was considered an effective procedure other than percutaneous nehrostomy and nephrectomy.

Candida osteomyelitis is a rare disorder. Its incidence has drastically risen during the last 3 decades. Diagnosis is delayed due to nonspecific symptoms. Thus its management is not done early which leads to increased morbidity. Here we report an immunocompetent case of candida osteomyelitis that presented with prolonged FUO.

Left segmental hypoplasia of liver with concomitant gallbladder agenesis

We report the case of a 65-year-old woman who presented to our hospital with a complaint of abdominal pain due to undigested mochi, which was resolved by snare cutting.

Case Report

Brief report:

Title of the paper

A document by Niranjan Thapa. Click on the document to view its contents.

We report a case based on simultaneous occurrence of Waldenström macroglobulinemia, myeloma and amyloidosis as a collision neoplasm. The strangeness and severity of the case presented a diagnostic and therapeutic challenge, which required individualised treatment and close follow-up to achieved stringent complete response.

MEASLES - AN ENT DIAGNOSIS?

Abstract text is in the manuscript due to problem with words limit

To clinical case report1

Periodic chest pain, with bloody pleural effusion, should raise the suspicion of pleural endometriosis as a well-known, but rare condition in clinical practice.

71-year-old male with epidural spinal lipomatosis and spondylolisthesis. Conservative treatment failed, and a spinal fusion and laminectomy were performed. Postoperatively, the patient reported a reduction in pain; however, the pain recurred soon after surgery. After losing 53 pounds with medical management, the patient reported a complete absence of pain.

Pulmonary embolism can be a complication following an attempted salvage of a dysfuctional arteriovenous fistula (AVF). We report a case of bilateral pulmonary embolism in a patient with underlying pericardial effusion who, following minimal venotomy and milking of the AVF, developed sudden and significant respiratory distress, and later improved.