Evaluation of flow dynamics in dSINE (distal Stent graft-induced New Entry) using 4D flow MRIKenji Sakakibara1), Hiroyuki Nakajima1), Yudai Hagihara1), Chie Nakamura1), Daichi Shikata1), Yuki Takesue1), Satoru Shiraiwa1),Yoshihiro Honda1),Shigeaki Kaga1)Masahiro Hamasaki2), Hisashi Johno2)1) Department of Surgery (II), Faculty of Medicine, University of Yamanashi2) Department of Radiology, Faculty of Medicine, University of Yamanashi

A patient with lung cancer was administrated osimertinib. She developed symptomatic heart failure due to Takotsubo-cardiomyopathy (TC). As her condition improved after discontinuing osimertinib, TC was thought to be caused by osimertinib. Re-occurrence of TC was seen after re-administraing half dose of osimernitib.

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An oral appliance with anterior opening to reduce intraoral pressure was effective for a 57-year-old man with obstructive sleep apnea syndrome accompanying pneumoparotid, which refers to the retrograde insufflation of air inside the parotid gland or Stensen's duct.

Astroblastoma is a rare central nervous system tumor. We reported a case of a 24-years-old Nepalese woman with radiological features mimicking pilocytic astrocytoma which came out to be low grade astroblastoma in histopathological and immunohistochemistry examination after total excision of the tumor.

Tuberculous (TB) infection remains one of the leading causes of death, especially in developing countries. TB liver involvement is a rare extrapulmonary manifestation of TB and is usually found as a secondary involvement to TB of the lung. Here we are presenting a case of Isolated TB liver abscess.

A healthy 48-years-old male patient was referred to our department to take radiographs of a displaced implant. Upon radiographic evaluation, it was unveiled that the implant has migrated to the nasal cavity and is trapped under the middle concha. The implant was removed under endoscopy through the right nostril.

Transcatheter aortic valve implantation (TVAI) is a widely used treatment for aortic stenosis. The complication rates of TAVI have decreased over time, owing to the improvements in procedural skills.We encountered acute decompensated heart failure cause by stress induced cardiomyopathy or ventricular stunning as a rare and fatal complication of TAVI.

Acute urticaria as the sole initial manifestation of dengue fever: A rare case reportMd Osman Gani1, Mohammad Shahangir Biswas2,3*, Md Moyen Uddin PK4,5, Md Ebrahim Khalil2, Maksudul Haque2, Md Matiar Rahman61Department of Biochemistry & Molecular Biology, Primeasia University, Dhaka-1213, Bangladesh2Department of Biochemistry and Biotechnology, University of Science & Technology Chittagong (USTC), Foy’s Lake, Zakir Hossain Road, Chittagong-4202, Bangladesh3Department of Public Health, Daffodil International University, Dhaka-1216, Bangladesh4Department of Quality Control & Assurance, Jist Life Care Ltd, Dhaka, Bangladesh5Dr. PK Research Academy, Dhaka-1216, Bangladesh6Department of Biochemistry and Molecular Biology,University of Rajshahi, Rajshahi-6205 Bangladesh*Correspondence:Dr. Mohammad Shahangir BiswasAssistant ProfessorDepartment of Biochemistry and BiotechnologyUniversity of Science & Technology Chittagong (USTC)Foy’s Lake, Zakir Hossain Road, Chittagong-4202, BangladeshCell: +880-1323381081Email: bioshahangir@gmail.com

The IDUA gene (MIM 252800) provides instructions for producing alpha-L-iduronidase, which is essential for the breakdown of glycosaminoglycans (GAGs). Mutations in the IDUA gene have been found to cause mucopolysaccharidosis type I (MIM 607014). This leads to the accumulation of GAGs within lysosomes causing different organs to be dysfunctional.

Emphysematous cholecystitis is caused by gas-forming micro-organisms, primarily in patients with immunosuppression and diabetes mellitus. It leads to a signature radiological finding with air in gall bladder wall as described in this report. Clinicians should be aware of this critical differential diagnosis.

Cow's milk allergy non-responsive to amino acid-based formula must raise suspicion of Immune dysregulation, polyendocrinopathy, enteropathy, X-linked syndrome. This is a potentially fatal disease associated with food allergy, sometimes leading to diagnostic delay. In our case, early diagnosis and management provided life-saving therapy.

Bell's palsy in pregnancy is not frequently seen. The association of preeclampsia with Bell's palsy is reported in the research, however, the exact link between Bell's palsy and preeclampsia is unknown. The treatment of Bell's palsy during the pregnancy is difficult and controversial.

In this case report we present a case of a eight years old boy who presented with progressive orbital cellulitis causing endangered vision secondary to carious primary maxillary molar. The patient was appropriately managed with intravenous antibiotics, steroids and surgical decompression. Significant morbidity was overcome by multi-specialty team approach.

This case is about a child who had a ventriculoperitoneal shunt due to a hydrocephalus related to a cystic craniopharyngioma. Postoperative, he presented abdominal distension and meningismus. Imaging showed regression of the tumor. The cyst was drained by the shunt. No previous similar situations was reported in the literature.

A case of a 42-year-old woman, Para 3 who had an unplanned pregnancy despite bilateral tubal ligation for contraception, and Novasure® endometrial ablation for persistent Heavy Menstrual Bleeding (HMB). The pregnancy was complicated by missed miscarriage at 14 weeks and placenta accreta. This is an uncommon event.

Cytomegalovirus (CMV) retinitis is an uncommon presentation post allogeneic transplant and can be vision-threatening. This case demonstrates the occurrence of mixed viral retinitis (CMV and varicella zoster virus) post allogeneic stem cell transplant despite multiple prophylactic antiviral therapies, and features CMV retinitis in the absence of CMV DNAemia.

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