Clinics and Practice  

Dukagjin Morina, Athanasios K. Petridis, Friedericke S. Fritzsche, Georgios Ntoulias, Martin Scholz

We describe a case of progressive syringomyelia following post-infectious trapped fourth ventricle (TFV), which resolved after shunting of the fourth ventricle. A 28-year-old female who had previously undergone treatment of intracerebral hemorrhage and me... see more

Jai Bikhchandani, Duminda B. Suraweera, Bennie R. Upchurch

Management of a solitary pancreatic pseudocyst with endoscopic transpapillary stent drainage is a well recognized treatment modality. Endoscopic options are however limited in the presence of multiple pancreatic pseudocysts. Conventionally surgery has bee... see more

Sebastien Joye, Anja Gao, Simon Kayemba-Kay's, Jacques Cotting, Marie-Hélène Perez

Despite good cover with 7-valent vaccination, invasive pneumococcal infections may still be misdiagnosed and may lead to lifethreatening situations or death in young children. New serotypes are emerging and, therefore, clinicians must keep a high level of... see more

Ryoko Takeuchi, Hiroshi Kamada, Yuki Sato, Masataka Sakane

Arthrography is useful method to evaluate obstruct factors and the congruity of the femoral head for developmental dysplasia of the hip. We usually use an air injection to ascertain whether the needle is accurately insert intraarticularly, because leakage... see more

Girish D. Bakhshi, Kishor R. Wankhede, Ajay H. Bhandarwar, Mukund B. Tayde, Sachin S. Shenoy, Sandeep T. Gore

Primary retroperitoneal teratoma is a rare entity in adults. We present a case of 23-yearsold female who presented with complaint of abdominal pain in left upper quadrant. Computed tomography scan revealed a retroperitoneal retropancreatic teratoma near c... see more

Mariya Apostolova, Mahmoud Shoib, Samer Nasser

Wegener’s granulomatosis is a granulomatous vasculitis that can present with a wide spectrum of clinical manifestations. This disease entity predominantly affects the respiratory tract and the kidneys. Two forms of Wegener’s granulomatosis have been recog... see more

Yoona Rhee, Todd Heaton, Catherine Keegan, Ayesha Ahmad

Citrullinemia type I (CTLN1) is an inherited urea cycle disorder, now included in most newborn screening panels in the US and Europe. Due to argininosuccinate synthetase deficiency, CTLN1 can lead to recurrent hyperammonemic crisis that may result in perm... see more

Girish D. Bakhshi, Kishor R. Wankhede, Mukund B. Tayade, Ajay H. Bhandarwar, Sandeep T. Gore, Dayanand D. Choure

Benign multicystic peritoneal mesothelioma (BMPM) is an uncommon lesion. It presents as a lump in abdomen or a finding seen on imaging modalities. Surgery is the primary modality of treatment. However, it has a high recurrence rate; this results in adhesi... see more

Rym Ennaifer, Romdhane Hayfa, Rania Hefaiedh, Lobna Marsaoui, Najet Bel Hadj, Tahar Khalfallah

Hepatic encephalopathy (HE) is a common long term complication of porto-systemic shunt. We report herein the case of a 59-year-old man with Child-Pugh A cirrhosis treated successfully 9 years earlier with distal splenorenal shunt for uncontrolled variceal... see more

Joana Santos, Rosete Nogueira, Rita Pinto, Isabel Cerveira, Susana Pereira

VACTERL association (OMIM 192350) is a non-random combination of multiple congenital malformations including vertebral, anal, cardiac, tracheoesophageal, renal and limb anomalies. The wide spectrum of defects suggests the occurrence of defective developme... see more

Poras Chaudhary, Meenakshi Rao, Alok Kumar, Sachin Khandelwal, Nikhil Gupta, Moninder P. Arora

The authors report a case of spontaneous transmesenteric hernia with strangulation in an adult. Transmesenteric hernia (TMH) is a rare cause of small bowel obstruction and is seldom diagnosed preoperatively, and most TMHs in adults are related to predispo... see more

Poras Chaudhary, Moninder P. Arora

A case of acute pancreatitis in a 43-year-old male patient, which was eventually diagnosed as agenesis of dorsal pancreas with eventration of left hemidiaphragm and intrapancreatic pseudocyst is being reported.

Ben Abid Sadri, Attaoui Mohamed Amine, Mzoughi Zeineb, Miloudi Nizar, Gharbi Lassad, Mohamed Tahar Khalfallah

Vascular leiomyosarcoma (LMS) are unique. The inferior vena cava (IVC) is the most affected organ (about 38% cases). We report the observation of a 50-year old woman who consulted for right upper quadrant pain. Imaging studies revealed a retroperitoneal m... see more

Poras Chaudhary, Sachin Khandelwal, Dev Datta Poddar, Neeraj Saxena, Rana A.K. Singh, Upendra C. Biswal

This study aims to compare the efficacy of antiseptic dressings, hyperbaric oxygen therapy, and recombinant human platelet derived growth factor (rhPDGF) for two reasons: i) to reduce the incidence of lower limb amputations in diabetic foot ulcer; ii) to ... see more