We describe a case of pancreatic tumor associated with a giant type IV hiatal hernia that had prolapsed into the posterior mediastinum. We initially performed hiatal hernia repair, followed by laparoscopic distal pancreatectomy, because the hernia repair enables performing pancreatectomy safety and in the normal anatomical position.

Subdural empyema is a rare intracranial infection with an accumulation of purulent material between the dura and arachnoid matter. We report a case of 17 years old presented with altered conscious level .CSF analysis showed increased WBCS. His situation has improved after treating by acyclovir, ceftriaxone, vancomycin and dexamethasone.

A Rare Coincidence of Turner syndrome and Bronchiectasis: Case Report

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.

We reported a case of 68-year-old man suffering from follicular mucinosis. The dermoscopic examination showed multiple round brownish yellow dots with a whitish rim in the follicular ostium and red dots in the interfollicular area. This case report at first suggests that follicular mucinosis may show such dermoscopic findings.

We present a serious case of acute myocardial infarction soon after second vaccination for coronavirus disease 2019. Her pathological findings and intravascular imaging partly unveil how vaccine can cause acute coronary syndrome. It also shows the importance to observe closely high-risk patients of cardiovascular diseases after vaccination.

Performing peripherally inserted central catheters for children with bilateral bidirectional Glenn shunt, Fontan circulation and persistent left superior vena cava differs from those with normal central venous anatomy. This study presents two PICC procedures for a toddler with this condition to demonstrate an accurate PICC approach for such children.

Occupational cutaneous squamous-cell carcinoma has an increased incidence, but rarely suspected. When located in an uncovered skin area, it is closely linked to polycyclic aromatic hydrocarbons exposure. However, single pulmonary anthracosis nodule is rarely described in the literature. The association of both diseases due to the same exposure remains uncommon.

Cases of aspergillosis superinfection have been reported as acute complications of Covid-19. Here we report a case of combined chronic necrotizing pulmonary aspergillosis, aspergilloma and fibrosing aspergillosis in a 31-year-old woman with a history of Covid-19. This unusual association deserves special attention in a secondary immunocompromised patient after Covid-19.

Systemic juvenile idiopathic arthritis (sJIA, also called Still’s disease) is a rare childhood auto-inflammatory disease with significant morbidity. This case report illustrates the clinical course and highlights diagnostic challenges. FDG-PET/CT imaging may be beneficial in the diagnostic process for some cases, in order to achieve rapid diagnosis and early treatment.

Sentinel lymph node mapping in patients with axillary breast carcinoma is technically challenging and poorly described in the literature. We report a patient with primary ectopic breast carcinoma of the axilla in whom concurrent peri-tumoral and intra-tumoral injection of radionuclide tracer allowed for identification and biopsy of sentinel lymph nodes.

This case series describes the unusual severe toxicity of two herbal medicines that are frequently used to induce abortion in Northern Uganda. It highlights possible associations of Commelina Africana (wandering jew) with uterine necrosis complicated by and sepsis, and of Vernonia amygdalina (bitter leaf) with acute liver and renal failure

Fat necrosis (FN) is an uncommon etiology of panniculitis. It is mainly caused by trauma and may be associated to other conditions such as pancreatic disease. We report an interesting case of subcutaneous FN caused by intramuscular injections of cefazolin and meglumine antimoniate in a 38-year-old female patient.

The side effects of COVID-19 vaccination were mostly self-restricted local reactions that quickly resolved. Nevertheless, rare autoimmune hepatitis cases have been reported in some vaccinated individuals. This article presents a young man who developed fulminant hepatitis a few days after vaccination with the first dose of the AstraZeneca COVID-19 vaccine.

We present a rare case of symptomatic giant coronary artery aneurysms due to Kawasaki disease in an elderly patient. Giant coronary aneurysms are uncommon; even more is their association with ischemic symptoms and left coronary system involvement. Treatment can be challenging, and we discuss the management taken in this case.

Atrial fibrillation is an irregular heart rhythm with increased risk of morbidity and mortality. Commonly due to thromboembolism at the left atrial appendage. Guideline therapy for atrial fibrillation is anticoagulation. Alternative treatment includes closure with the Watchman device. We present a case of Watchman device-related thrombus seven months after placement.

Soft tissue malignant tumours of the foot and ankle are rare. Diagnostic imaging and interventional biopsy are vital to establish the nature and grading of a suspicious tumour prior to surgical intervention.

Chikungunya is an arboviral disease caused by a virus with wide geographical distribution in endemic areas. This case report documents a patient with Antisynthetase Syndrome post-chikungunya infection. Autoimmune diseases result from breakdown of immune tolerance. Among all triggers, viruses represent the greatest environmental potential to precipitate inflammatory myopathy.