Hem-o-lok clips are widely used in laparoscopic surgery. Hem-o-lok clips migration into the bile duct can lead to stone formation and granulation tissue hyperplasia. This report discusses a case wherein four clips migrated into the bile duct after laparoscopic bile duct exploration. The patient successfully underwent laparoscopy and choledocholithotomy.

Graham-Little Piccardi Lassueur Syndrome (GLPLS) is a rare variant of Lichen planopilaris (LPP) which characterized by triad of fibrosing alopecia of the scalp, non-fibrosing alopecia of the axilla and groin, and a follicular spinous papule over the body.

Of the 1061 patients of coronavirus disease-2019 admitted to our field hospital, eight patients (0.75%) had pneumothorax. The mean age of incidence was 79.9 years; six of these patients (75%) died. Although pneumothorax is a rare complication of coronavirus disease-2019, it suggests a poor prognosis in elderly patients.

COVID-19 Virus has affected the world in many ways, resulting in several challenges. COVID 19 vaccines were introduced recently, with a variable degree of immunogenicity and safety. We report a 61-year-old man who had GBS a few days after Receiving The vaccine, his condition improved after 5 days of IVIG

Waldenström Macroglobulinemia (WM)/lymphoplasmacytic lymphoma (LPL) is often differentiated from myeloma based on the presence of lytic bone lesions (LBL). However, WM/LPL can present with LBL and management is poorly understood. We describe a case of an 81-year-old woman with LPL who presented with LBL and was successfully treated with chemoimmunotherapy.

Slow flow and no-reflow phenomenon are taken to sudden loss of coronary artery flow, typically after stenting or angioplasty in primary PCI. Otherwise conventional therapy, we report a technique, which autologous blood into intracoronary to supply oxygen and break process thrombosis results in successfully management no-reflow in primary PCI

Arteria lusoria is a rare vascular malformation. It remains a rare cause of dysphagia which should be considered in the face of any dysphagia unexplained by the usual endoscopic and radiological investigations.

A 52-year-old, previously healthy woman, developed SJS, potentially due to a reaction to CT contrast, although still unknown. This developed into Toxic epidermal necrolysis, later unexpected multiorgan failure and Purpura fulminans. Autopsy demonstrates herpes simplex virus in the bladder and lungs on immunohistological staining.

Omphalophlebitis in foals is treated with complete resection of the affected umbilical remnants. When total resection cannot be accomplished, umbilical vein marsupialization can be implemented with minimally reported complications. This case series highlights hernia formation as a potential complication following one-stage umbilical vein marsupialization.

Vaccine mediated immune mediated thrombocytopenia (ITP) is an exceedingly rare. We present a 25-year-old female who developed severe refractory ITP with multiple active bleeding sites post second dose of COVID vaccination. She was treated with a combination of Romiplostim and Mycophenolate mofetil that resulted in rapid platelet count recovery.

We present a case of successful revascularization for spontaneous coronary artery dissection (SCAD) using coronary artery fenestration followed by the subintimal transcatheter withdrawal (STRAW) technique. The combination of the STRAW technique and coronary artery fenestration with cutting balloon angioplasty could be a new treatment option for SCAD patients requiring revascularization.

We are reporting a case of Guillain- Barré syndrome seven days after the first dose of Pfizer-BioNTech COVID-19 Vaccine. As this vaccine is still under investigation, reporting possible rare side effects is essential. In this case, the temporal relationship was suggestive of a vaccine-induced cause.

This case report demonstrate concurrent of two rare complications of true silent inferior STEMI in the poorly controlled diabetic patient with de-novo heart failure, mimicking congenital VSD.This complication of myocardial infarction often have catastrophic manifestations and the presence of this complications of MI with smooth course is very scarce

Dobhoff tubes, used for post-pyloric feedings, have a weighted metal end with a small diameter that enhances their flexibility to traverse the gastrointestinal tract. Unfortunately, the metal stylet can iatrogenically perforate surrounding structures in patients with diminished cough and gag (1); and extreme caution should be considered before its utilization.

Arteriovenous malformation of the pancreatic head is a relatively rare disease that can cause gastrointestinal bleeding and abdominal pain and requires appropriate and prompt treatment. Herein, we discuss the clinical presentation and management of a patient with arteriovenous malformation of the pancreatic head.

Cornual pregnancy is a rare condition that accounts for approximately 2-4% of ectopic pregnancies worldwide. Herein, we report an unstable case of a 32-year-old female with a history of oophorectomy, and salpingectomy who was admitted for a ruptured cornual pregnancy in the left cornu which was successfully managed by laparotomy.

Scabies may present with unusual features like vesicles, pustules, and bullae. In the setting of an already burdened health sector, careful history taking is of utmost importance in order to avoid unnecessary and expensive investigations to reach a diagnosis.

Early treatment of polycythemia vera with ultra-low-dose interferon-α 2a is well tolerated and results in complete hematologic and major molecular remission and a strong reduction of all symptoms, especially pruritus and fatigue.