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Recent Articles

Prenatal Diagnosis of Vein of Galen Aneurysmal Malformation with Color Doppler Ultrasonography – Report of Three Consecutive Cases and Review of the Literature

Case Report
Vein of Galen aneurysmal malformation (VGAM) is a rare, congenital condition consisting of pathological arteriovenous connections within the fetal brain which can prenatally lead to cardiomegaly and severe onset of congestive heart failure. Doppler ultrasound examination is sufficient to confirm the diagnosis and to determine the time of delivery and the prognosis. The aim of this paper is to discuss the pathophysiology and indicators of poor prognosis in the VGAM patients as well as to...

Large Colloid Drusen in Young Patient

Clinical Image
Drusen are yellow or white accumulations of extracellular material made up of lipids and proteins, that build up between basal blade of retinal pigment epithelium and collagen layer of Bruch’s membrane. They are the most common clinical manifestation of aging and usually occur in the population over 50 years old, however a special entity may occur earlier, especially Large Colloid Drusen [1,2]. Large Colloid Drusen most often develops in women with no family history of...

Malignant Transformation in A Case of Multiple Osteochondromas: Role of FDG PET/CT Imaging

Clinical Image
We present a 19-year-old man affected by osteochondromatosis since he aged 9. Multiple enchondromas showed asymmetric distribution of osseous and cartilage lesions with major deformities of pelvis and long bones and minor lesions in left scapula and few ribs. He went to our observation because of size increase of left pelvis and thigh deformities, pain and cortical destruction that gave us a suspicion of malignant transformation. For these reasons, the patient underwent 18-F-FDG PET/CT scan....

Analysis of The Cesarean Index in Patients Primigests of Different Age Groups

Original Article
Cesarean section as a birth route is associated with an increased risk of longterm complications, such as placenta previa, placental accretion, and post-operative, such as endometritis, dehiscence, and / or surgical wound infection.

Safe Removal of a Glass Pipe from The Esophagus Using Olive Oil

Clinical Image
A 50-year-old man swallowed a whole glass pipe and was admitted to our emergency department in an unconscious state. His consciousness level was E1V1M1 on the Glasgow Coma Scale. After a amphetamine poisoning was diagnosed, the patient was treated with endotracheal intubation and ventilation. A computed to- mography (CT) scan revealed a 30-mm glass pipe in the middle esophagus only (Figure 1). Esophago- gastroduodenoscopy (EGD) revealed that the glass pipe was causing complete esophageal impaction...

Bluish-Grey Discoloration of Gingiva and Lips Dueto Chronic Anti-Convulsant Use

Clinical Image
A 27-year-old female who was a known case of epilepsy presented to our emergency with one episode of generalised tonic-clonic seizure. She was being managed on phenytoin for 5 years and valproate had been added 2 years back from a private clinic. She had missed her doses for two days due to travel and presented with a breakthrough seizure. On examination, her lips and gums were having bluish-gray pigmentation as shown in figure 1A and...

Tracheobronchopathia Osteochondroplastica

Clinical Image
A 60 year old male was referred to a tertiary referral centre with a chronic dry cough. He was a lifelong non-smoker. Clinical examination was unremarkable. AssessmentIGE, RAST to common allergens, eosinophils and alpha one anti-trypsin were within normal limits. Barium swallow did not show any oesophageal dysmotility, gastric outlet obstruction or reflux. Normal pulmonary function testing with no reversibility noted post bronchodilator.