Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Dec 2022
Case ReportsLaparoscopic Cholecystectomy after Acute Biliary Pancreatitis in a Patient with Situs Inversus Totalis.
Situs inversus totalis (SIT) is a rare disorder defined as symmetrical transposition of thoracic and abdominal organs. Laparoscopic cholecystectomy (LC) is a routine surgical operation and gold standard for symptomatic gallstones. LC can be challenging in SIT due to patient positioning on the operating table and the surgeon's operating position, especially for right-handed surgeons. ⋯ During the operation, trocar sites were mirror images of routine LC and the operation was completed without complications. Diagnosis of acute abdominal pain and abdominal surgery in SIT patients can be demanding. Various transformations in standard LC are possible and SIT is not a contraindication for LC Key Words: Laparoscopy, Cholecystectomy, Situs inversus totalis, Pancreatitis, Gallbladder.
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J Coll Physicians Surg Pak · Dec 2022
Case ReportsTreatment of Gastrointestinal Corrosive Burns Caused by Highly Lethal Glyphosate Solution Poisoning.
Glyphosate was developed by Monsanto in the United States in the 1870s and has now become the world's best-selling pesticide. It is used in more than 100 countries and regions. Glyphosate is generally considered to be less toxic or even safe for mammals, including humans, and most patients with glyphosate poisoning have a better prognosis. ⋯ After the active rescue, scar contractures occurred in both the ooesophagus and trachea. The patient recovered clinically after undergoing reconstructive surgery. Key Words: Glyphosate poisoning, Chemical burns, Ooesophageal reconstruction, Tracheal reconstruction.
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J Coll Physicians Surg Pak · Dec 2022
Patellofemoral Anatomical Measurements on MRI in Patient with Suprapatellar Fat Pad Edema and Mass Effect.
To evaluate the impact of patellofemoral joint anatomical measurements of patients with anterior knee pain who were diagnosed with suprapatellar fat pad (SPFP) impingement syndrome (SP-FPIS) by magnetic resonance imaging (MRI). ⋯ Patellofemoral joint, Suprapatellar fat pad impingement syndrome, Anterior knee pain, Knee magnetic resonance imaging, Knee anatomy.
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J Coll Physicians Surg Pak · Dec 2022
Relationship of Gamma-glutamyl Transferase Levels at Diagnosis with Clinicopathological Features in idiopathic IgA Nephropathy.
To compare clinicopathologic features of idiopathic IgA nephropathy in terms of serum gamma-glutamyl transferase (GGT) levels. ⋯ Gamma-glutamyl transferase, IgA nephropathy, Proteinuria, Serum albumin, Mesangial Cellularity, Segmental glomerulosclerosis, Tubular atrophy.
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J Coll Physicians Surg Pak · Dec 2022
Case ReportsTakayasu Arteritis with Isolated Headache and Neck Pain.
Takayasu Arteritis (TA), a chronic inflammatory condition of the aorta and its major branches, causes narrowing and ultimate occlusion of major vessels and may manifest as cerebrovascular insufficiency, organ ischemia, and systemic arterial hypertension (HTN). Herein, we report a case of a 35-year female with the pulseless disease but no other clinical signs except headache and neck pain on exertion despite the fact that three out of four vessels of the aortic arch were occluded. ⋯ This case report highlights the clinical importance of unexplained headaches and absent peripheral pulses in the screening of TA. Key Words: Takayasu arteritis, Unexplained headache, Neck pain.