Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Jan 2023
Review Case ReportsAsynchronous Bilateral Ovarian Torsion: A Case Report and Review of Literature.
Ovarian/adnexal torsion is a rare gynaecological emergency presenting with nonspecific signs and symptoms mimicking other causes of acute abdomen. Asynchronous bilateral ovarian torsion is even rarer but has serious implications as it may potentially lead to castration. ⋯ We report a case of a bilateral asynchronous ovarian torsion in a young female that occurred after an interval of 8 years, which was managed by untwisting the pedicle and preserving the ovary. Key Words: Ovarian torsion, Castration, Bilateral, Gynaecological emergency.
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J Coll Physicians Surg Pak · Jan 2023
Case ReportsPathological Fracture of Humerus as Initial Presentation of Infiltrative Follicular Subtype of Papillary Thyroid Microcarcinoma.
Papillary thyroid microcarcinomas (PTMCs) are subcentimetre papillary carcinomas with benign behaviour. Infiltrative follicular subtype of PTMC (IFPTMC) is considered an indolent lesion with propensity to nodal metastasis. Here, we report a case of unifocal IFPTMC with no lymphadenopathy, presenting with fracture of humerus due to metastasis. ⋯ Treating PTMC aggressively with total thyroidectomy has, no doubt, led to a worldwide epidemic of thyroid cancers. But are we confident enough to render active surveillance as their only treatment? Research work is still needed to identify the prognostic factors of PTMC that could guide clinicians to choose appropriate treatment. Key Words: Thyroid, Papillary microcarcinoma, Follicular subtype, Bony metastasis.
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J Coll Physicians Surg Pak · Jan 2023
Observational StudyLate Presentation of Acute Limb Ischemia: Causes and Outcomes.
To determine the causes of interventions in patients with acute limb ischemia (ALI), the time lapse of presentation, and the outcome. ⋯ Acute limb ischemia (ALI), Treatment, Amputation, Thromboembolectomy, embolism.
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J Coll Physicians Surg Pak · Jan 2023
Evaluation of Serum ANGPTL8/Betatrophin and Cartonectin/CTRP3 Levels in Diabetic and Non-Diabetic Retinopathy.
To determine serum betatrophin and cartonectin levels and their relationship with biochemical parameters in diabetic and non-diabetic retinopathy. ⋯ Angiopoietin-like protein 8, Cartonectin/CTRP3, Diabetic retinopathy, Diabetes mellitus, Type 2, Diagnosis, Differential, Betatrophin.
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J Coll Physicians Surg Pak · Jan 2023
Quantitative Evaluation of late Gadolinium Enhancement to the Differential Diagnosis of Prostate Cancer and Prostatitis in mpMRI.
To evaluate the late gadolinium enhancement ratio (LGER) quantitatively in late post-contrast images in multiparametric prostate MRI (mpMRI) for the differential diagnosis of chronic prostatitis and prostate cancer (PCa). ⋯ Prostate cancer, Prostatitis, Gadolinium, Dynamic contrast-enhanced magnetic resonance imaging.