Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Sep 2022
Case ReportsCoexistence of Colon Perforation and Congenital Lipodystrophy.
Lipodystrophy (LD) is an acquired or congenital rare condition consisting of hyperlipidaemia, glucose intolerance/ insulin resistance, and almost complete absence and storage of adipose tissue. Colon perforations can be observed in type 4 congenital LD. Here, we aimed to present a case of sigmoid colon perforation which developed in a young woman with the diagnosis of LD. ⋯ These individuals tend to develop colon perforation as a result of histological changes in their gastrointestinal tract. This situation should always be taken into consideration in order to avoid delay in diagnosis, especially in patients who present with abdominal pain and have a history of LD. Key Words: Intestinal perforation, Congenital lipodystrophy, Peritonitis, Sigmoid colon.
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J Coll Physicians Surg Pak · Sep 2022
Laparoscopic versus Open Surgery in Colorectal Cancer: Is Laparoscopy Safe Enough?
To compare the early and long-term outcomes of laparoscopic and open surgery in colorectal cancer stages 1-3. ⋯ Laparoscopic surgery, Colorectal cancer, Open surgery, oncological Outcomes.
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J Coll Physicians Surg Pak · Sep 2022
Case ReportsSalvage for Postpartum Massive Haemorrhage in a Jehovah's Witness with Intravenous Iron Therapy and Cell Saver System.
Intraoperative cell salvage (ICS) system performs autologous transfusion by filtering and reinfusing the shed blood into corporeal circulation during the surgery. Especially for pregnant Jehovah's Witnesses, the ICS system could be a life-saving intervention. ⋯ The ICS system provides recognised advantages; however, its utilisation requires high technology equipment and skilled health staff. Key Words: Jehovah's witness, pregnancy, Iron therapy, Intraoperative cell salvage.
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J Coll Physicians Surg Pak · Sep 2022
Concurrence of Thyrolipomatosis with Hyperthyroidism and Ectopic Thyroid Tissue.
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