5 results match your criteria: "College of Medical Sciences(CoMS)[Affiliation]"

Intestinal obstruction in a patient with congenital transverse mesocolic defect with internal hernia: A case report.

Int J Surg Case Rep

March 2025

National Academy of Medical Sciences, NAMS, Bir Hospital, Department of General Surgery, Kathmandu, Province-3, Nepal.

Introduction And Importance: Internal hernias (IH) account for 5.8 % of all cases of intestinal obstruction. Intestinal obstruction due to congenital transverse mesocolic defects is a rare but significant clinical challenge that requires prompt recognition and surgical intervention.

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Introduction And Importance: Obturator hernia is a rare abdominal wall hernia (<1 % incidence) that occurs through the obturator foramen, often in elderly, emaciated women. Contrast-enhanced computed tomography (CECT) of the abdomen and pelvis is the diagnostic modality of choice, with a high accuracy of 78 %-100 %.

Case Presentation: An 84-year-old frail woman with COPD presented with generalized abdominal pain, abdominal distention, vomiting, and right thigh pain.

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"Intraperitoneal ruptured hydatid cyst of liver with cystobiliary communication: A case report".

Int J Surg Case Rep

February 2025

National Academy of Medical Sciences, NAMS, Bir Hospital, Department of General Surgery, Kathmandu, Province-3, Nepal.

Introduction And Importance: Hydatid disease, caused by Echinococcus larvae, leads to cystic echinococcosis, primarily affecting the liver and lungs. It is common in endemic regions like Argentina and East Africa, with incidences of over 50 cases per 100,000 people. A rare and life-threatening complication is the intraperitoneal rupture of a hydatid cyst.

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Peutz-Jeghers syndrome in women with jejunojejunal intussusception and multiple gastrointestinal polyposis: A case report.

Int J Surg Case Rep

January 2025

National Academy of Medical Sciences, NAMS, Bir Hospital, Department of General Surgery, Kathmandu, Nepal.

Article Synopsis
  • Peutz-Jeghers syndrome (PJS) is a rare genetic disorder that causes gastrointestinal polyps and skin pigmentation, leading to complications like abdominal pain and intestinal obstruction from intussusception.
  • A case study details a 36-year-old woman with symptoms such as flank pain and melena, who was diagnosed with PJS after imaging and surgery revealed jejuno-jejunal intussusception and multiple polyps.
  • PJS stems from mutations in the STK11 gene, and regular screenings are vital for detecting cancer and monitoring polyp growth, with surgical intervention recommended for significant polyps and intussusception cases.
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Background: Palmoplantar psoriasis is a clinical variant of psoriasis characterized by well-defined erythematous desquamating plaques on palms and soles, which may or may not include pustules. Hyperkeratotic lesions of palm and sole commonly include Psoriasis, Eczema and Tinea. These conditions often present with overlapping clinical and histopathological features requiring clinicohistopathological correlation for a conclusive diagnosis.

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