Caput medusae in alcoholic liver disease

Caput medusae is the appearance of distended and engorged superficial epigastric veins, which are seen radiating from the umbilicus across the abdomen. Case report: A 53-year-old man, with history of alcohol consumption of 60 gm/day for 20 years, presented with swelling of the legs, abdominal distension, and a collapsible localized swelling over the abdomen since 3 […]

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A Local Epidemic of Laced Heroin Causing Skin Necrosis

A 26-year-old female presented to our emergency department (ED) with the chief complaint of “sores on arms.” The patient was resting comfortably on the stretcher in a long sleeve jacket. She was a pleasant young woman who explained that she was an intravenous (IV) heroin drug user and that earlier that day, she had tried […]

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Tongue Necrosis Secondary to Giant Cell Arteritis

Giant cell arteritis is a form of vasculitis involving the medium- and large-sized arteries that chiefly affects older people. Clinical findings are headache, jaw claudication, fever, pain, and thickening of the temporal artery. The most feared complication is visual loss due to impairment of the ophthalmic artery and posterior ciliary arteries. GCA occurs predominantly in […]

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Vogt–Koyanagi–Harada Syndrome – Case report

We report a 28-year-old HIV-negative Ugandan woman with no known chronic illness. She presented to the eye clinic at Mulago National Referral Hospital (Kampala, Uganda) with a 2-week history of sudden onset blurring of vision in both eyes, especially in the mornings. This was preceded by a 1-week history of low-grade intermittent fevers, sore throat, […]

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Abdominal wall disruption with evisceration after blunt trauma

Case presentation A 65-year-old man was lying under the cargo bed of a lorry, inspecting the undercarriage. Unaware of this, the lorry driver started his journey and the rear wheel rolled over the patient’s lower abdomen and pelvis. Bystanders who witnessed the accident transported him to the nearest hospital within 30 min of sustaining injury. Apart […]

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Hemicorporectomy: A Case Report

In this case we have a 51-year-old female with recurrent giant cell tumor at left proximal femur with lung metastasis. She was previously diagnosed with giant cell tumor at left sacrum and ilium once, then underwent internal hemipelvectomy in 2009, but the disease recurred. She came to the hospital with progressive peritonitis. The MRI in […]

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Ear REPLANTATION

A 19-year-old woman presented with amputation of her left ear by a pit bull (Panels A and B). The patient’s tetanus vaccination and the dog’s rabies vaccination were up to date. The ear was débrided and replanted by microvascular anastomosis of a 0.3-mm branch of the posterior auricular artery. Since no suitable veins were found, […]

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A Giant Pleomorphic Adenoma of the Submandibular Salivary Gland: A Case Report

A 20-year-old black woman of cross-border nationality, presented to our maxillofacial and oral surgery department seeking medical attention for a large swelling on the left side of her jaw (Figs. 1A and ​and1B). The swelling was painless with a history of having increased in size over an 8-year period. She noticed the swelling for the first time […]

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