Lipoma arborescens in a 16‐year‐old male: A case report

Lipoma arborescens is a benign intra‐articular tumor characterized by joint effusions, pain, and reduced range of motion. It is rare in adults and children. We present a case of lipoma arborescens in a 16‐year‐old male. The work up involved plain radiographs, MRI, incisional biopsy, and laboratory analysis.     

Rosette‐forming glioneuronal tumor of the fourth ventricle; A case report and review of the literature

Despite mostly indolent course and favorable postoperative outcome long‐term follow‐up studies are needed to identify the most appropriate therapeutic strategies to minimize surgical morbidity and neurologic injury in patients with RGNT.     

Missed bronchial web in a 4‐year‐old boy with foreign body aspiration: A case report

Congenital bronchial webs are extremely rare and usually remain undiagnosed due to nonspecific symptoms. Herein, we reported a 4‐year‐old case of the bronchial web who was initially undiagnosed upon bronchoscopy following foreign body aspiration and afterward misdiagnosed as childhood asthma through his consistent cough and exertional dyspnea for several months.     

Cyclic vomiting syndrome in a 27‐year‐old male: A case report

A 27‐year‐old man presented with post‐meal chest tightness followed by vomiting for 3 years. With a multidisciplinary approach, he was labeled as cyclical vomiting syndrome and treated with pharmacotherapy, psychotherapy, and lifestyle modifications.     

Recurrent thyrotoxic periodic paralysis with normokalemia in a 36‐year‐old man: A case report

Among patients with thyrotoxicosis and proximal muscle weakness, some patients with TPP may present with apparent normokalemia in whom a careful administration of potassium may lead to rapid reversal of muscle weakness.     

Dohsa‐hou for unexplained regression in Down syndrome in a 19‐year‐old man: A case report

Unexplained regression in Down syndrome (URDS) has become a significant issue in clinical practice and research. This report illustrates the case of a patient with URDS treated with psychological treatment using Dohsa‐hou, in addition to medication. Although psychological treatment may be helpful, monitoring potential risks of acute aggression is necessary.     

A case report: First presentation of diabetes mellitus type 1 with severe hyperosmolar hyperglycemic state in a 35‐month‐old girl

Hyperglycemic hyperosmolar syndrome (HHS) is a rare complication of diabetes mellitus among pediatric patients. Since its treatment differs from diabetic ketoacidosis (DKA), hence, pediatricians should be aware of its diagnosis and management.     

A 34‐year‐old asymptomatic gossypiboma: A fortuitous diagnosis revealed by appendicular peritonitis: A case report

Gossypiboma is a retained surgical sponge. Patients are usually symptomatic leading to early removal of this entity. We are reporting a 33‐year‐old asymptomatic gossypiboma discovered by appendicular peritonitis on the radiological images. The 64‐year‐old patient underwent a laparotomy with excision of the gossypiboma. The postoperative period was uneventful.     

Urinary bladder cavernous hemangioma in a 3‐year‐old: A rare case report

Cavernous hemangioma (CH) of urinary bladder occurs relatively infrequently, accounting for 0.6% of all bladder tumors. This tumor may occur sporadically or coexist with other benign and malignant vascular lesions. In this report, we present a rare case of CH in a 3‐year‐old Ugandan girl. A 3‐year‐old girl was referred to Mbarara Regional Referral Hospital (MRRH) for urological evaluation following a 3‐year history of intravaginal swelling, dysuria, and heavy hematuria resulting in anemia. Imaging was consistent with polypoid bladder mass arising from the bladder trigone. Embryonal rhabdomyosarcoma was suspected based on clinical eyeballing. She was worked up for chemotherapy and received 26 cycles of vincristine sulfate, actinomycin‐d, and cyclophosphamide (VAC). Biopsy and fulguration were performed after optimizing the patient. Histopathology confirmed CH. The surgery was uneventful and resulted in complete cure. CH should be considered in the differential diagnosis of childhood genitourinary masses. It is a rare entity in the real‐life clinical practice and therefore can be overlooked. Excision biopsy and histology should be performed before initiating the patients to chemotherapy. CH is very insensitive to chemotherapy and therefore surgery maybe adequate in resource‐limited settings.     

Cardiac and respiratory arrest in a 12‐year‐old girl with acute permethrin oral toxicity: A case report

Permethrin (PER) is widely employed as the most frequently used type I synthetic pyrethroid insecticide. Despite its worldwide application, reports of pediatric toxicity following permethrin administration are scarce. The present report describes the case of a 12‐year‐old girl with cardiac and respiratory arrest resulting from self‐induced oral toxicity by permethrin.     

Pseudohypoparathyroidism type 1 B mimicking Fahr’s disease in a 28‐year‐old female: A case report

In virtue of precise clinical history, physical examinations, and biochemical/radiological investigations, pseudohypoparathyroidism can be effectively diagnosed, and its types can be differentiated even without exorbitant tests.     

Use of the transabdominal approach to repair Morgagni hernia in a 28‐year‐old symptomatic female: A case report

Morgagni''s hernia is a congenital diaphragmatic hernia, which represents only 3% of all diaphragmatic hernias. Herein, we report a case of a 28‐year‐old symptomatic female patient with Morgagni''s hernia who underwent a transabdominal surgery for hernia repair and mesh placement.     

A massive colorectal lithobezoar in a 32‐year‐old woman

A 32‐year‐old female patient with a history of iron deficiency and mental retardation, presented with chronic constipation and painful defecation related to a massive colorectal lithobezoar. She was successfully treated with laxatives and daily rectal enema.     

Unicystic ameloblastoma in a 9‐year‐old child treated with a combination of conservative surgery and orthodontic treatment: A case report

Unicystic ameloblastoma (UAM) in the pediatric population is a rare clinical entity that has not been well addressed in the literature. Radical approaches affect a growing young patient''s physical and psychological development, so conservative approaches are widely used for management in children. This report describes the case of a 9‐year‐old girl with UAM of the mandible, which also involved the impaction of the first and second premolars. Marsupialization with orthodontic treatment was performed to shrink the lesion and upright the first premolar involved in the tumor. Ten months after marsupialization, the lesion had healed entirely. The combination of conservative surgery and orthodontic treatment effectively shrank the lesion, preserving mandibular growth, preserving the involved first and second premolars, and promoting the eruption of the teeth.     

Isolated torsion of the fallopian tube associated with hydrosalpinx in a 17‐year‐old sexually inactive girl: A case report

Isolated tubal torsion is an unusual cause of acute abdominal pain in young sexually inactive patients. However, it should be still taken into account regarding the differential diagnosis of such conditions.     

A 7‐year‐old boy with toxic epidermal necrolysis,heart failure,and sepsis treated with the guidance of invasive hemodynamic monitoring: A case report

Toxic epidermal necrolysis is a rare immunological disease that is secondary to some medications or upper respiratory infections, with more than 30% involvement of skin and mucosa. Herein, we describe a 7‐year‐old boy with TEN, heart failure, and sepsis treated with the guidance of an invasive hemodynamic monitoring device.     

Pemphigus herpetiformis in a 4‐year‐old child: Case report and review of the literature

Pemphigus herpetiformis (PH) is a rare form of pemphigus, especially when occurring in childhood. Misdiagnosis is common in this age group. The disease exhibits diverse clinical and histological aspects. Further immunological investigations should be performed in order to make the right diagnosis with a correct management strategy.     

Pilomyxoid astrocytoma of the thoracic spinal cord: Extremely rare case report of over 70‐year‐old patient

The Pilomyxoid is rare tumor in elderly population, in addition to the occurrence of an isolated lesion in spinal cord is extremely rare in non‐pediatric population. Taking biopsy and subtotal resection is the starting point in essential approach for the treatment. After defining the histopathological nature of the tumor and specified that is Pilomyxoid, the next step is the combination of reoperation and adjuvant therapy.