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Bilateral Palatal Necrotizing Sialometaplasia in Patient with Prurigo Nodularis: A Case Report

Necrotizing Sialometaplasia (NSM) is a rare, benign, self-limiting, inflammatory disease of mostly minor salivary gland origin. NSM can resemble a malignant lesion in its early disease course, both clinically and pathologically. Bilateral involvement of the hard and soft palate by the lesion is a rare occurrence. NSM was first described as a reactive inflammatory process. Since then, over 200 cases have been reported and has been added to the WHO classification of salivary gland tumours under the tumour-like lesions. Here, we report a case of a 30-year-old male with bilateral NSM of both the hard and soft palate, on a background history of prurigo nodularis. The patient was initially referred to an Oral and Maxillofacial Department by his general practitioner for a palatal ulcer, concerning for oral malignancy. The ulcer was painless with a well-demarcated border and necrotic base. Subsequent biopsy and histological examination confirmed necrotizing sialometaplasia with healing occurring within 5 weeks.
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Disseminated Blastomycosis: A Case Report

Blastomycosis is known for its propensity to mimic other illnesses, which often leads to incorrect or delayed treatment. Here we present a case report of a patient working in Wisconsin who was misdiagnosed as Tuberculosis since he was an Indian. The patient was not evaluated on endemic grounds for Blastomyces where he was working for couple of years. After he developed skin lesions along with increased shortness of breath, lesions were evaluated which showed large yeast cells resembling Blastomyces. The treating pulmonologist evaluated his occupational history and was revealed with endemicity for Blastomyces.
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Six Years to Diagnose Bilateral Congenital Choanal Atresia: A Case Report

Bilateral choanal atresia is a rare congenital malformation, which causes asphyxia neonatorum rarely compatible with life, making this pathology a diagnostic and therapeutic emergency. We report a very rare case of bilateral choanal atresia in a girl who survived to the age of 6 without neonatal care, and we discuss the clinical, endoscopic, radiological aspects and the treatment of this condition
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Rare Case of Coexisting First and Second Bilateral Branchial Fistulas

Branchial arch anomalies are one of the most common congenital anomalies that are usually unilateral, bilateral presentation is rare. We describe what we believe a rare reported clinical case of a 34-year-old man with coexisting first and second bilateral branchial fistulas associated with no family history or associated syndrome.
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Synchronous Contralateral Benign and Malignant Parotid Gland Tumors: Case Report

Multiple primary parotid gland tumors are rare, accounting for 1.7-5% of all parotid neoplasms, and the occurrence of bilateral parotid gland tumors is even lower (1.3-3.5%). These tumors can be synchronous or metachronous and the most common histologic type of bilateral parotid gland tumors is Warthin tumor (79.2-90%). Combined benign and malignant lesions and bilateral neoplasms of different histologic types are even less frequently found.
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Productive Cough and Bilateral Ptosis

We present a case report of a patient with Mounier-Kuhn syndrome. The clinical, radiological and endoscopic illustrations contribute to the awareness and recognizability of this rare and under-diagnosed pulmonary syndrome. It is characterized by tracheobronchomegaly and tracheomalacia, leading to ineffective mucociliary clearance, recurrent respiratory infections and bronchiectasis. Computed tomography is the golden standard for diagnosis. Etiology remains unknown. Prognosis depends on adequate treatment and prevention of respiratory infections.
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A Case of Bilateral Duplicated Ureter - Gross Anatomy

Duplicated ureter is a frequent malformation that occurs in approximately 1 in 20 people. We herein report the detailed case of bilateral duplicated ureter in which two ureters originated from a single renal pelvis and merged just proximal to the ureterovesical junction.
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Improvement of Bilateral Elevated Foveal Retinoschisis Following Sequential Vitrectomy with ILM Peel in a Patient with Enhanced S Cone Syndrome

To report outcomes after vitrectomy with ILM peel for bilateral elevated foveoschisis in a patient with Goldmann-Favre syndrome. Vitrectomy with ILM peel was done for one then the other eye of a 19 year-old patient with bilateral progressive enhanced s-cone syndrome associated elevated macular retinoschesis. Significant anatomical as well as visual improvements were noted in both eyes with regression of the macular edema, flattening of the retinoschesis, and a stable visual outcome thereafter. Despite the Inherent Risks of Surgery, Vitrectomy with ILM Peel may provide a possible surgical treatment option for patients with elevated retinal foveoschisis associated with enhanced S-cone syndrome.
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Bilateral Malleus Ankylosis: a Case Report

Malleus ankylosis known as House syndrome is very rare. It represents 38.1% of congenital malformation of the middle ear [1] if stapes ankylosis is associated.
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Age Adjusted Charlson Comorbidity Index: Predictor of 90-Day Mortality after Radical Cystectomy

To evaluate the impact of age adjusted Charlson’s comorbidity index (ACCI) in predicting 90-day mortality in patients undergoing radical cystectomy for Muscle Invasive Bladder Cancer (MIBC) in a low volume center.
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Langerhans Cell Histiocytosis in a Patient with Lynch Syndrome (Hereditary Non Polyposis Colorectal Cancer)

A fifty three year old white female smoker with Lynch Syndrome was receiving adjuvant chemotherapy for node positive caecal adenocarcinoma. Interval investigations demonstrated a second primary gastric cancer with bilateral pulmonary nodules of indeterminate significance. Lung biopsy revealed Langerhans cell histiocytosis (LCH).
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A Laparoscopic Assisted Minilaparotomy Hysterectomy approach for Very Large Fibroid Uteri of more than 1000 grams – A Preliminary Study

Minilaparotomy has been used for tubal sterilization for decades. It became a new surgical idea described by some who performed minilaparotomy hysterectomy and achieved outcomes that were less invasive than those of traditional open laparotomy. Pelosi and Pelosi 2004 reported a minilaparotomy procedure in patients in whom vaginal hysterectomy was considered contraindicated. Their procedure offered a safe alternative with minimal access and good outcome.
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Guillain-Barr´E Syndrome with Bilateral Extensor Plantar Reflexes

Guillain-Barr´e syndrome (GBS) usually presents with lower motor neuron (LMN) symmetrical weakness, areflexia, and hypotonia. GBS has rarely been reported with up going plantars’ response. We report a case of GBS with up going plantars during the course of the disease.
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Hydrocephalus in Congenital Rubella Syndrome: A Case Report

The Congenital Rubella Syndrome is a multisystemic disease and CNS involvement occurs in the form of microcephaly, mental/motor disabilities, leptomeningitis, encephalitis, vascular damage and retardation of myelination. We report a case of gross non-communicating hydrocephalus in a neonate of Congenital Rubella Syndrome which is a rare presentation.
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Unusual Variant of Guillain-Barré Syndrome Following Hepato-biliary Surgery — A Rare Case Report

Guillain-barré syndrome (G.B. Syndrome) is an acute inflammatory poly-radiculoneuropathy characterized by weakness and areflexia typically following viral infection, vaccination, and rarely surgery. Acute Inflammatory Demyelinating Poly-radiculoneuropathy is the most common subtype of G.B. Syndrome. Although post-operative G.B. syndrome is a rare entity, there are few case reports of G.B. syndrome after gastric surgery. But there have been no reported case scenarios of atypical variety of this neurologic entity following hepato billiary surgery. Hence our objective is to put forward this message to the readers.
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