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Bullous Lichen Planus: A Case Report with Review of Literature

Oral lichen planus is a chronic inflammatory mucocutaneous disease which frequently involves the oral mucosa. A 48-year-old male patient with the chief complaint of burning sensation in bilateral buccal mucosa, upper and lower labial mucosa diagnosed as Bullous lichen planus and treated with systemic prednisolone and Benzydamine oral rinse. Patient was followed for 6 months and was almost free of lesions. The case is reported with review of current modalities in the management of oral lichen planus.
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Atypical Granulomatous Lesion of Gingiva: A Case Report on Rare Manifestation of Tuberculosis in Oral Cavity

Primary tuberculosis lesion in oral cavity is a rare clinical entity. We report a case of gingival tuberculosis manifested as chronic ulceration with pus discharge.
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Adenomatoid Odontogenic Tumor: Case Report

Adenomatoid Odontogenic Tumor (AOT) is a benign tumor, most common in the maxilla, characterized by slow, progressive, painless growth of firm consistency, the size of which usually does not reach large proportions.
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Ectopic Intra-Nasal Tooth: A Case Report

An ectopic tooth in a nasal cavity is a rare phenomenon. In most cases, no etiological explanation of teeth in that location has been suggested or found. We report the case of a 26-year-old man, who discovered, 5 years ago, an induration inside his right nasal pit, which caused an unilateral nasal obstruction, without rhinorrhea, with epistaxis, revealing an ectopic in intra-nasal tooth.
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Splenic Injury after Screening Colonoscopy; Could that Happen Twice? An Unusual Case Report

Iatrogenic splenic injury is a known but rare complication of colonoscopic procedures. Our department describes a very interesting case of the same complication that occurred twice on the same patient. The patient had an elective colonoscopy for microcytic anemia and shortly after the endoscopic procedure she developed excessive abdominal pain and had a syncope episode. She gradually became hemodynamically unstable and needed proper resuscitation. An abdominal tomography scan performed which surprisingly demonstrated active intra-abdominal bleeding pointing a ruptured spleen as the source of the hemorrhage. This finding surprised us given the fact that her past surgical history included a previous splenectomy for the same complication 14 years ago.
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Poor Metabolic Quality Embryo is Capable to Implant – A Case Report

There has been little advance in embryo selection criteria since the first IVF. To this day, we select embryos by morphological criteria, which provide little information as to the actual embryo quality.
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Treating Refractory Myasthenia Gravis with Rituximab – Case Report

Myasthenia gravis is an autoimmune disease characterized by motor plaque dysfunction due to antibodies against post-synaptic membrane proteins. Myasthenic symptoms classically wax and wane and are more intense at the end of the day, although they may be constant in severe pictures. Almost every patient have eyelid ptosis and double vision, and the majority of them also have proximal muscle weakness. Reversible cholinesterase inhibitors are the first-line treatment, but patients who do not achieve symptom control should receive immunosuppressive therapy, whose options include azathioprine, cyclosporine, mycophenolate, intravenous immunoglobulin and thymectomy, with different profiles of efficacy, safety and tolerability.
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A Rare Case Report of Primary Pure Pleomorphic Liposarcoma of Breast with Cytological and Histopathological Findings

Sarcomas of a breast are rare tumors. Primary mammary liposarcomas are rarer still. The peak incidence of breast liposarcomas in adults occur between 4th and 6th decades. We report a case of primary breast pleomorphic liposarcoma in a 70 years old female patient. FNAC of the tumor was non-specific. However, histopathological along with immunohistochemical studies clinched the diagnosis.
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Case Report: Are We Prepared to Manage Acute Abdomen in the Super-Obese Patient?

A 55 year-old man with signs and symptoms of severe sepsis was admitted to the emergency department. He is severely obese with a BMI of 80 Kg/ m2 and a medical history of hypertension and arrhythmia. The abdominal pain was non-specific and the physical examination was impaired by obesity. Ultrasonography (US) was ineffective and no computed tomography (CT) scan was available for a patient of his weight. The acute abdomen presented an inflammatory etiology. The patient underwent laparoscopy and severe cholecystitis was diagnosed and treated. The patient recovered well, and remained for 36h in the intensive care unit and 5 days in the surgical ward.
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Case Reports: Contribution to Clinical Practice, Scholarly Education, and Scientific Knowledge

Case reports have been a method of scientific communication in the medical literature. Cases describing a clinical challenge faced by physicians and providing well-reasoned recommendations serve an important function in the clinical practice. Other values of case reports include generating clinical hypotheses and promoting scholarly education. They enhance critical thinking for practicing physicians, residents, and medical students. A case report can raise conceptual questions about particular clinical observation with the goal to generate a clinical hypothesis. This article highlights the value of case reports and describes their role in advancement of medicine with the intent to increase and improve case reporting.
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Advances in the Treatment of Breast Cancer-Emphasis on fertility preservationA Case Report

With the recent advances in breast cancer treatment the 5 year survival rates have increased significantly with overall 20yrs survival in developed countries like USA. With further improvement being designed in the treatment of breast cancers with more and more sophisticated models to study breast cancer in human beings using the modern microfluidic models one expects more and younger breast cancer survivors to be needing fertility treatments. Here we review the modern advances in breast cancer treatments and the need for emphasizing on fertility preservation before starting any chemotherapeutic or other management as recommended by both ASO and ASRM.
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Rupture of a Giant Caesarean Scar Endometriosis Nodule - A Case Report and Literature Review

Abdominal wall endometriosis is a rare condition occurring after caesarean section. A small painful nodule or lump near post caesarean scar is the common presentation. Large size endometrial nodules in anterior abdominal wall are uncommon and bleeding is very rare complication. In a thirty two years female a giant size endometrial nodule developed in a post caesarean scar. This patient presented as emergency during menstruation because of pain and lump with bluish discolouration. This case is reported for post caesarean scar large size endometriosis with extravasation of blood in surrounding anterior abdominal wall. This giant size endometriosis in anterior abdominal wall involving rectus abdominis muscle was successfully excised with a margin. The residual large size defect was repaired using polypropylene mesh.
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Cervical Ballistic Traumatism: A Case Report

The adequate care of cervical ballistic traumatisms implies a good preliminary knowledge of wounding agents, and of the principles governing lesion-based ballistic, in particular the role played by the meeting with an obstacle which modifies the ballistic behavior of the projectile, with worsened wounding effects. Authors describe the principal types of involved projectiles and their wound profile applied, while stressing the need to treat systematically the wound and not the weapon, and on the importance of the choice of the surgical exploration way of these lesions, which conditions, as from the initial stage, the later choices of the closure and rebuilding methods.
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Severe and Unusual domestic Violence; A Case Report and Review of Literature

Violence against women is one of the most systematic and prevalent human rights abuses in the world. Here, we aim to demonstrate a case of sever domestic violence from rural area suffering severe injuries. A 24 years old woman that has been under the violence of her worker husband aged 35 years old without any previous history of referring to legal medicine organization. She suffered broken nose, several body bruise, sever bleeding in conjunctiva, pulled nail injuries and bleeding as well as several parallel scrapes of self-mutilations on different parts of the body.
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External Jugular Vein Aneurysm with Thrombus Presenting as Neck Mass: A Case Report (Rare Case)

External jugular vein aneurysm with thrombosis presenting as neck swelling is a rare clinical entity and rarely encountered in routine clinical practice in otorhinolaryngology. We present a case of a 52-year-old female with external jugular vein aneurysm presenting as a neck mass. Ultrasound of the neck and CT showed saccular dilation of the external jugular vein with thrombosis within the aneurysm. Saccular aneurysm of the external jugular vein is very uncommon and can lead to thrombotic complications with serious consequence.
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