CASE REPORT | June 15, 2022
Rectal Gastrointestinal Stromal Tumors: Usefulness of Endoscopic Ultrasound
M. Saidi Idrissi, M. Salihoun, A. Acharki, K. Znati, N. Kabbaj
Page no 337-341
Rectal gastrointestinal stromal tumors (GIST) account for 0.1% of all rectal tumors. They are generally diagnosed in adults over 50 years of age with non-specific symptoms. Immunohistochemistry performed on biopsy tissue sample confirms the diagnosis. In this study, we report two cases of histologically and immunohistochemically confirmed rectal GISTs diagnosed using Endoscopic ultrasound (EUS) with fine needle aspiration (FNA), a procedure of crucial value in the diagnosis of these tumors. Both patients were male, presenting with non-specific symptoms. Standard endoscopy showed a rectal mass in both cases, biopsies were negative. EUS showed a well-defined hypoechoic mass and evaluated adjacent organs and of blood/lymphatic nodes involvement. EUS-FNA was performed in both cases. Cytology and immunocytochemistry studies showed spindle cell pattern with positive immunohistochemical staining for CD117, typical of GISTs.
CASE REPORT | June 15, 2022
Primary Testicular Diffuse Large B-cell Lymphoma Presenting in a Young Adult
Abdallah Hussein, HachemFarouk, Bellouki Omar, Ibrahimi Ahmed, Al Sayegh Hachem, Nouini Yassine
Page no 342-345
Primary testicular lymphoma is a rare type of extranodal non-Hodgkin lymphoma (NHL), its positive diagnosis is based on histopathological findings. Treatment modalities consist of surgical excision, chemotherapy, and radiation therapy but the accurate procedures are not standardized. The authors report a new case of primary testicular lymphoma, and we discuss its diagnostic and therapeutic aspects. Sperm cryopreservation was carried out. The patient was started on chemotherapy with cyclophosphamide, hydroxydaunorubicin, oncovin, and prednisone (CHOP) regime.
ORIGINAL RESEARCH ARTICLE | June 18, 2022
Evaluation of Infrapopliteal Revascularization for Ischemic Diabetic Foot in Hemodialysis Patients
Aghoutane, N, Bakzaza, O
Page no 346-349
Objective: To evaluate the outcomes of infrapopliteal revascularization for diabetic hemodialysis patients with ischemic diabetic foot. Methods: From 2017 to 2021, 250 patients with diabetic foot identified as stage C (ischemia) or D (ischemia and infection) of Texas Wound Classification underwent successful infrapopliteal surgical and endovascular revascularization at the vascular surgery department of Moulay Ismail Military Hospital in Meknes. The outcomes were retrospectively compared in hemodialyzed patients (HD group: 48 patients), and not hemodialyzed patients (not HD group: 202 patients) during the same period. Results: Outcomes were expressed as healing, major amputation, revascularization patency and mortality rate. Hemodialysis was a negative predictor of healing and a positive predictor of major amputation. Outcomes for HD and not HD groups were respectively: healing (62.5 vs 82 %), major amputation (37.5 vs 18 %). There was no significant difference in revascularization primary patency between the two groups (70 vs 73.6%). The mortality rate was higher in the HD group than in the not HD group (21 vs 10%). Conclusions: Our study shows that ischemic diabetic foot associated with hemodialysis have a bad prognosis with a higher risk of major amputation and death. Infrapopliteal revascularization with infection control should be performed to enhance the rate of limb salvage in this risk group.
CASE REPORT | June 27, 2022
Elbow Fracture Dislocation in Adult: A Case Report
Ahmad Almigdad, Suleiman Sharadgah, Ehab Altaani, Mohammad Alsaaideh, Moad Alzoubi, Khaled Gharaibeh
Page no 350-354
Elbow dislocation may lead to disabling consequences such as elbow instability or stiffness. Complex elbow dislocation is associated with expected fracture patterns such as radial head, coronoid process, and terrible triad. On the other hand, simple dislocation is the dislocation without bony injury and is associated with a favorable prognosis. The following report describes a thirty-eight-year-old male who developed complex posterolateral elbow dislocation with irreducible trochlear fractures that blocked the reduction and mandated open reduction.
REVIEW ARTICLE | June 27, 2022
Explore the Role of Homoeopathy in Maternal Health Care Practices in UP and India
Dr. Tridibesh Tripathy, Shankar Das, Dr. Lipipuspa Devata, Dr. Manjushree Kar, Rakesh Dwivedi, Dr. Mohini Gautam
Page no 355-362
On 13th December 1986, the famous actor of Indian cinema Mrs. Smita Patil died of child birth complications technically known as puerperal sepsis (HT, 13th Dec, 1986). 36 years later, in 2022, Dr. Archana of Dausa, Rajasthan died by suicide as she was arrested after a pregnant woman died of Post Partum Haemorrhage (PPH) in her private hospital (TNN. March 30th 2022). This clearly reflects the challenge that maternal health throws at the health fraternity. A woman’s struggle in the stage of pregnancy is full of turbulents. The struggle of mothers continues in India even today and that too in the state of UP even on a large scale. The current Maternal Mortality Ratio in India is 103 per 10000 live births & for the state of UP, it is 167 (SRS, 2019). Similarly, the Maternal Mortality Rate of India is 6.5 per 100,000 pregnant women in the age group of 15-49 years where as in UP, it is 14.7 per 100,000 pregnant women in the age group of 15-49 years. The high Maternal Mortality both in India and UP stand as a testimony to this fact as reducing this indicator is a priority. The target of achieving the SDG target of 70 per one lakh live births is a long way. The current article focuses on the initiatives of the role of homoeopathy in public health system to address maternal mortality. Basically, there are three approaches to reduce maternal mortality. These are addressing the three crucial delays related to the maternal mortality. The article focuses exclusively on these approaches while relating to homoeopathy. There are three objectives of the article. The first is to find out the current status of Homoeopathy in the maternal health practices, the second is to find out the details of the current & past implementation strategies in the homoeopathic context and the third is to find out the link between Homoeopathy & maternal health practices. The study uses secondary data. The gap that the article worked on is to explore a link between Homoeopathy & maternal health & its modalities. It deciphers whether there is a functional link currently or not & suggests future strategies based on the functionality of the link. It will be a step in the right direction to fulfill the plans to achieve the maternal health target of SDG by 2030 especially for maternal mortality related goals. For the benefit of the readers, the article includes its expected outcome, relevance to society & policy making through the context of the identified issues & the research gap. Through all these sections, the current article puts an effort to fulfill the three cited objectives of the current study related to incorporation of homoeopathy in maternal care.