A large, locally aggressive giant cell tumour arising from the laryngeal cartilage: A Rare Case Report.

Giant cell tumour is a growth predominantly found in long bones of the body. Giant cell tumour has a rare occurrence in the head and neck. A case of a 31 year old male with no known comorbidities at the ENT Department, Shifa International Hospital, Islamabad presented with anterior neck swelling and hoarseness of voice. Patient was diagnosed as having Giant Cell Tumour of Larynx (GTCL) proven on FNA cytology and post-operative biopsy. GCTL is an uncommon entity with only 45 reported cases in the world.

Battling the Eagle's sharp beak, Eagle syndrome; a case report.

Eagle Syndrome is a pain syndrome of rare and unwonted incidence. Forbearer has an elongated styloid process or a calcified stylohyoid ligament, suppressing glossopharyngeal nerve leading to a mélange of symptoms including sporadic cervicofacial pain, headache, and foreign body sensation. Here we present case of a 65 year old military man of south Asian origin, who presented with complaints of sudden episodes of blackouts for past five years and pain in neck while turning head to left for past two months. Patient's ultrasound Doppler showed marked narrowing of proximal left internal carotid artery with approximate diametric stenosis of 70% according to The North American Symptomatic Carotid Endarterectomy Trial (NASCET).Further studies of MRI Brain was done,revealing small Foci of restricted diffusion along Territory of Left MCA along with age related Microangiopathic cerebral changes. CT Scan of neck was also done which showed Abnormal elongation of bilateral styloid process more on the left side. The case was discussed in a Multidisciplinary Team Meeting comprising ENT surgeon, vascular surgeon and surgical excision was planned through trans cervical approach. Surgery was successful as seen by post op and follow up scans.

Port site tuberculosis a rare post operation entity: A case report.

Laparoscopic cholecystectomy is one of the most common procedures done worldwide. Post-surgical site infections are common, yet there are occurrences of uncommon complications, including port site tuberculosis (TB). We report a case of a 62-year-old man who was the victim of post-surgical site infection of port sites caused probably by improper sterilization. The patient lacked any common symptoms of tuberculosis and his initial lab investigations were not affirmative. A biopsy depicting the growth of multiple epithelioid granulomas finally led to the diagnosis of port site tuberculosis. The patient was treated by incision and drainage followed by anti-tubercular therapy. This treatment regime showed complete resolution of disease on follow-ups. Such cases require multidisciplinary team (Surgery, Pathology and Infectious disease department in our case) inputs for prompt diagnosis and treatment.

Unmasking the great masqueraders: Concurrent isolated large cecal endometrioma and solitary extra-uterine retroperitoneal cellular leiomyoma - A case report with review of literature.

INTRODUCTION: Cecal endometriosis is an infrequent cause of right iliac fossa pain. The extra-uterine retroperitoneal cellular leiomyoma is a rare tumor. The concurrent existence of both these rare conditions is a unique event. PRESENTATION OF CASE: We hereby report the case of a 44-year-old woman who had concurrent large isolated cecal endometrioma, which was diagnosed pre-operatively on imaging to be pelvic endometriosis/hematosalpinx and solitary retroperitoneal cellular leiomyoma, which was incidentally identified. Both the conditions were managed successfully by laparoscopy. DISCUSSION: Cecal endometriosis is difficult to diagnose pre-operatively as there are far commoner clinical conditions that cause similar signs and symptoms. Often it gets mistaken for these conditions and gets diagnosed incidentally 'on table' during surgeries being performed purportedly to treat them. CONCLUSION: Although definitive diagnosis can only be obtained after histopathology, laparoscopy can be considered a standard diagnostic modality for both these conditions.