A 23-year-old male presented with acute dysphagia and odynophagia for solids. He had multiple episodes of vomiting, retrosternal chest pain and fever but denied shortness of breath of cough. He was previously diagnosed with EoE aged 16 years following presentation with an acute food bolus obstruction, on a background of long standing dysphagia. His other medical history was unremarkable, with n...

Background: Tramadol, an analgesic drug abused by opioid addicts, is also abused accidentally or for suicidal purposes. Tramadol poisoning can induce CNS depression, seizures, coma, and ultimately death. Case: In this report, a 30-year-old male was admitted to the emergency department due to suicidal attempt with ingestion of 14000 mg (140 tablet 100 mg) of tramadol. He had history of suicidal...

not visualized on initial contrast injection, but was observed on later injection. The ejaculatory ducts were balloon dilated using a 5 French angioplasty balloon, and both ducts were cannulated and explored visually using a flexible ureteroscope, revealing markedly dilated SVs. Contrast injection demonstrated bilaterally enlarged SVs and no apparent vasal obstruction. A right vasotomy was perf...

In our experience treating more than 100 cases of ischemic priapism, we noted that most with less than 24-hour duration responded well to aspiration/evacuation and injection of a diluted alpha-adrenergic agent (phenylephrine). In those of less than 48-hour duration, the majority could be reversed by a standard T-shunt with #10 blade. In those who failed T-shunt or had more than 48-hour duration...

In a patient with features indicating the presence of pseudotumor cerebri, a negative cranial CT-scan is not adequate to rule out less benign pathology and an MRI of brain should be performed. In this study, a 10-year old boy with daily headaches for one month and diplopia for one week was found to have a partial abducens palsy and bilateral papilledema; otherwise, his examination was normal. A...

A man at my age has two options: either to reminisce about a past of which he was a part, or to dream about a future in which he will not be a part. It is difficult to resist the temptation to talk about the past, and good old days. But I would rather dream about the future, and try to imagine a world where no woman is denied her right to health. Our world of diversity Diversity was the divine ...

A 46-year-old male with alcohol-induced Child’s class A liver cirrhosis (MELD 10) presented with profuse bleeding from his umbilicus. The patient described being at his usual state of health until 2 hours prior to presentation, at which time he experienced blood spurting from his umbilicus. He immediately applied local pressure to his abdomen and presented to our hospital. The patient denied as...

Background: Insertion of rectal foreign bodies intentionally or unintentionally is not unusual. Case presentation: A 19-years-old unmarried male was admitted to our hospital due to a lump of left lower quadrant of abdomen. He denied sexual assault .The abdomen was soft on physical examination. Abdominal x-ray and CT scan showed a foreign body in lower abdomen and pelvis. The patient was oper...

Epidemiology can be considered as a very old science. For example, John Graunt, a statistician, published Natural and Political Observations. In the Bills of Mortality in 1662, he analyzed the mortality rolls in London before the Great Plague, presented one of the first life tables, and reported time trends for many diseases. He provided statist...