Background: Primary intra cardiac tumors are rare. In this article, we present papillary fibroelastoma of mitral valve chordae. Case Presentation: A 35-year old man presented with atypical chest pain and palpitation. Physical examination and electrocardiogram were normal. Transesophageal echocardiography (TEE) revealed a mass of 1015 mm attached to chordae of anteromedial papillary muscle of ...

Apert syndrome is a congenital craniosynostosis syndrome comprising of bilateral coronal synostosis , symmetric syndactyly of hands and feet and midface hypoplasia. We present an atypical phenotype of this syndrome with right sided unilateral coronal synostosis. However, type I apert hand and other clinical and radiological features suggestthe diagnosis. Genetic analysis revealed an absence of ...

aim : to determine the co-incidence of gallstones with upper gi disease in patients who were candidate for elective cholecystectomy. background : typical pain of gallstones frequently cause special pattern which can usually be distinguished from symptoms of other organic and functional diseases. but patient with cholelithiasis and atypical pattern of abdominal pain seems to bring about a challe...

conclusions this paper highlighted the need to exclude csd in children with unexplained symptoms such as prolonged fever, hepatosplenic lesion and osteomyelitis. case presentation we reported a series of seven children with unusual symptoms of csd. in particular, we described the case of a child with ptosis, miosis and enophtalmy, suggesting horner syndrome, associated with cervical lymphadenit...

conclusions kd should be kept in mind as one of the causes of childhood acalculous cholestasis, abdominal discomfort and prolonged fever. case presentation we report a four-year-old boy with fever, abdominal pain, vomiting, jaundice and mild liver enlargement who gradually developed other signs of kd. he was treated by aspirin, intravenous immunoglobulin and finally methylprednisolone pulse the...

normal 0 false false false en-us x-none ar-sa microsoftinternetexplorer4 aim : this study was designed to investigate about findings of impedance ph-monitoring in patients with atypical symptoms of gerd. background : the routine treatment with proton pump inhibitors is not very effective in patients with atypical symptoms of gastro-esophageal reflux disease (gerd). it may be due to non-acid ref...