Case Report

Hemophagocytic Lymphohistiocytosis (HLH) is a rare but severe sys temic inflammatory syndrome, often classified under autoimmune conditions. It is characterised by the excessive activation and proliferation of cytotoxic T cells and histiocytes (macrophages), leading to widespread immune dysregulation. There are two types of HLH one is primary and the other is secondary.

1. Abstract Colovesical fistulas (CVFs) are significant complications arising from diverticulitis and colorectal cancer. These fistulas create abnormal connections between the colon and bladder, leading to symptoms like pneumaturia and fecaluria. Given the variability in symptoms,

1. Abstract A 50-year-old male who presents with worsening left upper quadrant pain for several months. The pain constant and tender over the left ribs, and worse when lying down.

Dear Editors During our practice in UAE, we came across many rare and unusual disease presentations that were missed by many centers because of either: Lack of awareness or failure to check detailed history including family history and proper physical examination. Joint hypermobility alone is common in the general population, affecting approximately 10 to 20 …

An Under Recognized Entity That Need Awareness Hyper Elasticity and Associated Diseases Especially Superior Mesenteric Artery Syndrome Read More »

1. Abstract Stop NOx elimination by ammonia. Stop water clean center. Abandon bonfire inhibition rule These 3 items are essential to promote CO2 assimilation to stop global warming stop. By increasing the supply of nitrogen and phosphorous, we can get much fish. Eat Iriko (boiled and dried sardine) containing hyaluronic acid. for long life. By …

Promotion Of CO2 Assimilation by Stopping of Nox, NP Elimination Is Easy Method to Stop Global Warming and To Get Fish for Long Life Read More »

1. Clinical Case An inoperable malignant rectosigmoid stenosis in a 75-years-old men was successfully managed by placing a self-expanding not-covered single-wire Nitinol stent. We intentionally left approximately 15 mm of stent distal to the stenosis to prevent pressure decubitus on the healthy wall immediately downstream of the distal end of the neoplasm, precisely at the …

A Recto-Sigmoid Nitinol Stent Remodeled By Argon Plasma Procedure: A Case Report Read More »

1. Abstract A 42-year-old woman with a history of anorexia nervosa visited to our hospital along with transaminitis of asparate aminotransferase (AST) and alanine aminotransferase (ALT) of 7700 U/mL and 5700 U/mL, respectively, which indicated starvation hepatitis. After refeeding of nutrition, AST/ALT decreased, transient elevated, decreased again, and maintained to 100-600 U/mL, and a liver …

A Therapeutic Efficacy of Ursodeoxycholic Acid on Cholestasis after The Nutrition Therapy for Starvation Hepatitis Read More »

1. Abstract The reasonable development of anticancerous agents that specifically target malignant growth cells without influencing the sound cells or tissues, has prompted another novel interest in microbial-determined bioactive entities.