Case Report

ERCP in Situs Inversus Totalis: A Case Series of Three Patients from a Tertiary Care Center

1. Abstract 1.1. Background Situs inversus totalis (SIT) is a rare congenital anomaly characterized by mirror-image anatomy, posing challenges during endoscopic retrograde cholangiopancreatography (ERCP). Literature on ERCP in SIT is limited to sporadic case reports and small series. We report three cases of ERCP in SIT with emphasis on technical modifications, positioning, safety, and outcomes.

An Uncommon Manifestation of Secondary Hemophagocytic Lymphohistiocytosis (HLH) Precipitated by Candida Auris – A 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.