An Uncommon Cause of Epistaxis: Nasopharyngeal Hirudiniasis

Nasal Hirudiniasis--an unusual cause of epistaxis.

BACKGROUND Common causes for unilateral nasal bleeding in adults are benign or malignant tumours, deviated nasal septum, nasal trauma and foreign bodies. Nasal leech infestation has not been identified as a cause of nasal bleeding in most of the textbooks of Ear Nose and Throat. Over 3 years, at Combined Military Hospital Muzaffarabad, and Combined Military Hospital Abbottabad, we have dealt wi...

Nasal Fish Tank Granuloma: An Uncommon Cause for Epistaxis

An immunocompetent 28-year-old male aquarium store employee presented with 1 month of intermittent epistaxis. A bleeding granulomatous lesion was identified over the right nasal septum ( Figure 1 ). Histopathology from the incisional biopsy revealed granulomatous inflammation with the presence of acid-fast bacilli ( Figure 2 ). Culture of the homogenized specimen on Middlebrook 7H11 agar after ...

An Uncommon Cause of Neonatal Hypertension

Background: Adrenal hematoma is a very rare acquired cause of neonatal hypertension. In this study, we report a case of neonatal hypertension associated with adrenal hematoma. A male neonate was immediately transferred to our neonatal intensive care unit after delivery due to meconium aspiration. He needed to be on mechanical ventilation support. During his hospital stay, hospital records showe...

Primary Hyperparathyroidism and Pancreatitis: an Uncommon Cause of Pancreatitis

an uncommon cause of splenomegaly

a 55-year-old man presented with pain in the left flank for the last 8 months with history of significant weight loss. the pain was relieved on assuming a knee-chest position. on clinical examination the patient was afebrile with mild tenderness in the left hypochondrium. there was no icterus or lymphadenopathy. the spleen was palpable 6 cm below the costal margin and was firm and non-tender. t...