Primary aorto-enteric fistula (PAEF) develops between the native aorta and the gastro-intestinal tract, in the presence of an abdominal aortic aneurysm. It is a rare, life-threatening condition and appears to be less frequent than secondary aorto-enteric fistula, which is associated with previous aortic prosthetic reconstruction. When untreated, the overall mortality rate is almost 100%. Diagno...

Primary jejunoileal diverticulitis is a very rare disorder found only in 0.2 to 1.1% of the adult population. The incidence increases with age, peaking in the sixth and seventh decades. In this case report I present a 72-year-old patient who developed intestinal obstruction due to jejunoileal diverticulitis.

Primary tubercular psoas abscess is a rare clinical entity and has seldom been reported in an otherwise healthy person. Here we report an interesting case of primary tubercular psoas abscess in an immunocompetent male with no other traceable source.

Primary sclerosing cholangitis (PSC) is a chronic inflammatory disease of bile ducts..Patients with PSC usually presents with fatigue, jaundice and pruritus. Ultimately it leads to cirrhosis of liver and portal hypertension. But it rarely presents with decompensated liver disease without any previous symptoms. Here we report a case of PSC which presented with features of decompensated liver dis...

A middle aged female presented with symptoms of chronic cough, breathlessness, fatigue and weight loss of 4 months duration. Chest Xray (CXR) was suggestive of bilateral upper lobe mass lesion with a differential diagnosis in favour of malignancy. Contrast enhanced computed tomography (CECT) chest showed collapse of right upper lobe and left upper lobe. Bronchoscopy showed thick gelatinous glob...

This case presents a young patient with myocardial infarction, in-situ thrombosis of left anterior descending coronary artery and right common-iliac artery due to primary antiphospholipid syndrome. This report discusses the relationship between antiphospholipid antibodies and coronary artery disease along with management of this rare condition.

Neurological manifestations are common in primary Sjogrens syndrome (SS). Neurological involvement in Sjogrens Syndrome may be manifested in the central nervous system (CNS) and/or peripheral nervous system (PNS). Motor Neuron disease (MND) is very rare in Sjogrens syndrome. Treatment is steroids.

Pulmonary lymphangiectasis can occur either as a primary change or secondary to chronic congestion. Primary lymphangiectasis is generally considered to occur exclusively in young children. This report describes three male patients, aged 13, 16, and 19 years, in whom the changes are limited to one lobe or to two lobes and the mediastinum. So far as could be ascertained these patients are the old...

OBJECTIVES To determine clinical features, anatomic location and histological types of primary mediastinal masses diagnosed and treated in a black African population. DESIGN A retrospective study of clinical data collected from patients case notes, the cardiothoracic unit's and pathology records between June 1975 and May 1999. SETTING University College Hospital, Ibadan, Nigeria which hosts...