A plunging ranula is a mucous extravasation cyst appearing as a swelling in the submental and submandibular regions. We describe a rare case of massive deep diving cervical ranula involving multiple tissue spaces and extending to the upper mediastinum. The unusual course of events following surgical excision of the submandibular gland is presented. A Computerized Tomography (CT) scan revealed t...

Infective sacro-ileitis is due to common bacteria, 25% being tuberculosis and 10% brucellosis. Slow progression characterizes joint tuberculosis, an uncommon variant of this disease. The onset is usually insidious, and early diagnosis requires a high index of clinical suspicion. We report two cases with tuberculous sacro-ileitis which initially mimicked brucellosis infiltration. Diagnosis of tu...

Hepatic hemangiomas are the most frequently seen benign liver mass. However, exophytic hepatic hemangiomas, particularly pedunculated ones are very rare. They have various appearances that make the diagnosis difficult. We report a pedunculated hemangioma case which was misdiagnosed as gastrointestinal stromal tumor on computerized tomography scan. Magnetic resonance imaging revealed that the tu...

CASE REPORT We present the case of a 29 year-old man who came to the Emergency Department due to pain in the right eye. There was demonstrated a complete corneal de-epithelialisation. There was no clinical improvement after appropriate treatment, which was complicated by migraine and vomiting. The computerized tomography (CT) scan showed images suggestive of cerebral toxoplasmosis. After the co...

● The ICU is filled and there are no available beds. ● The ICU beds are closed because of a lack of critical care nurses. ● The emergency room is backed up with patients, and this particular patient will be going to surgery in a few hours anyway. ● PACU patients have recovered and are ready for discharge to the general surgical floor, but there are no available beds. ● A patient has a severe al...

We present a case of an intra-articular osteoid osteoma in the knee that was mistaken for a painful fabella syndrome after unsuccessful knee arthroscopy for the treatment of postero-lateral knee pain. In this case both the initial clinical presentation and the imaging proved to be deceiving. The diagnosis of intra-articular osteoid osteoma was considered only once typical clinical features appe...

Date palm thorn injuries are common in Middle Eastern countries, where there are many date palm plantations. If detected, these injuries can be treated without subsequent complications. In children, however, the diagnosis can very easily be missed. An untreated embedded thorn may cause late complications, including periostitis or osteomyelitis. In this article, the author presents a case of dat...

We present a case of 75-year-old man with type 2 diabetes and emphysematous pyelonephritis (EPN). The patient presented with abdominal pain, fever of undetermined origin and progressive decrease in urine output. Computerized tomography scan revealed gas formation in the left renal parenchyma and capsule. A left nephrectomy was performed. He made a quick recovery. EPN should be taken into consid...

A case of pyogenic pontine abscess detected by computerized tomography scan in a 10-year-old boy is presented. While on broad-spectrum antimicrobial treatment, he deteriorated and developed new symptoms of respiratory distress. Microsurgical exposure of the abscess and aspiration of pus resulted in rapid improvement in his neurological state and radiological resolution of the lesion. The aim of...

A 59-year-old woman presented with a burning, rapidly progressive mass on the midchest, occurring after a fall 4 months prior. Examination found a large well-circumscribed mass over the lower xiphisternum (Figs 1 and 2). Results of baseline investigations were normal apart from mildly elevated liver function values. A computerized tomography scan confirmed a 6.4x 4.9-cm lobulated soft tissue he...