Eventration of Diaphragm - Rare Cause of Pain Abdomen

Mohanty Bijaya1*, Mehta Sameer2, Prasad S K3

Eventration of the diaphragm is an abnormal elevation of the dome of the diaphragm. It is a condition in which all or part of the diaphragm is largly composed of fibrous tissue with only a few or no interspersed muscle fibres. Congenital diaphragmatic eventrationwith stomach herniation in an adult patient associated with pain abdomen is a relatively uncommon condition. We are reporting a case of 65 year old female who presented to us with complains of pain abdomen for two weeks.

Treatment of Rhythm-Conduction Disorders in Myocardial Infarction and Sleep Apnea by CPAP Ventilation

Vesselin Karabinov1*, Rubin Stoianov1, Dobromira Zaharieva1

Illustrating a 49 years old man, who was hospitalized for extensive myocardial infarction, with risk factors for cardiovascular diseases. PCI was conducted and a stent was implanted. Given that extreme bradycardia was registered during the sleep at night and obstructive sleep apnea was suspected, it was subsequently discussed placing a pacemaker as well as an ECG-Holter and respiratory polygraphy was conducted.

An Accessory Extensor Muscle to the Thumb – A Rare Variation in the Hand

Alexandar Iliev1, Georgi P. Georgiev2*, Georgi Kotov1, Boycho Landzhov1

Anatomical variations of the EPL are very rare. Herein, we describe the presence of an accessory extensor muscle to the left thumb observed during a routine anatomical dissection of a 63-year-old male cadaver from the autopsy material available at the Department of Anatomy, Histology and Embryology at the Medical University of Sofia. The muscle originated with a short tendon from the dorsal surface of the lower third of the ulna.