Volume 1 Issue 1


Case Report

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.She improved with symptomatic treatment and discharged from hospital and is doing well on follow-up.
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Case Report

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.
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Case Report

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.
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Case Report

Hoagland’s Sign: A Rare Initial Clinical Manifestation of Infectious Mononucleosis
Eduardo Esteban-Zubero1*, Laura Morros-Blanco2, Moisés Alejandro Alatorre-Jiménez3, Subramanian P. Subala4, Alejandro Marín-Medina5, Sara Anabel Aloso-Barragán5, Carlos López-García6

Infectious monucleosis is a disease observed frequently in children and adolescent. The most frequent etiology is produced due to a Epstein-Barr virus or Citomegalovirus infection. The symptomatology is relatively non-specific; however, the classic symptoms include fever, odynophagia, and astenia. Less frequent are cuataneous disturbs or bilateral eyelid edema. The latter sign mentioned is called the Hoagland’s sign.

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Case Report

А Case of Bilateral Variations in the Arterial Branching in The Upper Limb and Clinical Implications

Stancho Stanchev1*, Alexandar Iliev1, Georgi P. Georgiev2, Lina Malinova1, Boycho Landzhov1

Arterial variations in the upper limb are frequently observed. In the present study, we observed bilateral arterial variations in the upper limbs of a 75-year-old male cadaver during a routine anatomical dissection. In the right upper limb we discovered superficial and deep brachial arteries and anterior and posterior interosseous arteries which originated separately from the ulnar artery. In the left upper limb the anterior and posterior circumflex humeral arteries originated from the subscapular artery by a common trunk. We described the relations of these blood vessels to adjacent structures and discussed the frequency of the observed variations. In addition, the clinical implications of the findings in the present case were considered.

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