Day 1 :
Keynote Forum
Pon ramya Gokul
Keynote: Looks can be deceiving – a rare presentation in acute lymphoblastic Leukemia
Biography:
Dr. Pon Ramya Gokul has completed her pediatric post-grad trainee with rotatory postings with 6 months each in NICU and PICU , and several speciality postings. She is currently working as a senior resident at a hospital in Chennai, India.The main responsibilities of evaluating patients, attending rounds , documentation and doing procedures was completed by her sincere efforts. She's sincere in her work and completes her tasks promptly. Also has good communication skills and involves in counseling sessions. She is an ardent learner and is keen on doing procedures. She is compassionate towards sick babies and records clinical notes in a meticulous manner. She has always been greatly interested in research work and publishing articles.
Abstract:
We report a case of calla positive pre B cell acute lymphoblastic leukemia in a 5yr old male child , presented with bilateral proptosis. This is a case report and literature review. A 5 year old male child presented with acute issues of fever with bilateral excruciating knee pain preceding fall, history of bilateral proptosis for 3 months .Initial workup of hemogram, ophthalmology and thyroid evaluation, imaging (MRI &CT orbit ) were normal . Repeat hemogram showed pancytopenia picture with multiple osteolytic lesions in x ray knee, no lymphadenopathy or organomegaly noted. Repeated detailed evaluation done was normal.Following which bone marrow aspiration study was done. Bone marrow studies revealed hypercellular marrow with 40% blasts and flow cytometry results of blasts positive for CD19,CD10 , cCD79a HLADR, confirmed the diagnosis of CALLA POSITIVE PRE B- CELL ACUTE LYMPHOBLASTIC LEUKEMIA (ALL).Proptosis is usually associated with acute myelogenous leukemia , and rare in ALL especially when they precede the systemic disease and should be borne in mind when evaluating for proptosis .
- Case Reports on Anaesthesiology, Human Pathology Case Reports, Diabetes Case Reports
Chair
Pon ramya Gokul
MD Paediatrics
Session Introduction
Joie Sheen Ayuste Bastian
Davao Doctors Hospital, Philippines
Title: The Unexpected Twist – A Rare Case of a 67 Year Old Female with Gastrointestinal Stromal Tumor Presenting as Gastric Volvulus
Biography:
Gastric volvulus is a clinical dilemma due to its nonspecific history and physical examination. Early diagnosis is warranted, and if left undetected, may cost the patient’s life. Due to difficulty in diagnosis, most cases are unreported, which is evident by an unknown incidence and prevalence of this condition. With the advent of advanced imaging modality and ancillary procedures, patients affected with gastric volvulus may now be treated at its golden period. Surgical intervention remains the gold standard of treatment in patients with this clinical entity and has a significant effect in prognosis when addressed immediately. This is a case report of a 67 year-old female who presented with an 8-week history of abdominal pain, hematemesis and vomiting. Seen initially by a gastroenterologist, an upper GI endoscopy was performed which showed a gastric mass lesion causing difficulty of the scope to traverse the body of the stomach. CT scan of the whole abdomen revealed an organo-axial gastric volvulus. The patient was referred to general surgery service and was scheduled for exploratory laparotomy, detorsion of gastric volvulus, wide excision of gastric mass, gastrorrhaphy and gastropexy. Post-operative course was unremarkable. Further work up on histopathology and immunohistochemical staining, turned out to be positive for CD 117, revealing gastrointestinal stromal tumor as the turning point causing the volvulus.
Abstract:
Dr. Joie Sheen A. Bastian has completed her degree in B.S. Biology at the University of the Philippines – Mindanao specializing in molecular biology and ecology. By the age of 24 years, she has completed her Doctorate degree in Medicine at Davao Medical School Foundation. She is currently in residency training program at the Department of Surgery in Davao Doctors Hospital. She has published an international scientific journal in molecular taxonomy and presented in national interesting case presentation.
Glenn P. Villanueva
Ospital Ng Maynila Medical Center, Philippines
Title: BUTO sa BATO A Rare Case of Primary Renal Osteosarcoma
Biography:
Glenn P. Villanueva , Ospital Ng Maynila Medical Center, Philippines
Abstract:
Primary Renal Osteosarcoma is an extremely rare but aggressive type of tumor. To this date, only 28 cases were confirmed and reported, the last being in 2014. There are no unique clinical features of the tumor compared to other primary renal neoplasm. Due to its rarity, there are limited data for the management but a multi-modal approach is preferred to increase the survival, using resection with tumor free margins, radiotherapy and chemotherapy. This present study reports a case of a 65-year-old female who came in with fast- enlarging mass in the right abdomen which eventually caused abdominal pain. The patient underwent Radical Nephrectomy, Right with Adrenalectomy Right. Histopathologic report reveals a tumor type consistent with Extraskeletal Osteosarcoma of the Kidney. Few months after, patient’s condition deteriorated and despite all efforts, various circumstances lead to the patient’s demise. If there was no reported case from 2014 up to this date, this case will be the 29th case of Primary Renal Osteosarcoma in the whole world.
Yitbarek Fantahun
, Addis Ababa University
Title: A Case Report of Advanced Unruptured Cornual Pregnancy
Biography:
Yitbarek Fantahun, Assistant professor, Department of Obstetrics and Gynecology, Addis Ababa University
Abstract:
Ectopic pregnancy is one of the major causes of maternal morbidity and mortality early in pregnancy. It is a condition where the gestational sac implanted outside the endometrial cavity. Cornual pregnancy is a rare type of ectopic pregnancy where the gestational sac is implanted in the cornua part of the fallopian tube. Cornual pregnancy is more dangerous than other types of ectopic pregnancies, and contributes a significant amount of maternal mortality and morbidity. Here a case report is presented where a patient was admitted to a rural hospital and with a diagnosis of missed abortion. She was given Misoprostol 400 micrograms of misoprostol for total of five doses every 6 hours and repeated three times and later referred to tertiary Hospital where laparatomy was done after the diagnosis was made by physical examination and transvaginal ultrasound
Niraj Khatri Sapkota
Chitwan Medical College Affiliated to Tribhuvan University,Chitwan,Nepal
Title: Stress oriented Pitting edema alike hypothyroid symptoms A rarest case presentation
Biography:
Niraj Khatri Sapkota has completed his PhD in Molecular Physiology applications to pharmacology at the age of 32 years from Zhejiang University, China, one of the Thomson Reuters and Elsevier best ranked university of the world; he is now working as an Associate Professor in the Department of Physiology in Chitwan Medical College affiliated to Tribhuvan University, Nepal. He is an active researcher and academician of his country, Nepal. He has published more than 50papers both original and review papers as a single author or with collaboration in reputed international journals and is serving as a reviewer, advisory and editorial board member and Editor of more than 30 international reputed journals.
Abstract:
Background: Edema is general symptomatic feature of different organ failure or due to malnutrition or in sometimes due to long stand especially during summer with , heavy weight bearing, vasodilatation, or cardio-hepato-renal disease or in rare hypothyroidism, but in atypical case could demonstrates depression with progressive stress also shows indication of mild pitting edema.
Case presentation: This is a case of middle age divorced male under depression who is under medication since 10 years complained of weight gain almost 10kg in 30 days duration, less attentive to his work and always feel sleepiness during day (once get to sleep, slept more than 5 hours during day) and also late upto morning if not called to wake-up, also with diminished memory, more specific event was before 60 days of these symptoms he unexpectedly suffered family tragedy.
Test and result; He performed all the test that possibly could lead to diagnosis of foot edema echocardiography, ECG, Creatinine clearance, total protein, albumin and finally thyroid function test but all test were normal except high 24 hours creatinine clearance therefore no any medication were prescribed, on counseling and motivation all his symptoms slowly disappeared in 45 days duration.
Conclusion; This case is rarest presentation of depression led progressive stress pitting edema that got managed after appropriate counseling along with changes in his life style.