The Rh antigen family members includes various antigens, away from which, D antigen incompatibility is well known for causing extreme haemolytic illness when you look at the foetus. Although the existing literature shows anomalous cases where coexisting non-D-Rh and D-Rh antigens will be the causative representatives, there is certainly very little information about post-natal outcomes in neonates bearing two different incompatibilities simultaneously. Herein, we discuss a unique case of anti-D in addition to anti-C antibodies (non-D-Rh) in a male neonate born to a Rh-negative mom, who created jaundice and haemolysis in post-natal life. The neonate underwent trade transfusion and picture treatment because of raised serum bilirubin levels, supplemented with duplicated bloodstream transfusions, intravenous immunoglobulin treatment, and immunosuppressive therapy. He responded well towards the management and had been later discharged through the hospital. Long-term followup disclosed no side-effects.Although myxopapillary ependymoma is a fairly typical tumour of this lumbosacral spine, main multi-focal myxopapillary ependymoma is an uncommon variation. Drop metastasis and leptomeningeal scatter in the craniospinal axis is observed more often in the paediatric populace, although it is strange in grownups. Medical resection regarding the major lesion continues to be the standard treatment. Depending on the writers’ knowledge, to-date there clearly was only 1 prior situation in literature reporting iatrogenic spinal cord herniation with indentation after surgery for thoracolumbar vertebral tumour. Right here, our company is discussing a unique instance of major multi-focal ependymoma in a 16-year-old Asian boy, with drop metastasis and lepto-meningeal illness, which created iatrogenic spinal-cord herniation after the very first surgery for the primary tumour. He presented towards the Shaukat Khanum Memorial Cancer Hospital & Research Centre (SKMCH & RC), Lahore, after their very first surgery. He underwent the definitive corrective surgery at SKMCH & RC where he was handled more. We discuss the management options for this patient additionally the lessons discovered on the way.Mucormycosis could be the 3rd most frequent mycosis so as of its significance as a person pathogen, incident of which includes be more frequent all over the world. But not proven as a causal organization, the increased number of instances was related to Covid-19, the widespread utilization of corticosteroids, and diabetic issues. We report the truth of a 53-year-old male with mucormycosis pertaining to a Covid-19 illness once the novel case from Pakistan and discuss its epidemiology, diagnostic maxims, and administration. Within our literary works review, here is the 145th case being reported with most cases happening in Asia, mostly in men, of rhino-orbital kind Medium chain fatty acids (MCFA) and about a 3rd of those causing the loss of the patient.Pancreatic intestinal tumour is a silly major tumour for the pancreas. A 31-year-old male stumbled on the clinic with jaundice and slimming down. Cross-sectional imaging showed a mass when you look at the pancreatic uncinate process. Image-guided biopsy revealed gastrointestinal stromal tumour, so pancreaticoduodenectomy had been carried out, accompanied by adjuvant Imatinib. The patient had oligo-metastasis into the liver five years post-surgery and underwent liver resection. That is a unique situation where a pancreatic GIST presented with metastasis while on adjuvant treatment. Hepatectomy and multimodal treatment advances the survival in the event that condition is confined to your liver.Meckel’s diverticulum is considered the most typical intestinal region’s congenital abnormality. Spontaneous perforation of Meckel’s diverticulum is quite unusual and may mimic severe appendicitis. Right here we report the way it is of an 11-year-old male client, who had been provided to the medical A unit of Ayub training Hospital, Abbottabad on 21st January, 2021 with one-day history of abdominal pain, predominantly into the periumbilical area and right iliac fossa, connected with sickness. On physical examination their abdomen ended up being tense, tender with guarding and general rigidity. A provisional diagnosis of perforated appendix or enteric perforation of a hollow viscus was made. The patient had an emergency laparotomy, where a perforated Meckel’s diverticulum ended up being found. Resection of this part of instinct containing Meckel’s diverticulum had been done along with major anastomosis. Heterotopic gastric mucosa of diverticulitis, involving perforation ended up being confirmed on histopathology. The patient biological marker made an uneventful recovery during postoperative period. This instance report is a fascinating and an unusual case of Meckel’s diverticulum complication. It highlights the necessity of thinking about Meckel’s diverticulum as a differential diagnosis in almost every client showing with severe stomach in this age group.Goldenhar problem (GS) is an unusual congenital disorder. It arises from the initial pharyngeal pouch, very first branchial cleft, first and second branchial arches, and primordia associated with temporal bone tissue. It mainly involves abnormalities in the ear, mandibular, and maxillary arches, and it is related to adjustable medical functions such as for instance skeletal, cardiac, and renal methods. The presence of extra teeth into the dental care arch is called supernumerary teeth, and hypodontia describes congenitally lacking teeth. The occurrence of both these anomalies in the same client is known as concomitant hypohyperdontia. Nevertheless, the GS is not very rare, although the existence of concomitant hypohyperdontia has not been reported. The goal of the current instance report is to describe the very first case from Saudi Arabia with a characteristic combination of unusual results in a seven-year-old son or daughter with comprehensive oral rehabilitation.Mirizzi problem is an unusual syndrome, brought on by PLX4032 the compression of gall stones that may result in CBD obstruction or fistula development.