November 18, 2022

Aneurysms usually present with subarachnoid hemorrhage and signs of increased intracranial pressure.Patients who survive after their first bleeding , have an estimated annual risk of rebleeding which is 1.27 % .We present a 35 years old male with a history of subarachnoid hemorrhage 7 months before admission , who de clined gradually in terms of cognitive and motor function as well as voluntary voiding and undiagnosed multiple endocrinologic problems who finally diagnosed with a giant partially thrombosed anterior communicating artery aneurysm with mass effect on sur rounding neurovascular structure who underwent a microsurgical clipping and aneurysm sac resection and experienced a very long post operative period regarding several post operative neurologic , endocrinologic and infectious problems.

The authors present a case of gastric adenosquamous carcinoma in a 62-year-old female patient. A month earlier, an adenocarcinoma infiltration was diagnosed during gastroscopy in the histopatholog ical examination of specimens from the pyloric ulcer.