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Patients who received esophageal resection and gastro-esophageal rebuild before was likely to occur stomach-ectopia to chest when years later. Patients who occurred gastric aspiration during anesthesia have very high risks proceeding to severe aspiration pneumonia or Mendelson’s syndrome

1.1. Background: Hepatitis C Virus (HCV) Genotype (GT) infection is still regarded as one of the more “difficult-to-treat” GTs in the era of IFN-free treatments. The viral factors involved in this unfavorable outcome have yet to be clarified.

An 83-year-old man complained of repeated hematochezia for 3 months. No other medical history was reported except for the percutaneous needle aspiration of left renal cyst 10 years ago. Colonoscopy revealed a 25-mm protruded lesion with central ulcer formation at the descending colon (Figure 1A).

Anaphylaxis from Hymenoptera despite conventional venom immunotherapy is rare. We present a case in a previously healthy male with suspected cutaneous mastocytosis, who developed a fatal anaphylaxis due to cerebral hypoperfusion after wasp sting. The report is a reminder that up to 20% of patients allergic to Hymenoptera venom are not protected by conventional venom immunotherapy.

1.1. Objective: The aim of this study was to report a case of Generalized Eruptive Keratoacanthomas (GEKA) involving the auricles and external auditory canal and to review the relevant literature

1.1. Background: Despite many critical voices regarding its efficacy and safety, digoxin may still have a role in the management of heart failure. The objective of this study was to evaluate the efficacy and safety of a short course digoxin therapy started in the emergency department based on clinical outcome after 30 days post hospital discharge.

The occurrence of rupture is the worst among the circumstances of the discovery of a Superior Mesenteric Artery (SMA) branch aneurysm. Despite it remains a rare event, many cases have been reported in the literature. The occurrence correlation of a pancreatico-duodenal aneurysm with isolated celiac artery injury has been proven

Patients with disease progression on first-generation tyrosine kinase inhibitors (TKIs) usually have a poor prognosis. The mechanisms of acquired resistance to epidermal growth factor receptor (EGFR)-TKIs have been widely reported; however, reports of acquired

COVID-19 can cause different clinical manifestation by affecting different organs in the body. Involvement of thyroid gland is very rare in COVID-19 infection than any other systems of the body. We described a 41-year-old female with subclinical thyroiditis most likely related to corona virus infection and reviewed literatures regarding cases of thyroiditis due to COVID-19 have been reported. The objective of this article is to create awareness regarding this novel entity and the association with thyroid dysfunction.

Mandibulofacial dysostosis with microcephaly, Guion-Almeida type (MFDGA) is a rare multiple congenital anomalies syndrome characterized by malar and mandibular hypoplasia, microcephaly, ear malformations with associated conductive hearing loss, esophageal atresia, cleft palate and distinctive facial dysmorphism. Almost all affected individuals have developmental delay and intellectual disability.