1. Abstract
1.1 Background
Mesh reinforcement can be used as an adjunct in giant paraoesophagal hernias repairs. The use of synthetic mesh is associated with significant morbidity whereas biologic mesh is associated with higher rates of recurrence. We aim to assess the safety and effectiveness of biosynthetic absorbable.

1. Abstract
Lung cancer remains a leading cause of cancer-related mortality globally, and surgical resection is a primary treatment for early-stage disease.

https://doi.org/10.47829/ACMCR.2025.141112

Ewing sarcoma is a rare malignant tumor typically seen in children and young adults, with very few cases reported in individuals over the age of 50. This case describes a 57-year-old male.

1. Abstract
Schwannomas originating from the Schwann cell nerve sheath are rare in the hepatic hilum, with only a few cases reported in the literature.

1. Abstract
1.1. Introduction
Multiple pregnancies, particularly triplets, are rare[incidence] and can be associated with various complications during pregnancy and delivery. Dichorionic triamniotic triplets (two placentas) are even more unusual, and the presence of single placenta for two gestational sacs adds to the complexity.

1. Abstract
Cardiac tumors are rare, with myxomas being the most common primary tumor in adults, typically benign and found in the left atrium. Myxomas are usually sporadic but can be familial or syndromic. They are more frequent in women and are often asymptomatic, with diagnosis made incidentally.

1. Abstract
The Jarisch-Herxheimer reaction (JHR) is an acute inflammatory response that may occur after initiating anti microbial therapy for spirochetal infections, most notably syphilis. Its clinical presentation often involving fever, hypotension, and systemic symptoms-can closely mimic sepsis, posing a diagnostic challenge

1. Abstract
Aortic dissection is a life-threatening cardiovascular condition characterized by the separation of the aortic wall layers due to an intimal tear.

1. Abstract
The authors describe a 3-year-old previously healthy girl who presented with new-onset hepatic encephalopathy due to accidental consumption of Cassia occidentalis seeds. The child found the seeds four days before her presentation in the dehiscent fruits of a plant that was kept in a flowerpot in a neighbor’s house.