Neck masses can be a challenge because several cancers metastasize in this area. Head and neck tumors are more commonly responsible of lymph nodes in neck. However, also gastric cancer can be metastatic in this area. We present a rare case of neck gastric meta with negative Virchow's lymph node.

Herein we report a case of a ten years old boy with rare clinical manifestations associated with COVID-19, in which the first clinical symptoms were urticaria and fever, and then he developed arthritis. The possibility of post-COVID-19, reactive arthritis, or postinfectious arthritis can be expected from this virus.

We are reporting an African female patient who is found to has thrombocytopenia secondary to iron deficiency anemia (IDA), and she responded to iron replacement therapy initially with a transient drop in platelets, followed by a gradual rise in platelets till platelets reached to the normal level.

There is evidence of increased incidence, rapid progression, and poor prognosis of Covid-19 in patients with underlying comorbidities such as diabetes and epilepsy. It is crucial to develop effective treatment regimens for these patients. Multiple organ failure is the most common cause of death in Covid-19 patients.

White esophagus is an extremely rare disease and recognized to be the result of chronic ischemic injury. We report here successful treatment of a case of white esophagus accompanying multiple areas of circumferential duodenal erosion extending to the upper jejunum in a middle-aged male.

A novel use of a jejunal graft for the successful repair of a colorectal anastomotic dehiscence after a transanal pull-through procedure in two dogs.

Cardiac surgery in patients with hemophilia remains a serious problem due to the risk of bleeding complications. Here, we report successful treatment of mitral valve insufficiency and concomitant atrial fibrillation in a patient with severe hemophilia A.

we reported an18 years old male with beta thalassemia major who presented with back pain progressive over 1 month associated with numbness in thighs, together with lower limbs weakness and difficulty walking. he also mentioned having difficulty in passing urine. he received radiotherapy which results in significant improvement in symptoms

Acute epibulbar infections are one of the most frequently diagnosed ophthalmologic infections. They are usually self-limiting but can lead to a viral preseptal cellulitis mimicking a severe bacterial infection. Early diagnosis is important to shorten the course of recovery.

A 63-year-old woman was diagnosed with a giant atrial septal aneurysm (ASA) protruding into the right atrium and thrombus attached to the left side of the ASA pouch. We surgically resected the ASA, and the resection site was closed with pericardial patch. The postoperative course was uneventful.

Coronavirus can lead to overcoagulation, blood stasis, and endothelial damage resulting in thromboembolic disorders. We report a 22-year-old pregnant woman with coronavirus admitted due to the pulmonary emboli. This case highlights the importance of considering a new category for COVID-19 pregnant patients with venous and arterial thromboembolic disorders.

Euglycemic DKA (euDKA) is a serious side effect associated with SGLT2 inhibitors. We present a case euDKA in a patient on an SGLT-2 inhibitor likely precipitated by COVID-19 infection. We suspect that COVID-19 led to euDKA. We pose the question of whether these medications should be discontinued proactively.

A document by Alessandra Romano. Click on the document to view its contents.

Right heart thrombus and pulmonary embolism is a condition that requires emergent treatment with reported fatal outcomes. Endovascular mechanical thrombectomy of right heart clot has been described with the use of AngioVac. We describe the use of FlowTriever device as a feasible alternative to treat clot in transit.

Pyruvate dehydrogenase complex (PDHC) deficiency is a mitochondrial disorder. We report two cases of PDHC deficiency with clinical symptoms and brain imaging findings reminiscent of FOXG1 syndrome, suggesting a phenotypic overlap of these disorders.

Isolated pulmonary valve infective endocarditis (PVIE) is very rare, with a frequency of 1.6-2.7% of all endocarditis cases. We report the case of a patient who underwent successful pulmonary valve replacement (PVR) with a bio-prosthetic valve to treat isolated PVIE.

Although children are less affected by Novel coronavirus disease 2019 than adults, it should not be missed, especially in those with underlying diseases. Herein, we report a patient with primary antibody deficiency, who was affected with COVID-19. This infection could be presented mildly in patients with immunodeficiency.

We report a case of Takotsubo cardiomyopathy (TTC) induced by diffuse fear of the COVID-19 pandemia and aggravated to ventricular fibrillation. After succesfull resuscitation the patient developed temporarily a J-wave after event. Though potentially live threatening in the acute phase both J-wave and TTC are reversible with receding of edema.