Background: Cervicogenic Headache (CGH) is a symptomatic headache condition. Causing from, cervical segmental dysfunction, suboccipital muscle hypertoxicity and neuromuscular dysfunction. Non-invasive treatment including, physiotherapy, postural education, and pharmacotherapy treatment, is extensively utilizes, however complementary strategies, may improve outcomes. This systematic review assesses the comparative effectiveness, in Intermittent Neuromuscular Technique (INMT)…

A 71‑year‑old renal transplant recipient presented with progressive malaise, gastrointestinal symptoms, fever, anemia, and acute graft dysfunction following recent travel abroad. Initial investigations revealed Micro‑Angiopathic Hemolytic Anemia (MAHA), thrombocytosis evolving into relative thrombocytopenia, elevated inflammatory markers, and declining renal function. The diagnostic process was complicated by overlapping possibilities including infection, viral reactivation, drug toxicity,…

A term male neonate with moderate Hypoxic-Ischaemic Encephalopathy (HIE) developed persistent rectal bleeding and rising inflammatory markers during therapeutic hypothermia. Despite conservative management, he deteriorated with signs of colonic ischaemia. Imaging suggested segmental hypoperfusion centred at Griffiths’ point at the splenic flexure, a recognised colonic watershed zone. Emergency laparotomy revealed extensive non-viable colon requiring subtotal colectomy with end ileostomy.…

Background: Prurigo nodularis (PN) is a chronic inflammatory dermatosis characterized by severe pruritus and nodular skin lesions and disproportionately affects older adults. Although PN is traditionally conceptualized as a dermatologic condition, its associated sleep disturbance and psychological burden may be particularly relevant in geriatric populations.

Objective: This review synthesizes existing evidence describing sleep disturbance,…

A spontaneous inferior epigastric artery rectus sheath hematoma is a rare condition where bleeding occurs within the sheath of the rectus abdominis muscle, often due to damage to the inferior epigastric artery or its branches. We present an adult case of giant spontaneous left inferior epigastric artery rectus sheath hematoma with dramatic life-threatening acute abdominal emergency which was managed successfully by conservative management.

Keywords: Acute Abdomen;…

Objectives: To synthesise current evidence on congenital, developmental, infectious, neoplastic, and traumatic gynecological and breast lesions requiring surgical evaluation or intervention in girls from fetal life to 21 years, highlighting diagnostic pathways, operative indications, outcomes, and gaps in knowledge.

Design: Narrative review of published literature, clinical guidelines, and surgical series across pediatric gynecology, pediatric…

Benign ureteral polyps, also known as fibroepithelial polyps, can cause upper urinary tract obstruction by growing to block the flow of urine from the kidney. Fibroepithelial polyps are very rare benign lesions originating from the mesoderm. We have presented an interesting and unusual case who presented with recurrent right sided abdominal colicky pain and vomiting. During investigation was found an underlying cause of right sided abdominal intermittent pain at the right pelviureteric…

We present unique and an interesting case of a toddler girl who had all three in one lesion with a known case of hypoganglionosis. Patient presented with recurrent right sided abdominal colicky pain, vomiting and a right lower abdominal mass. During abdominal ultrasound, an ileoileal intussusception was found. Patient underwent minimal invasive approach using laparoscopy at which the ileoileal intussusception was reduced and an inverted Meckel’s diverticulum with ectopic mucosal nodule was…

A 40‑year‑old man presented with recurrent perineal abscesses originating from a congenital isolated perineal canal extending from the anterior aspect of the anal canal to the base of the scrotum. Since the age of 18, he experienced 3‑4 episodes of painful perineal swelling requiring incision and drainage. The chronicity and midline perineal involvement raised repeated concerns for underlying Crohn’s disease. However, serial MRI pelvis studies, colonoscopic evaluations, and histology from…

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a complex, chronic, multisystem disorder characterized by persistent fatigue, post-exertional malaise, autonomic dysfunction, neuromuscular impairment, and cognitive disturbances. Standard rehabilitation approaches are often poorly tolerated due to symptom exacerbation, highlighting the need for safe, individualized, low-load interventions. Clinical Pilates (CP), emphasizing controlled movement, core stabilization, alignment, and…