Volume 4 Issue 1

Case Report Myxoglobulosis of the Appendix: A Rare Cause of Pelvic Pain

Maheshgir S Gosavi*

Myxoglobulosis, also known as caviar appendix, is an unusual and rare variant of appendix mucocele. I report a case of a 29-year-old woman who presented with a 6 day history of pelvic pain after pelvic ultrasound revealed an enlarged appendix. Mucocele alone does not constitute a rare finding in routine appendectomy. However, the coexistence of multiple small intraluminal globules, described in the past as “frog eggs” or “fish eggs”, constitutes a special type of mucocele described as “myxoglobulosis”.

Cite this Article: Gosavi MS. Temporary Pacemaker Induced Ventricular Fibrillations in Cath Lab Due to R on T Phenomenon. Int J Case Rep Short Rev. 2018;4(1): 009-011.

Published: 03 February 2018

Case Report Temporary Pacemaker Induced Ventricular Fibrillations in Cath Lab Due to R on T Phenomenon

Sachin Sondhi*, Rajesh Sharma, Rajeev Merwaha, Kunal Mahajan, Ayushi Mehta and Munish Dev

Temporary pacing is life saving and is established treatment of bradyarrhythmias developed after myocardial infarction. However, under sensing of QRS complex from ischemic area of ventricular cavity leads to inappropriate pacing spike on ST segment or on T wave of intrinsic complex, fall of pacing spike on this vulnerable period leads to induction of life threatening ventricular fibrillations. This phenomenon is known as “R on T phenomenon”. We report a case of 56 year male, presented to us with ST segment elevated inferior wall myocardial infarction with right ventricle involvement. After coronary angiography and prior to angioplasty, temporary pacemaker inserted and just after pacemaker insertion, he suddenly developed ventricular fibrillations. After getting reverted to sinus rhythm for few seconds with DC shock, these VF episodes were reoccurring at frequent intervals. On analyzing electrocardiogram on monitor, it was thought that temporary pacemaker was the culprit for this life threatening arrhythmia because of R on T phenomenon and pacemaker was turned off. After that he didn’t get any further episode of VF and successful PTCA of right coronary artery was performed.

Cite this Article: Sachin S, Rajesh S, Rajeev M, Kunal M, Mehta A, et al. Temporary Pacemaker Induced Ventricular Fibrillations in Cath Lab Due to R on T Phenomenon. Int J Case Rep Short Rev. 2018;4(1): 006-008.

Published: 29 January 2018

Case Report Unusual Heterotopic Pregnancy Report of Three Cases

Maheshgir S Gosavi*

A heterotopic pregnancy is defined as the presence of a concomitant intrauterine and extra-uterine pregnancy. Its estimated incidence is 1/30,000 in spontaneous pregnancies. I present three cases of spontaneous coincidental intra and extra-uterine pregnancy. In the first case, heterotopic pregnancy with intrauterine contraceptive device. The second case spontaneously heterotopic pregnancy with ovarian mass. Third case of spontaneous triplet heterotrophic gestation.
These cases highlight the fact that as clinicians, we should be aware of the possibility of a heterotopic pregnancy in any patient presenting with pelvic pain, even when an intrauterine pregnancy has been confirmed. This is even more imperative after induction of ovulation by drugs or artificial reproductive techniques. I would also like to emphasise that an early diagnosis is critical to safeguard the intrauterine pregnancy and avoid maternal morbidity and mortality due to the ectopic pregnancy

Cite this Article: Roy Biswas RS, Chowdhury MR, Rahaman MH, Hossain ME. A Case of Acute Kidney Injury Following an Insect Bite in a Rural Setting of Bangladesh. Int J Case Rep Short Rev. 2017;3(5): 081-083.

Published: 19 January 2018

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