Bezoar as a cause of gastric perforation in young female patient: A Case Report

Introduction: Bezoars are rare accumulations of indigestible contents within the gastrointestinal tract. These are commonly found in patients with previous psychiatric illness, learning disabilities, and gastric surgery. Computed tomography (CT) is the non-invasive imaging modality of choice as it can not only diagnose but recognize associated complications as well.
Case Report: We present a case of a young 16 years old female who presented with nausea, dull abdominal pain, and distension. She underwent a Contrast-enhanced CT scan and was diagnosed as a case of gastric bezoar with gastric perforation and frank pneumoperitoneum. The patient underwent exploratory laparotomy and repair of the stomach. Per operative, findings were consistent with trichobezoar. The patient recovered well after surgery.
Discussion: Bezoar is an accumulation of partially digested foreign material in the gastrointestinal (GI) tract. Bezoar can occur in any part of GIT, however, are most common in the stomach. Multiple risk factors are recognized however can occur without the risk factor. Bezoars are classified into several main types. Proper clinical history, examination, and imaging can play an important role in its diagnosis.
Conclusion: Nonspecific abdominal pain in young female patients with a psychiatric disorder can result from uncommon causes such as bezoars and is important for clinicians and radiologists to be aware of this uncommon entity. Read More …

The Economic impact of Lower Extremity Amputations in Diabetics. A retrospective study from A Tertiary Care Hospital Of Faisalabad, Pakistan.

Muhammad Labeeq1, Muhammad Ahsan Tariq1, Samar Atta Tung1, Muhammad Asfand Yar1, Waleed Rehman1, Sumera Badar Ehsan2. Students, Final Year MBBS, Punjab Medical College, Faisalabad Medical University, Faisalabad, Pakistan. Assistant Professor (Medical Education), Punjab Medical College, Faisalabad Medical University, Faisalabad, Pakistan. Corresponding Author: Muhammad Labeeq, Student Final Year MBBS, Faisalabad Medical University, Faisalabad, Pakistan.Contact AuthorSubmission: Oct 2, Read More …

Anatomical Variations of Radial Artery-Its morphology and Clinical Implications.

Muhammad Tariq1, Saeed Ahmad2, Jamshed Khan3, Salman Hakim4, Usmanullah5, Shehla Aman6. Assistant Professor Pathology, Jinnah Medical College, Peshawar. Principal, Loralai Medical College, Loralai. Assistant Professor Anatomy, Loralai Medical  College Loralai. Demonstrator, Nowshera Medical College Nowshera. Assistant Professor Anatomy, Gajo Khan Medical College, Swabi. Assistant Professor Anatomy Gomal Medical College, Dera Ismail Khan. Corresponding Author: Dr Muhammad Tariq, Read More …

Hyperparathyroidism presenting as acute pancreatitis: Case Report of mortality.

Vishal Farid Raza1, Muhammad Mohsin Gillani2. Post Graduate Resident, General Surgery, Sharif Medical City Hospital, Lahore. Professor & Head, General Surgery, Sharif Medical City Hospital, Lahore. Corresponding Author: Dr Vishal Farid Raza, Post Graduate Resident, General Surgery, Sharif Medical City Hospital, Lahore, Pakistan.Contact AuthorSubmission: Oct 13, 2019Acceptance: Jan 15, 2020Published: Feb 1, 2020 Copyright © 2020 Read More …

Ruptured Unilateral Twin Tubal Ectopic Pregnancy. Case Report of an oddity & Literature Review.

Palwasha Gul1, Khanda Gul2, Pari Gul3, Tanzila Parveen4. Senior Registrar, Radiology, Bolan Medical Complex Hospital, Quetta, Balochistan. Assistant Professor, Gynae & Obs, Bolan Medical Complex Hospital, Quetta, Balochistan. Assistant Professor, Radiology, Bolan Medical Complex Hospital, Quetta, Balochistan. Medical Officer, Radiology, Bolan Medical Complex Hospital, Quetta, Balochistan. Corresponding Author: Dr Palwasha Gul, Senior Registrar, Radiology, Bolan Medical Read More …

Predatory Journals: A Literature Review

Zouina Sarfraz1, Azza Sarfraz2, Ammar Anwer3, Zainab Nadeem4, Shehar Bano5, Saffa Tareen5. Student, 5th Year MBBS, Fatima Jinnah Medical University, Lahore. Research Associate, Department of Pediatrics, Aga Khan University Hospital, Karachi. Medical Officer, Neurosurgery, Mayo Hospital, Lahore. Student, 4th year MBBS, Aga Khan University, Karachi. MBBS, Fatima Jinnah Medical University, Lahore. Corresponding Author: Zouina Sarfraz, Student Read More …

Correlation of Atrial Fibrillation with Left Atrial Volume in Patients with Mitral Stenosis. A single centre study from Pakistan.

Muhammad Arshad1 , Furqan Yaqub Pannu1, Bilal Ahmed1,  Ahmad Kamran2, Faryal Zafar3, Salman Khalid1. Senior Registrar, Cardiology, Mayo Hospital, Lahore, Pakistan. Medical Officer, Cardiac Surgery, Mayo Hospital, Lahore, Pakistan. Medical Officer, Pathology, Services Institute of Medical Sciences, Lahore, Pakistan. Corresponding Author: Dr Bilal Ahmed, Senior Registrar Cardiology, Mayo Hospital, Lahore. Contact Author.Submission: Oct 9, 2019Acceptance: Jan Read More …

Analysis of Essential Medicines Used for Emergency Care in Pakistan

Talha Khalid¹, Aamna Khokhar², Naseem Jahan3, Umar Sultan⁴, Arooj Fatima5. Senior Registrar Medical Unit II Jinnah Hospital, Lahore. Assistant Professor Pharmacology Islamabad Medical and Dental College, Islamabad. M.Phill Institute of molecular biology and biotechnology University of Lahore. House Officer, Mayo Hospital Lahore. House Officer, District Head Quarter Teaching Hospital Gujranwala. Corresponding Author: Dr Talha Khalid, Senior Read More …

Cholecysto-duodenal fistula causing Gallstone Ileus.

Iqra Shaikh1, Muhammad Saad Ashraf1, Saad Arshad1, Abdul Rehman Alvi2. Post Graduate Resident, Surgery, DHQ Teaching Hospital, Gujranwala, Pakistan. Head of Surgical Unit, DHQ Teaching Hospital, Gujranwala, Pakistan. Corresponding Author: Dr Iqra Shaikh, PGR Surgery, DHQ Teaching hospital, Gujranwala.Contact AuthorSubmission: Oct 28, 2019Acceptance: Jan 28, 2020Published: Feb 1, 2020 Copyright © 2020 Pakistan Journal of Surgery Read More …

Prevalence of Muscle dysmorphia and associated health activities in male medical students in Karachi, Pakistan.

Azza Sarfraz1, Ali Faisal Sultan1, Mirza Zain Baig1, Moheudin Khan1,Noayna Arshad1, Rijah Chappra1, Sarosh Madhani1, Muhammad Owais Abdul Ghani1, Hassan Bin Khalid1, Imtiaz Jehan2. Students 4th Year MBBS, Aga Khan University, Karachi, Pakistan. Associate Professor, Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan. Corresponding Author: Dr Imtiaz Jehan, Associate Professor, Department of Community Read More …