Co-occurrence of cyanotic congenital heart disease (CCHD) and phaeochromocytoma (PCC) and paraganglioma (PGL) are rare, although some cases have been reported. We report a case of left paraganglioma in a 20-year-old lady with an underlying CCHD who underwent palliative Glenn shunt, subsequently developed polycythaemia and cavernous sinus thrombosis presented with palpitation, sweating, headache and hypertension of 3-months duration at the age of 17. The abdominal CT scan revealed an enhancing left paraaortic mass measuring 5.2 cm x 4.4 cm x 3.8 cm. A 24-hour urine catecholamine demonstrated raised noradrenaline level to six times upper limit of normal and hence diagnosis of left sympathetic (sPGL) was made. In view of the delayed diagnosis and significant morbidity associated with her condition, surgical treatment is no longer an option. Therefore, vigilant screening and early treatment of PCC-PGL in patients with CCHD are crucial in order to avoid significant morbidity and ensure a good quality of life.
This study evaluated the properties of banana pseudo-stem (BPS) biochar derived from two different types of pyrolysis. The fast pyrolysis experiment was performed using a worktable-scale fluidized-bed reactor, while a bench-scale fixed-bed reactor was used in the slow pyrolysis experiment. The preliminary analysis shows that the feedstock contains 80.6 db wt% of volatile matter, 12.5 db wt% of ash and 33.6% of carbon content. Biochar yield reduces as the pyrolysis temperature elevates for both pyrolysis experiments. Fast pyrolysis yields a higher percentage of biochar (40.3%) than biochar yield obtained from the slow pyrolysis experiment (34.9 wt%) at a similar temperature of 500 °C. The evaluation of biochar derived at 500 °C shows that the biochar obtained from the slow pyrolysis process has higher carbon content, heating value, and surface area with lower ash content. Meanwhile, FESEM images show significant differences in surface morphology and the number of pores for biochar derived from fast and slow pyrolysis. These findings indicate the potential and suitability of BPS biochar derived from the slow pyrolysis process in applications such as soil amelioration and solid biofuel.